Constrictive Pericarditis with Extensive Calcification and Caseous Necrosis

Abstract Constrictive pericarditis is a disease where loss of pericardial elasticity and restriction of filling of the cardiac chambers occurs. It is most often seen as an associated symptom of heart failure. Pericardiectomy provides effective treatment for patients with symptomatic constrictive pericarditis, although high rates of morbidity and mortality are related to the procedure. We present a case with extensive calcification, massive caseous necrosis and an important impairment of right ventricular function successfully operated in our institution.

摘要：缩窄性心包炎（Constrictive pericarditis）是一类以心包弹性丧失、心腔充盈受限为特征的疾病，临床多作为心力衰竭的伴随表现。尽管心包切除术（Pericardiectomy）可为有症状的缩窄性心包炎患者提供有效治疗手段，但该手术的发病率与死亡率均较高。本文报告1例于我院接受成功手术治疗的患者，该患者存在广泛钙化、大量干酪样坏死及右心室功能显著受损。