冠動脈バイパス術後1カ月で収縮性心膜炎を発症した1例

伊藤 貴弘; 松尾 浩三; 浅野 宗一; 椛沢 政司; 阿部 真一郎; 長谷川 秀臣; 池内 博紀; 小泉 信太郎; 林田 直樹; 村山 博和

doi:10.4326/jjcvs.48.263

[Acquired Cardiovascular Surgery]

A Case of Constrictive Pericarditis Occurring One Month after Coronary Artery Bypass Graft

Takahiro Ito, Kozo Matsuo, Soichi Asano, Masashi Kabasawa, Shinichiro Abe, Hideomi Hasegawa, Hiroki Ikeuchi, Shintaroh Koizumi, Naoki Hayashida, Hirokazu Murayama

Author information

Takahiro Ito
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Kozo Matsuo
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Soichi Asano
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Masashi Kabasawa
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Shinichiro Abe
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Hideomi Hasegawa
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Hiroki Ikeuchi
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Shintaroh Koizumi
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Naoki Hayashida
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center
Hirokazu Murayama
Department of Cardiovascular Surgery, Chiba Cerebral and Cardiovascular Center

Keywords: constrictive pericarditis, pericardiectomy, diastolic disfunction, coronary artery bypass graft, ePTFE

JOURNAL FREE ACCESS

2019 Volume 48 Issue 4 Pages 263-266

DOI https://doi.org/10.4326/jjcvs.48.263

Details

Abstract

A 81-year-old man underwent CABG for angina pectoris. The grafts were all patent in postoperative coronary angiography and he was discharged on postoperative day 24. Pericardial and pleural effusion appeared in 1 month after surgery. After pericardial and pleural effusion drainage, we started steroid therapy. However, his symptoms did not improve. We performed pericardiectomy under the diagnosis of constrictive pericarditis. Diastolic dysfunction improved after the surgery, and he was discharged on postoperative day 117.

Corresponding author

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