PMID: 6981995Oct 1, 1982Paper

Constrictive pericarditis as a complication of cardiac surgery: recognition of an entity

The American Journal of Cardiology
M A KutcherR B Logue

Abstract

Among 5,207 adult patients who underwent cardiac surgery, postoperative constrictive pericarditis was recognized in 11 patients (0.2% incidence rate). Seven patients had coronary arterial bypass grafting and 4 had valve replacement; the pericardium was left open in all cases. The average interval between surgery and presentation of pericardial constriction was 82 days (range 14 to 186). M mode echocardiography revealed epicardial and pericardial thickening in 7 cases and variable degrees of posterior pericardial effusion in 5 cases. Cardiac catheterization demonstrated uniformity of diastolic pressures with a characteristic early diastolic dip and late plateau pattern. Two patients responded to medical therapy for chronic pericarditis. One patient had a limited parietal pericardiectomy followed by recurrent constrictive pericarditis that eventually stabilized with medical therapy. The other 8 patients required radical pericardiectomy. The pathophysiology of constriction after surgery is unclear. Its clinical expression involves a wide spectrum of presentation and therapeutic response. Constrictive pericarditis may be a complication of cardiac surgery in spite of an open pericardium and should be considered in postoperative pati...Continue Reading

References

Jul 1, 1979·The American Journal of Cardiology·R MarsaL Bailey
Mar 1, 1979·The American Journal of Cardiology·M V Cohen, M A Greenberg
Mar 1, 1977·The Annals of Thoracic Surgery·C G SbokosG D Skalkeas
Nov 1, 1970·The American Journal of Cardiology·R ShabetaiW G Guntheroth
Feb 1, 1971·Circulation·E W Hancock
Jan 1, 1980·Southern Medical Journal·P A RubioR W Goens
Dec 1, 1980·American Heart Journal·E W Hancock
Jan 1, 1961·The American Journal of Cardiology·D B EFFLER

❮ Previous
Next ❯

Citations

Feb 27, 1999·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·H KinK Kawazoe
Sep 1, 1989·American Heart Journal·D M KillianH J Sullivan
Apr 1, 1989·The American Journal of Medicine·R J MarsaL S Elperin
Jan 1, 1988·Seminars in Roentgenology·M K Thorsen, L R Goodman
Sep 22, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Michael BergmanHertzel Salman
Jul 1, 2009·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Toshiya OhtsukaTakahiro Nonaka
Feb 1, 1984·British Heart Journal·P RibeiroC Oakley
Jun 21, 2002·Circulation Journal : Official Journal of the Japanese Circulation Society·Yoshiyuki TakamiAkihiro Terasawa
Mar 6, 2004·Lancet·Richard W TroughtonAllan L Klein
Apr 6, 2000·The Annals of Thoracic Surgery·J G Raheb, H F Tripp
Mar 25, 2016·Annals of Pediatric Cardiology·Siddharthan DeeptiShyam Sunder Kothari
Dec 26, 2012·The Annals of Thoracic Surgery·Mario GaudinoMassimo Massetti
Mar 9, 2010·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Wojtek KarolakShaf Keshavjee
Oct 7, 2009·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Ramesh BansalLeonard Bailey
Nov 1, 1990·The Journal of Surgical Research·P L GlickK Turley
Oct 18, 2008·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Rahul KumarVinay Thohan
Aug 19, 2007·International Journal of Cardiology·Pedro Betrián BlascoFerrán Gran Ipiña
Jul 19, 2006·Journal of Cardiac Surgery·Mohammed W KhalilPradip K Sarkar
Jan 18, 2005·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Ravi K RamanaRobert Lichtenberg
Jun 1, 1985·American Heart Journal·P C ComeJ P Morgan
Nov 1, 1982·The American Journal of Cardiology·N O Fowler
May 1, 1993·International Journal of Cardiology·O TopazJ A Mackall
Jun 1, 1983·International Journal of Cardiology·S B King, M A Kutcher
Jun 15, 2004·Radiologic Clinics of North America·Anil Attili, Ella A Kazerooni
Oct 1, 1984·The American Journal of Cardiology·L W StevensonL Kern
Oct 1, 1984·The American Journal of Cardiology·T D FrakerK Kim
Feb 1, 1987·American Heart Journal·J CameronE W Hancock
Aug 11, 1991·The Annals of Thoracic Surgery·P A DeValeriaB A Reitz
Feb 1, 1988·The American Journal of Cardiology·H V HuikuriJ T Takkunen
Jul 1, 1988·American Heart Journal·J I KlepperE J Brown
Jul 1, 1982·The Annals of Thoracic Surgery·J I MillerC R Hatcher
May 16, 2015·Seminars in Cardiothoracic and Vascular Anesthesia·Geoffrey K Lighthall, Megan Olejniczak
May 3, 2014·Journal of Feline Medicine and Surgery·Lisa A MurphyReid K Nakamura
Sep 4, 2019·Transplantation·Jenna L ArmstrongMani A Daneshmand
Apr 22, 2020·Annals of Medicine·Joonas Lehto, Tuomas Kiviniemi
Dec 7, 2020·International Journal of Cardiology·Kazushi SakaneMasaaki Hoshiga
Oct 27, 2020·Proceedings·Sean Byrnes, Kunal Gada

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.