放射性心包炎和乳房重建:一个手术困境

Brian D. Layton USAF, MC (CAPT), Jerry W. Pratt USAF, MC (LT COL)
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引用次数: 1

摘要

目的探讨1例放射性心包炎及其生理特点,探讨左开胸术作为胸骨正中切开术治疗复杂性放射性心包炎的有效替代方法。设计一份病例报告,并附有疾病讨论和文献检索。设置凯斯勒空军基地医疗中心,一个军事训练设施和普通外科住院医师项目。参与者:1例病例报告并文献复习。结果左侧开胸术是放射性心包炎的有效替代方法,但肺部相关并发症轻微增加。结论:随着纵隔放射治疗恶性疾病的增加以及乳房重建手术妇女的增加,可能会出现复杂的放射性心包炎病例,这些病例可能不适合胸骨正中切开术。在心包炎合并美容限制的病例中,左胸切开术可替代正中胸骨切开术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiation Pericarditis and Breast Reconstruction: A Surgical Dilemma

Objective

To discuss a case of radiation pericarditis and the physiology of the disease, and to discuss the left thoracotomy as an effective alternative to median sternotomy for pericardiectomy in the treatment of complicated radiation pericarditis.

Design

A case report with accompanying discussion of the disease and literature search.

Setting

Keesler Air Force Base Medical Center, a military training facility and general surgery residency program.

Participants

A single case report with review of literature.

Results

Left thoracotomy is an effective alternative to median sternotomy for the surgical treatment of radiation pericarditis, with a mild increase in pulmonary-associated complications.

Conclusions

With an increase in the use of mediastinal radiation for treatment of malignant disease as well as the increase in women having reconstructive procedures of the breast, one may expect complicated cases of radiation pericarditis that may not be amenable to median sternotomy. Left thoracotomy may be an alternative to median sternotomy for pericardiectomy in cases of pericarditis complicated by cosmetic constraints.

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