[缩窄性心包炎合并冠状动脉疾病手术治疗1例报告]。

M Kudaka, K Koja, Y Kuniyoshi, M Akasaki, K Miyagi, A Kusaba
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引用次数: 0

摘要

我们对一位八十多岁的老人进行了缩窄性心包炎和冠状动脉疾病的合并手术。一位82岁男性患者因呼吸困难、下肢水肿及胸腔积液而入院。心导管检查显示缩窄性心包炎,左前降支狭窄75%。采用股股部分分流术对心脏跳动下左心室后壁及左心房进行广泛心包切除术。心包切除术后行单次冠脉搭桥合并隐静脉移植物。术后心导管检查显示旁路移植术血流动力学和通畅恢复良好。术后过程顺利。患者于术后第25天出院。
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[A case report of surgical treatment of constrictive pericarditis with coronary artery disease].

We performed the concomitant operation for constrictive pericarditis and coronary artery disease in an octogenarian. A 82-year-old male was hospitalized with dyspnea, edema of the lower extremities and pleural effusion on chest X-ray film. Cardiac catheterization revealed constrictive pericarditis and 75% stenosis of left anterior descending artery. Extensive pericardiectomy was performed including posterior wall of left ventricle and left atrium under the beating heart by using femoro-femoral partial bypass. Single CABG with a saphenous vein graft was performed following pericardiectomy. Postoperative cardiac catheterization showed good recovery of hemodynamics and patency of the bypass graft. Postoperative course was uneventful. The patient was discharged on twenty fifth postoperative day.

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