Late-Onset Postpneumonectomy Empyema Presenting as Right-Sided Heart Failure: Extrinsic Right Atrial Compression

被引：0

作者：

Namgung, June ^{[1
]}

Kwak, Jae-Jin ^{[1
]}

Choe, Hyunmin ^{[1
]}

Kwon, Sung Uk ^{[1
]}

Doh, Joon Hyung ^{[1
]}

Lee, Sung Yun ^{[1
]}

Ryoo, Ji-Yoon ^{[2
]}

Hur, Gham ^{[3
]}

Lee, Won Ro ^{[1
]}

机构：

[1] Inje Univ, Ilsan Paik Hosp, Coll Med, Dept Internal Med,Div Cardiol, Goyang 411706, South Korea

[2] Inje Univ, Ilsan Paik Hosp, Coll Med, Dept Thorac Surg, Goyang 411706, South Korea

[3] Inje Univ, Ilsan Paik Hosp, Coll Med, Dept Radiol, Goyang 411706, South Korea

来源：

KOREAN CIRCULATION JOURNAL | 2012年 / 42卷 / 04期

关键词：

Empyema; pleural; Right-sided heart failure;

D O I：

10.4070/kcj.2012.42.4.274

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Although it is rare, the right atrium can be encroached on by abnormal mediastinal structures, including aortic aneurysms, carcinomas, hepatic cysts and diaphragmatic paralysis. Extrinsic compression of the right atrium causes significant hemodynamic compromise and can lead to fatal outcomes. We describe the case of a 66-year old man with a past history of pulmonary tuberculosis that had undergone right pneumonectomy 40 years previously. He then presented with signs and symptoms of right-sided heart failure. These new signs and symptoms were recognized to be secondary to extrinsic compression of the right atrium, which was due to late-onset postpneumonectomy empyema, and the signs and symptoms were successfully relieved by performing open drainage of the empyema.

引用

页码：274 / 277

页数：4

共 10 条

[1] ECHOCARDIOGRAPHIC MANIFESTATIONS OF MEDIASTINAL MASSES COMPRESSING OR ENCROACHING ON THE HEART [J].