左肺手術時に発見された心膜全欠損症に対する心膜形成術の1例

Surgical Treatment of Congenital Absence of the Pericardium Found by Chance at Pulmonary Surgery：Report of a Case

はじめに　先天性心膜欠損症はまれな心奇形であり，他疾患の精査中や胸部外科手術の際に偶然発見される場合が多い．われわれは，転移性肺腫瘍に対する手術の際に発見された広範囲心膜欠損に対して心膜形成術を行った症例を経験したので報告する．

Absence of the pericardium is generally asymptomatic rare congenital disorder. However, it may be life-threatening problem due to cardiac deviation or herniation after the pulmonary resection. We described a case of complete defect of the pericardium found at surgery for metastatic lung cancer. Since the left lower lobectomy was necessary, the pericardium was reconstructed with an ePTFE sheet. Postoperative course was uneventful without any symptoms at two years post-surgery.