A case of effusive-constrictive pericarditis with repetitive pleural effusion after pulmonary embolectomy

症例は61歳男性,急性肺塞栓症のため肺動脈血栓除去術と右下肢深部静脈血栓除去術を施行した.約2週間後右胸水が出現し,以後胸腔ドレナージを3回施行した.その後も胸水が貯留し,労作時呼吸困難もきたしたため,約5カ月後に入院となった.心嚢水の貯留も認められ,当初,心膜切開後症候群を疑ったが,心嚢ドレナージ前後の圧測定で滲出性収縮性心膜炎と診断した.心膜,心外膜切除術を施行して軽快した.患者はループスアンチコアグラント陽性で抗リン脂質抗体症候群と考えられた.肺塞栓に対する術後の滲出性収縮性心膜炎はまれであり報告する....

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Published inShinzo Vol. 33; no. 7; pp. 603 - 608
Main Authors Tanaka, Hidekazu, Sakata, Masahiro, Kawata, Masahito, Mizutani, Tetsuo, Shimizu, Masatoshi, Takenaka, Kaori, Okada, Toshio, Miyatake, Hiroaki, Soneda, Junichi, Wakita, Noboru
Format Journal Article
LanguageJapanese
Published Japan Heart Foundation 15.07.2001
Subjects
Online AccessGet full text
ISSN0586-4488
2186-3016
DOI10.11281/shinzo1969.33.7_603

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Abstract 症例は61歳男性,急性肺塞栓症のため肺動脈血栓除去術と右下肢深部静脈血栓除去術を施行した.約2週間後右胸水が出現し,以後胸腔ドレナージを3回施行した.その後も胸水が貯留し,労作時呼吸困難もきたしたため,約5カ月後に入院となった.心嚢水の貯留も認められ,当初,心膜切開後症候群を疑ったが,心嚢ドレナージ前後の圧測定で滲出性収縮性心膜炎と診断した.心膜,心外膜切除術を施行して軽快した.患者はループスアンチコアグラント陽性で抗リン脂質抗体症候群と考えられた.肺塞栓に対する術後の滲出性収縮性心膜炎はまれであり報告する.
AbstractList 症例は61歳男性,急性肺塞栓症のため肺動脈血栓除去術と右下肢深部静脈血栓除去術を施行した.約2週間後右胸水が出現し,以後胸腔ドレナージを3回施行した.その後も胸水が貯留し,労作時呼吸困難もきたしたため,約5カ月後に入院となった.心嚢水の貯留も認められ,当初,心膜切開後症候群を疑ったが,心嚢ドレナージ前後の圧測定で滲出性収縮性心膜炎と診断した.心膜,心外膜切除術を施行して軽快した.患者はループスアンチコアグラント陽性で抗リン脂質抗体症候群と考えられた.肺塞栓に対する術後の滲出性収縮性心膜炎はまれであり報告する.
Author Kawata, Masahito
Sakata, Masahiro
Okada, Toshio
Miyatake, Hiroaki
Mizutani, Tetsuo
Soneda, Junichi
Shimizu, Masatoshi
Tanaka, Hidekazu
Wakita, Noboru
Takenaka, Kaori
Author_FL 竹中 かおり
清水 雅俊
田中 秀和
河田 正仁
水谷 哲郎
曽根田 純一
宮武 博明
岡田 敏男
坂田 雅宏
脇田 昇
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  fullname: 河田 正仁
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  fullname: 竹中 かおり
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  fullname: 清水 雅俊
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  fullname: 岡田 敏男
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  fullname: 田中 秀和
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  fullname: 宮武 博明
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  fullname: 水谷 哲郎
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  fullname: 曽根田 純一
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  fullname: Tanaka, Hidekazu
  organization: Department of Internal Medicine, Kobe National Hospital
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  fullname: Sakata, Masahiro
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  fullname: Kawata, Masahito
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  fullname: Mizutani, Tetsuo
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  fullname: Shimizu, Masatoshi
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  organization: Department of Cardiovascular Surgery, Kobe Tokushukai Hospital
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  fullname: Wakita, Noboru
  organization: Department of Cardiovascular Surgery, Kobe Rosai Hospital
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References 4) Cameron J, Oesterle SN, Baldwin JC, et al :The etiologic spectrum of constrictive pericar-ditis. Am Heart J 1987 ; 113 : 354-360
8) Ribeiro P, Sapsford R, Evans T, et al : Con-strictive pericarditis as a complication of coro-nary artery bypass surgery. Br Heart J 1984 ;51 : 205-210
1) Hancock EW : Subacute effusive-constrictivepericarditis. Circulation 1971 ; 43 : 183-192
6) Areno JP, McCartney JP, Eggerstedt J, et al :Persistent pleural effusions following coronarybypass surgery. Chest 1998 ; 114 : 311-314
2) Braunwald E : Heart Disease 5th ed. : Effusive-constrictive pericarditis. W.B. Saunders Com-pany ; 1997 : p.1505
3) Kutcher MA, King III SB, Alimurung BN, etal Constrictive pericarditis as a complication of cardiac surgery : Recognition of an entity.Am J Carcliol 1982 ; 50 : 742-748
7) Ofori-Krakye SK, Tyberg TI, Geha AS, et al :Late cardiac tamponade after open heart sur-gery : Incidence, role of anticoagulant in itspathogenesis and its relationship to the postper-icardiotomy syndrome. Circulation 1981 ; 63 :1323-1328
9) Bick RL, Arun B, Frenkel EP : Antiphos-pholipid-thrombosis syndromes. Haematostasis 1999 ; 29 : 100-110
5) Ito T, Engle MA, Goldberg HP : Postpericar-diotomy syndrome following surgery for non-rheumatic heart disease. Circulation 1958 ;17 : 549-556
References_xml – reference: 6) Areno JP, McCartney JP, Eggerstedt J, et al :Persistent pleural effusions following coronarybypass surgery. Chest 1998 ; 114 : 311-314
– reference: 4) Cameron J, Oesterle SN, Baldwin JC, et al :The etiologic spectrum of constrictive pericar-ditis. Am Heart J 1987 ; 113 : 354-360
– reference: 5) Ito T, Engle MA, Goldberg HP : Postpericar-diotomy syndrome following surgery for non-rheumatic heart disease. Circulation 1958 ;17 : 549-556
– reference: 7) Ofori-Krakye SK, Tyberg TI, Geha AS, et al :Late cardiac tamponade after open heart sur-gery : Incidence, role of anticoagulant in itspathogenesis and its relationship to the postper-icardiotomy syndrome. Circulation 1981 ; 63 :1323-1328
– reference: 9) Bick RL, Arun B, Frenkel EP : Antiphos-pholipid-thrombosis syndromes. Haematostasis 1999 ; 29 : 100-110
– reference: 3) Kutcher MA, King III SB, Alimurung BN, etal Constrictive pericarditis as a complication of cardiac surgery : Recognition of an entity.Am J Carcliol 1982 ; 50 : 742-748
– reference: 8) Ribeiro P, Sapsford R, Evans T, et al : Con-strictive pericarditis as a complication of coro-nary artery bypass surgery. Br Heart J 1984 ;51 : 205-210
– reference: 1) Hancock EW : Subacute effusive-constrictivepericarditis. Circulation 1971 ; 43 : 183-192
– reference: 2) Braunwald E : Heart Disease 5th ed. : Effusive-constrictive pericarditis. W.B. Saunders Com-pany ; 1997 : p.1505
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Snippet 症例は61歳男性,急性肺塞栓症のため肺動脈血栓除去術と右下肢深部静脈血栓除去術を施行した.約2週間後右胸水が出現し,以後胸腔ドレナージを3回施行した.その後も胸水が貯...
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StartPage 603
SubjectTerms 心膜切開後症候群
滲出性収縮性心膜炎
肺塞栓
胸水
開心術
Title A case of effusive-constrictive pericarditis with repetitive pleural effusion after pulmonary embolectomy
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