ty -jour a2 -nicolas au -rivinius,R.Au -au -helmschrott,M.Au -au -au -au -au -au -au -sedaghat -au -sedaghat -hamedani,F。au -fortner,P. au -darche -darche -darche,F.F。au -thomas,D -Thomas,d。,P。au -katus,H。A. Au -doch,A。O. Py -2015 DA -2015/05/21 Ti-在剩余的左心室辅助设备的残留物中,心脏移植患者的剩余残留物存在下,在心脏移植的患者中AB-收缩的心包炎(CP)是一种严重的心包炎,具有各种原因和临床发现。在这里,我们介绍了在心脏移植患者中剩余的左心室辅助装置(LVAD)的剩余残留物的情况下,CP的独特情况。一名63岁的男子在海德堡心脏中心门诊诊所出席,患有障碍性呼吸困难,疲劳和身体容量丧失。四年前在另一个心脏中心进行心脏移植(HTX),术后临床课程到目前为止没有明显的明显。进行药理学心脏磁共振成像(MRI)应力测试以排除冠状动脉缺血。该测试为阴性,但意外地发现了位于心外膜脂肪组织中的异物。异物被确定为LVAD的流入泵连接,后者在HTX之后留下。超声心动图和心脏导管插入术证实了CP的诊断。 Surgical removal was performed and the epicardial tubular structure with a diameter of 30 mm was carefully removed accompanied by pericardiectomy. No postoperative complications occurred and the patient recovered uneventfully with a rapid improvement of symptoms. On follow-up 3 and 6 months later, the patient reported about a stable clinical course with improved physical capacity and absence of dyspnea. SN - 2090-6943 UR - https://doi.org/10.1155/2015/372698 DO - 10.1155/2015/372698 JF - Case Reports in Transplantation PB - Hindawi Publishing Corporation KW - ER -