- 関
- 収縮性心膜炎
- 収縮性心膜炎の根治療法。
- 心膜炎により心嚢水が貯留し、心機能が低下する場合にも行う(参考1)、らしい。
参考
- http://www.debakeydepartmentofsurgery.org/home/content.cfm?proc_name=pericardiectomy&content_id=274
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2017/03/05 13:11:02」(JST)
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Pericardiectomy |
Intervention |
ICD-9-CM |
37.31 |
MeSH |
D010492 |
[edit on Wikidata]
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Pericardiectomy is the surgical removal of part or most of the pericardium. This operation is most commonly done to relieve constrictive pericarditis or to remove a pericardium that is calcified and fibrous. There are many etiologies for constrictive pericarditis and it is better to know the exact cause as the post operative morbidity, mortality, and life expectancy are strongly influenced by the cause.
It takes place by removing the infected, fibrosed, or otherwise damaged pericardium. The procedure begins when the surgeon makes an incision in the skin over the breastbone and divides it to expose the pericardium. During the surgery, the surgeon will grasp the pericardium, cut the top of this fibrous covering of the heart, drop it into the specimen bag, and re-cover the heart. The breastbone is then wired back together and the incision is closed, completing the procedure. When the portion of pericardium lying between the two phrenic nerves is excised it is called total pericardiectomy. In cases where total pericardiectomy is not possible, subtotal pericardiectomy is performed or, in extreme cases, a cruciate incision on the pericardium is performed.
See also
- List of surgeries by type
Surgery and other procedures involving the heart (ICD-9-CM V3 35–37+89.4+99.6, ICD-10-PCS 02)
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Surgery and IC |
Heart valves
and septa
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- Valve repair
- Valvulotomy
- Mitral valve repair
- Valvuloplasty
- Valve replacement
- Aortic valve repair
- Aortic valve replacement
- Ross procedure
- Percutaneous aortic valve replacement
- Mitral valve replacement
- production of septal defect in heart
- enlargement of existing septal defect
- Atrial septostomy
- Balloon septostomy
- creation of septal defect in heart
- Blalock–Hanlon procedure
- shunt from heart chamber to blood vessel
- atrium to pulmonary artery
- Fontan procedure
- left ventricle to aorta
- Rastelli procedure
- right ventricle to pulmonary artery
- Sano shunt
- compound procedures
- for transposition of great vessels
- Jatene procedure
- Mustard procedure
- for univentricular defect
- Norwood procedure
- Kawashima procedure
- shunt from blood vessel to blood vessel
- systemic circulation to pulmonary artery shunt
- Blalock–Taussig shunt
- SVC to the right PA
- Glenn procedure
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Cardiac vessels
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- CHD
- Angioplasty
- Bypass/Coronary artery bypass
- MIDCAB
- Off-pump CAB
- TECAB
- Coronary stent
- Bare-metal stent
- Drug-eluting stent
- Bentall procedure
- Valve-sparing aortic root replacement
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Other
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- Pericardium
- Pericardiocentesis
- Pericardial window
- Pericardiectomy
- Myocardium
- Cardiomyoplasty
- Dor procedure
- Septal myectomy
- Ventricular reduction
- Alcohol septal ablation
- Conduction system
- Maze procedure
- Cox maze and minimaze
- Catheter ablation
- Cryoablation
- Radiofrequency ablation
- Pacemaker insertion
- Left atrial appendage occlusion
- Cardiotomy
- Heart transplantation
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Diagnostic
tests and
procedures |
- Electrophysiology
- Electrocardiography
- Vectorcardiography
- Holter monitor
- Implantable loop recorder
- Cardiac stress test
- Bruce protocol
- Electrophysiology study
- Cardiac imaging
- Angiocardiography
- Echocardiography
- TTE
- TEE
- Myocardial perfusion imaging
- Cardiovascular MRI
- Ventriculography
- Radionuclide ventriculography
- Cardiac catheterization/Coronary catheterization
- Cardiac CT
- Cardiac PET
- sound
- Phonocardiogram
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Function tests |
- Impedance cardiography
- Ballistocardiography
- Cardiotocography
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Pacing |
- Cardioversion
- Transcutaneous pacing
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UpToDate Contents
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- 1. 収縮性心膜炎 constrictive pericarditis
- 2. 心嚢液貯留の診断および治療 diagnosis and treatment of pericardial effusion
- 3. 再発性心膜炎 recurrent pericarditis
- 4. 急性心膜炎の治療 treatment of acute pericarditis
- 5. 心タンポナーデ cardiac tamponade
English Journal
- Purulent pericarditis after transbronchial biopsy.
- Tachjian A1, Shafer KM2, Denkinger C1, Pinto DS3.
- The Canadian journal of cardiology.Can J Cardiol.2014 Oct;30(10):1250.e19-21. doi: 10.1016/j.cjca.2014.04.013. Epub 2014 Apr 18.
- A 28-year-old woman experienced hypotension and unresponsiveness. She had undergone bronchoscopy with needle biopsy 2 weeks before admission to evaluate hilar lymphadenopathy given suspicion of sarcoidosis. She had an elevated white blood cell count of 28,000/μL and a serum creatinine level of 4.0
- PMID 25138484
- Constrictive pericarditis--a curable diastolic heart failure.
- Syed FF1, Schaff HV2, Oh JK1.
- Nature reviews. Cardiology.Nat Rev Cardiol.2014 Sep;11(9):530-44. doi: 10.1038/nrcardio.2014.100. Epub 2014 Jul 29.
- Constrictive pericarditis can result from a stiff pericardium that prevents satisfactory diastolic filling. The distinction between constrictive pericarditis and other causes of heart failure, such as restrictive cardiomyopathy, is important because pericardiectomy can cure constrictive pericarditis
- PMID 25072910
- Constrictive pericarditis requiring pericardiectomy at Groote Schuur Hospital, Cape Town, South Africa: Causes and perioperative outcomes in the HIV era (1990-2012).
- Mutyaba AK1, Balkaran S1, Cloete R1, du Plessis N1, Badri M2, Brink J3, Mayosi BM1.
- The Journal of thoracic and cardiovascular surgery.J Thorac Cardiovasc Surg.2014 Aug 4. pii: S0022-5223(14)01038-1. doi: 10.1016/j.jtcvs.2014.07.065. [Epub ahead of print]
- OBJECTIVE: The causes of constrictive pericarditis and predictors of perioperative outcome after pericardiectomy have not been clearly elucidated, especially in Africa, where the disease characteristics differ from those in developed countries. Furthermore, the effect of human immunodeficiency virus
- PMID 25175954
Japanese Journal
- 収縮性心膜炎に対する心膜切除後に右室機能の改善に伴い左室拡張障害が顕在化した透析患者の麻酔管理経験
- Transient Constrictive Pericarditis Following Cardiac Surgery
- Maeda Koichi,Saito Shunsuke,Toda Toru,Ueno Takayoshi,Kuratani Toru,Sawa Yoshiki
- Annals of Thoracic and Cardiovascular Surgery, 2014
- … Prior to performing a pericardiectomy, NSAID administration should be considered for affected patients who are hemodynamically stable. …
- NAID 130003396745
- Surgical experience with chronic constrictive pericarditis
- Ariyoshi Tsuneo,Hashizume Koji,Taniguchi Shinichiro,Miura Takashi,Tanigawa Kazuyoshi,Matsukuma Seiji,Odate Tomohiro,Nakaji Shun,Sumi Mizuki,Eishi Kiyoyuki
- General Thoracic and Cardiovascular Surgery 60(12), 796-802, 2012-12
- … The purpose of this report is to review the outcome of pericardiectomy for constrictive pericarditis and to discuss its problems. … Methods: Sixteen consecutive patients who underwent pericardiectomy for constrictive pericarditis in our institution between March 2000 and June 2011 were reviewed. …
- NAID 120005231062
Related Links
- Pericardiectomy is the surgical removal of part or most of the pericardium. This operation is most commonly done to relieve constrictive pericarditis, or to remove a pericardium that is calcified and fibrous. There are many etiologies for ...
- What is pericardiectomy? Pericardiectomy is the surgical removal of a portion or all of the pericardium. It is also called pericardial stripping. The pericardium is a double-walled, membrane sac that surrounds the heart. It contains a ...
Related Pictures
★リンクテーブル★
[★]
- 英
- pericardiectomy, endocardial resection procedure?
- 同
- 心嚢切除術
- 関
- 心膜切開、心膜切除、心膜剥皮術
[★]
- 関
- pericardiectomy、pericardiocentesis
[★]
- 英
- pericardiectomy
- 同
- 心膜切除術
- 関
- 心膜切開術
[★]
- 英
- pericardiectomy
- 関
- 心膜切除術