Ichiba T, shiguro S, Kuroda H, Mori T
Second Department of Surgery, Tottori University Faculty of Medicine, Yonago, Japan.
Kyobu Geka. 1998 Sep;51(10):864-7.
A 48-year-old male with constrictive pericarditis was reoperated through median sternotomy 13 years after pericardiectomy through left thoracotomy. Extensive pericardiectomy is the most important point for constrictive pericarditis. Therefore, we have recently chosen the median sternotomy approach which has advantages over the left thoracotomy approach. Namely, the cardiopulmonary bypass is performed in the former approach immediately if the posterior pericardiectomy is difficult or the coronary arterial injury happens during decortication.
一名48岁患有缩窄性心包炎的男性，在经左胸心包切除术后13年，通过正中胸骨切开术进行了再次手术。广泛的心包切除术是治疗缩窄性心包炎的关键。因此，我们最近选择了正中胸骨切开术，该方法比左胸切开术更具优势。也就是说，在前一种手术方法中，如果在后心包切除术中遇到困难或在剥脱术期间发生冠状动脉损伤，可立即进行体外循环。
