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首页> 外文期刊>Annals of thoracic and cardiovascular surgery: official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia >Surgical treatment of chronic constrictive pericarditis using an ultrasonic scalpel.
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Surgical treatment of chronic constrictive pericarditis using an ultrasonic scalpel.

机译：超声手术刀对慢性缩窄性心包炎的外科治疗。

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A 61-year-old male had complained of cough and dyspnea on effort, with right pleural effusion. Computed tomography demonstrated a calcific pericardium surrounding the entire heart, with thickening of 10 mm. Cardiac catheterization showed no coronary disease, but a dip-and-plateau of the pressure curve of both ventricles. We diagnosed congestive heart failure due to chronic constrictive pericarditis, and performed a subtotal pericardiectomy, using an Ultrasonic Scalpel through a median sternotomy combined with anterior left thoracotomy at the level of the fifth rib, without cardiopulmonary bypass (CPB). After the subtotal pericardiectomy, his postoperative recovery was uneventful and his functional status improved. We consider that our surgical technique is a useful method for treatment of chronic constrictive pericarditis, and advocate the use of the Ultrasonic Scalpel for a safe and easy pericardiectomy.
机译：一名61岁的男性主诉咳嗽和呼吸困难，伴有右胸腔积液。计算机断层扫描显示整个心脏周围有钙化的心包，厚度为10毫米。心脏导管检查未显示冠状动脉疾病，但两个心室的压力曲线均处于下降和平稳状态。我们诊断为慢性收缩性心包炎引起的充血性心力衰竭，并使用超声解剖刀通过正中胸骨切开术并在第五肋骨水平行左前胸廓切开术，未进行心肺旁路手术（CPB）进行了大体心包切除术。全心包切除术后，术后恢复平稳，功能状态得到改善。我们认为我们的手术技术是治疗慢性缩窄性心包炎的一种有用方法，并提倡使用超声解剖刀进行安全，简便的心包切除术。

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