Subacute Tuberculous Pericarditis With Fibroelastic Constriction Diagnosed Upon Pericardiectomy

元データ 2000-04-20 社団法人日本循環器学会

概要

A patient with subacute pericarditis showed no evidence suggesting tuberculosis until pericardiectomy was performed because of hemodynamic deterioration. The excised pericardium had a rubbery fibroelastic consistency; histologically, there were granulomatous changes characteristic of tuberculosis. Although tuberculous pericarditis is a difficult diagnosis, this case illustrates the diagnostic and therapeutic importance of early pericardiectomy before myocardial inflammatory infiltration occurs together with end-stage pericardial fibrosis and calcification.

著者

Matsubara Mitsunobu Department Of Medicine And Clinical Science Yamaguchi University Graduate School Of Medicine
Matsuzaki Masunori Second Department of Internal Medicine, Yamaguchi University, School of Medicine
Sakai Hisanori Departments Of Cardiovascular Medicine Konan Saint Hill Hospital
Kunichika Hideki Department of Cardiovascular Medicine, Yamaguchi University School of Medicine
Fujii Takashi Second Department of Internal Medicine, Yamaguchi University School of Medicine
Ryoke Tsutomu Department of Cardiology, Shimonoseki Kosei Hospital
Kakukawa Hiroyuki Departments of Cardiovascular Medicine, Konan Saint Hill Hospital
Nishimura Yuko Departments of Cardiovascular Medicine, Konan Saint Hill Hospital
Minami Yoshihide Department of Cardiovasucular Surgery, Konan Saint Hill Hospital
Minami Yoshihide Department Of Cardiovasucular Surgery Konan Saint Hill Hospital
Kakukawa Hiroyuki Departments Of Cardiovascular Medicine Konan Saint Hill Hospital
Fujino Takashi Second Department Of Internal Medicine Yamaguchi University School Of Medicine
Matsuzaki Masunori Second Department Of Internal Medicine Yamaguchi University School Of Medicine
Ryouke Tsutomu 2nd Department Of Internal Medicine Yamaguchi University School Of Medicine
Ryoke Tsutomu Department Of Cardiology Shimonoseki Kosei Hospital
Kunichika Hideki Departments Of Cardiovascular Medicine Konan Saint Hill Hospital
Kunichika Hideki Department Of Cardiovascular Medicine Yamaguchi University School Of Medicine
Ryoke Tsutomu Departments Of Cardiovascular Medicine Konan Saint Hill Hospital
Fujii Takashi Division Of Cardiovascular Medicine Department Of Medical Bioregulation Yamaguchi University School
Ryohke Tsutomu The Second Division Department Of Internal Medicine Yamaguchi University School Of Medbine
Nishimura Yuko Department Of Food Science And Nutrition School Of Human Environmental Sciences Mukogawa Women'
Fujii Takasi The Second Depertment Of Internal Medicine
Fujii Takashi Second Department Of Internal Medicine Yamaguchi University School Of Medicine
Nishimura Yuko Departments Of Cardiovascular Medicine Konan Saint Hill Hospital
Fujii Takashi Second Department Of Internal Medicine Yamaguchi University Of Medicine

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