301
|
Kanawaty DS, Burggraf GW, Abdollah H. Constrictive pericarditis and anemia post myocardial infarction. Can J Cardiol 1989; 5:147-8. [PMID: 2785840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Abstract
A 67-year-old male presented with acute inferolateral myocardial infarction complicated by transient acute post infarction pericarditis. Six weeks later, he developed Dressler's syndrome associated with moderately severe anemia of chronic disease. Both of these resolved over the next few weeks, however, shortly thereafter, right sided congestive heart failure occurred. This progressed despite medical therapy and the diagnosis of constrictive pericarditis was made 10 months post infarction. Total pericardectomy was done one year after the onset of acute myocardial infarction with complete resolution of signs and symptoms.
Collapse
|
302
|
Astudillo R, Ivert T. Late results after pericardectomy for constrictive pericarditis via left thoracotomy. SCANDINAVIAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 1989; 23:115-9. [PMID: 2665057 DOI: 10.3109/14017438909105979] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Pericardectomy was performed on 28 men and 8 women (mean age 56, range 18-74 years) with diagnosis constrictive pericarditis. The etiology was unknown in 16 cases. Left anterior thoracotomy was employed in all but one case, in which median sternotomy was preferred because of extensive left pleural calcifications. There were three early and 11 late deaths. Actuarial survival at 5 and 10 years was 77% and 64%, respectively. Relief of symptoms was reported by 16 of the 33 patients (49%), who survived the postoperative period. These 16 were among the 22 survivors observed for a median of 8 (range 2-17) years postoperatively. Complete pericardectomy was achieved in all 16 asymptomatic patients, but in only nine of the 17 hospital survivors (53%), with persistent heart failure (p less than 0.01). Pericardial calcifications were significantly less common in the former than in the latter group. Lack of postoperative improvement was related to severe, nonresectable calcifications, and probably in some cases to associated fibrous epicarditis or restrictive myocardial disease. Left thoracotomy permits easier and more complete left ventricular pericardectomy, but is less safe when severe calcifications involve the right ventricle and atrium.
Collapse
|
303
|
Sato T, Imamaki M, Saito H, Nakano H, Tuzuku Y, Watanabe N. [Surgical repair of TR and PC caused by cryosurgery of WPW syndrome]. KYOBU GEKA. THE JAPANESE JOURNAL OF THORACIC SURGERY 1988; 41:1077-81. [PMID: 3221588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
|
304
|
Akashi K, Ishimaru T, Tsuda Y, Nagafuchi S, Itaya R, Hayashi J, Sawae Y, Kawachi Y, Niho Y. Purulent pericarditis caused by Streptococcus milleri. ARCHIVES OF INTERNAL MEDICINE 1988; 148:2446-7. [PMID: 3190375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Streptococcus milleri was isolated in pure culture from the pericardial fluid of a 42-year-old man with pulmonary tuberculosis. Pericardiectomy had to be done to cure the pericarditis.
Collapse
|
305
|
Fischbein L, Namade M, Sachs RN, Robineau M, Lanfranchi J. Chronic constrictive pericarditis associated with asbestosis. Chest 1988; 94:646-7. [PMID: 3409754 DOI: 10.1378/chest.94.3.646] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
Observation of chronic constrictive pericarditis associated with pulmonary asbestosis is reported here. Heart catheterization revealed typical patterns of cardiac constriction. The diagnosis of asbestosis was based on pathologic features associated with a long history of asbestos dust exposure without evidence for tuberculosis. The etiology of this constrictive pericarditis was related to an asbestosis pericarditis involvement.
Collapse
|
306
|
Lui CY, Makoui C. Severe constrictive pericarditis as an unsuspected cause of death in a patient with idiopathic hypereosinophilic syndrome and restrictive cardiomyopathy. Clin Cardiol 1988; 11:502-4. [PMID: 3416516 DOI: 10.1002/clc.4960110713] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
A 43-year-old man with idiopathic hypereosinophilic syndrome survived a relatively long term (6 1/2 years) before he succumbed to intractable heart failure. Six months before death, his chronic heart failure from restrictive cardiomyopathy was well compensated. Autopsy demonstrated severe constrictive pericarditis which was not suspected antemortem. Constrictive pericarditis as a late complication of idiopathic hypereosinophilic syndrome is discussed.
Collapse
|
307
|
Bazaral MG, Ellis JE, Kaplan JA, Stewart RW. A 66-year-old man has an unexpected low cardiac output syndrome during repeat myocardial revascularization. JOURNAL OF CARDIOTHORACIC ANESTHESIA 1988; 2:375-384. [PMID: 17171876 DOI: 10.1016/0888-6296(88)90321-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
|
308
|
Pacold I, Hwang MH, Palac RT, Scanlon PJ, Loeb HS. The effects of rapid volume expansion on the right and left cardiac filling pressures after coronary artery bypass surgery. Chest 1988; 93:1144-7. [PMID: 3259495 DOI: 10.1378/chest.93.6.1144] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Rapid volume expansion is a diagnostic procedure which can reveal typical hemodynamics of pericardial constriction in patients with pericardial disease who have normal hemodynamics in their baseline state. We studied 20 patients with previous coronary artery bypass surgery in order to determine whether this operation results in some degree of pericardial constriction which could be demonstrated by rapid volume expansion. After infusing 1 L of physiologic saline solution over six minutes, the right atrial pressure increased by 5 +/- 2 mm Hg, the right ventricular diastolic pressure by 4 +/- 3 mm Hg, the pulmonary capillary wedge pressure by 7 +/- 3 mm Hg, and the left ventricular diastolic pressure by 7 +/- 4 mm Hg (mean +/- SD). Equalization of the left and right cardiac pressures was not observed, and the normal respiratory variation of the pressures was not altered by rapid volume expansion. Thus, the pericardial manipulation associated with the performance of coronary artery bypass surgery does not commonly result in the development of subclinical pericardial constriction.
Collapse
|
309
|
Takasaki I, Horii M, Otsuka K, Tsukiyama H, Arita T, Okatsu M, Sugimoto K, Sano T, Kobayashi K, Hakuta T. [A case of post-radiation constrictive pericarditis developing 17 years after radiation therapy]. NIHON NAIKA GAKKAI ZASSHI. THE JOURNAL OF THE JAPANESE SOCIETY OF INTERNAL MEDICINE 1988; 77:834-8. [PMID: 3225502 DOI: 10.2169/naika.77.834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
|
310
|
Gray SF, Muers MF, Scott JS. Maternal death from constrictive pericarditis 15 years after radiotherapy. Case report. BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY 1988; 95:518-20. [PMID: 3401438 DOI: 10.1111/j.1471-0528.1988.tb12809.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
|
311
|
Pereira SN, De Moraes LB, Da Costa PS, Flores R, Vaca JA, Kipper L. [Pancarditis with constrictive pericarditis after cardiac surgery. A case report]. Arq Bras Cardiol 1988; 50:263-7. [PMID: 3228380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
|
312
|
Khan MA, Noah MS, Al-Saddique A, Sharaf el-Deane MS. Constrictive pericarditis as a complication of closed chest injury. Injury 1988; 19:39-40. [PMID: 3169980 DOI: 10.1016/0020-1383(88)90175-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
|
313
|
Keogh BE, Oakley CM, Taylor KM. Chronic constrictive pericarditis caused by self-mutilation with sewing needles. A case report and review of published reports. BRITISH HEART JOURNAL 1988; 59:77-80. [PMID: 3277655 PMCID: PMC1277078 DOI: 10.1136/hrt.59.1.77] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
A 34 year old woman with a history of self-mutilation developed severe constrictive pericarditis with sterile, calcified intrapericardial abscess cavities as a result of inserting sewing needles into her chest seven years previously. After pericardiectomy she made a good recovery.
Collapse
|
314
|
Stolf NA, Pêgo-Fernandes P, Dias CA, Ianni BM, Barretto AC, Mady C, Bellotti G, Pileggi F, Jatene AD. [Surgical treatment of chronic constrictive pericarditis]. Arq Bras Cardiol 1988; 50:15-8. [PMID: 3219094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
|
315
|
|
316
|
Pedreira Pérez M, Virgós Lamela A, Crespo Mancebo FJ, Cervantes JL, Fernández de la Reguera G, Barragán García R. [40 years' experience in the surgical treatment of constrictive pericarditis]. ARCHIVOS DEL INSTITUTO DE CARDIOLOGIA DE MEXICO 1987; 57:363-73. [PMID: 2962547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
In order to know early and late results of pericardiectomy on the treatment of chronic constrictive pericarditis in the Instituto Nacional de Cardiología Ignacio Chávez, we review the records of 58 patients with the diagnosis of constrictive pericarditis who underwent surgical treatment between 1947 to 1987. Tuberculosis was the most frequent cause (68.3%) followed by idiopathic cases (24.1%). Preoperatively 3.4% were in New York Heart Association Class I, 31% in Class II, 48.3% in Class III and 17.2% in Class IV. There were 4 in-hospital deaths (overall operative mortality 6.89%). Operative mortality in the last ten years was 0%. Low output was the most common nonfatal complication of pericardiectomy (15.5%). Accidental right atrial tear happened in 8.6%. Mean post-operative follow-up was 5.6 +/- 6.3 years (longest 25.6 years). Mortality per patient year was 2.04%. Actuarial survival estimates were 82% and 71% at 5 to 10 years respectively. Postoperatively 76% were in New York Heart Association Class I (p less than 0.001), 16% in Class II (p less than 0.001), 8% in Class III (p less than 0.001) and none in Class IV (p less than 0.05). Operative mortality, long-term survival and post-operative functional Class were not significantly influenced by preoperative functional Class nor by the duration of symptoms. We conclude that pericardiectomy is an effective treatment of symptomatic chronic constrictive pericarditis because it provides an important and durable improvement in symptoms and functional Class, and it has a low operative mortality.
Collapse
|
317
|
Baid CS, Varma AR, Lakhotia M. A case of subacute effusive constrictive pericarditis with a probable amoebic aetiology. BRITISH HEART JOURNAL 1987; 58:296-8. [PMID: 3663433 PMCID: PMC1216455 DOI: 10.1136/hrt.58.3.296] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
A 48 year old man with amoebic pericarditis did not improve after pericardiocentesis. Facilities for echocardiography and haemodynamic studies were not available. Cardiac compression was suspected and at emergency pericardiectomy subacute effusive constrictive amoebic pericarditis was found. The patient recovered. This is believed to be the first report of a case of subacute effusive constrictive pericarditis caused by amoebiasis.
Collapse
|
318
|
Almassi GH, Chapman PD, Troup PJ, Wetherbee JN, Olinger GN. Constrictive pericarditis associated with patch electrodes of the automatic implantable cardioverter-defibrillator. Chest 1987; 92:369-71. [PMID: 3301224 DOI: 10.1378/chest.92.2.369] [Citation(s) in RCA: 28] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023] Open
Abstract
A case of constrictive pericarditis intimately involving patch electrodes of the automatic implantable cardioverter-defibrillator is described. Typical clinical and hemodynamic findings for constrictive pericarditis were noted 15 months after lead installation. Additionally, chest x-ray examination revealed a severe crumpling deformity of the patch electrodes. Thoracotomy was performed and revealed marked fibrous reaction surrounding both surfaces of each patch electrode. Histologic examination revealed fibrous tissue with multinucleated giant cells, consistent with a foreign body reaction. The patient had complete resolution of signs and symptoms of constrictive pericarditis after removal of the patch electrodes and pericardial stripping. Constrictive pericarditis from implanted patch electrodes appears to be an uncommon complication of the automatic implantable cardioverter-defibrillator and should be considered in patients with one or more patch electrodes and other signs of constrictive pericarditis.
Collapse
|
319
|
Kleiman NS, Verani MS, George S, Quinones MA, Lawrie GM. Right-to-left intracardiac shunt and constrictive pericarditis following coronary artery bypass surgery. Am Heart J 1987; 114:431-3. [PMID: 3496777 DOI: 10.1016/0002-8703(87)90516-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
|
320
|
Holloway JD, Garcia W, Espinoza LR. Cardiac tamponade in a healthy young woman. HOSPITAL PRACTICE (OFFICE ED.) 1987; 22:128, 130, 133-4. [PMID: 3110180 DOI: 10.1080/21548331.1987.11703273] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
|
321
|
Sehgal E, Sherman W, Isom OW, Meller J, Horowitz SF. Left ventricular pseudoaneurysm causing superior vena caval obstruction and effusive-constrictive pericarditis. J Nucl Med 1987; 28:918-21. [PMID: 3572550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
A diabetic woman with a silent myocardial infarction on clinical and electrocardiographic criteria presented with findings on physical examination of superior vena caval obstruction and effusive-constrictive pericarditis. A left ventricular posterior wall pseudoaneurysm and intrapericardial hematoma were found, with extrinsic compression of the right atrium. The diagnosis was first suspected by radionuclide imaging and confirmed by contrast angiography and surgery.
Collapse
|
322
|
Sakamoto M, Kouda Y, Fukamachi K, Kuboyama I, Sese K, Masaki H. [A case of constrictive pericarditis developing soon after myocardial revascularization]. KYOBU GEKA. THE JAPANESE JOURNAL OF THORACIC SURGERY 1987; 40:259-61. [PMID: 3495684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
|
323
|
Abstract
Ninety-five consecutive patients with constrictive pericarditis that was documented at the time of surgery during 1970 to 1985 were reviewed. The etiologies included idiopathic (42%), postradiotherapy (31%), post-cardiac surgery (11%), postinfective (6%), connective tissue disease-related (4%), neoplastic (3%) uremic (2%), and sarcoidosis (1%). Post-cardiac surgery etiology was seen only after 1980, but constituted 29% of cases during 1980-1985. Postradiotherapy etiology occurred with equal incidence in 1980-1985 and in 1970-1980, but the interval from radiotherapy to presentation with constrictive pericarditis was longer in the more recent period (11 vs 4.75 years). Effusive constrictive pericarditis occurred in 24% overall with similar prevalence in all of the etiologic groups except the postsurgical cases, which were caused by noneffusive fibrous constrictive pericarditis in all instances. Operative mortality was 12% overall: It was lower in the idiopathic group (8%) and higher in the postradiotherapy group (21%). Thus postradiotherapy constrictive pericarditis continues to occur despite technical changes aimed at reducing its likelihood, but recent cases have a longer latent period: and postsurgical constrictive pericarditis has emerged as an important etiology.
Collapse
|
324
|
Díaz RA, Aránguiz E. [Constrictive pericarditis following cardiac surgery]. Rev Med Chil 1987; 115:141-4. [PMID: 3629038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
|
325
|
Abstract
Primary pericardial mesothelioma is an extremely rare tumour. This case illustrates the typical late presentation with symptoms and signs of constrictive pericarditis. An unusual feature was complete encasement of the heart by tumour. No satisfactory treatment is available.
Collapse
|