Ultrasonic Wave Pericardiectomy for IgG4-related Constrictive Pericarditis
Ultrasonic Wave Pericardiectomy for IgG4-related Constrictive Pericarditis
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超声波心包切除术治疗 IgG4 相关缩窄性心包炎
DOI：
10.1016/j.athoracsur.2021.12.065
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Kasashima Fuminori
中科院分区：
文献类型：
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作者：
Matsumoto Yasushi;Kasashima Satomi;Kasashima Fuminori
一名80岁的女性，提出了罕见的免疫球蛋白G4（IgG4）相关的缩窄性心包炎。她接受了心包切除术、心包切开术和使用适合IgG 4相关疾病特征的超声波手术刀进行的心外膜交叉阴影切口。此后，她的心脏功能明显改善。额外的皮质类固醇治疗有助于维持她的健康状况。确诊是基于新的器官特异性标准。在此，我们强调，在病理诊断的IgG 4相关的缩窄性心包炎的最重要的一点是，以确定存在IgG 4阳性浆细胞浸润和storiform纤维化或阻塞性静脉炎特异性慢性炎症。
An 80-year-old woman presented with rare immunoglobulin G4 (IgG4)–related constrictive pericarditis. She underwent pericardiectomy, pericardiotomy, and crosshatching incision of the epicardium using an ultrasonic wave scalpel suitable for the feature of IgG4-related disease. Thereafter, her cardiac function improved remarkably. Additional corticosteroid therapy contributed to maintaining her healthy condition. Definitive diagnosis was based on novel organ-specific criteria. Herein, we highlight that the most important point in the pathological diagnosis of IgG4-related constrictive pericarditis is to determine the presence of IgG4-positive plasma cell infiltration and storiform fibrosis or obstructive phlebitis specific to chronic inflammation.