Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2011, 155(1):71-74 | DOI: 10.5507/bp.2011.012

EFFUSIVE-CONSTRICTIVE PERICARDITIS POST SURGICAL REVISION FOR IATROGENIC HEMOPERICARDIUM

Martin Kolek
Department of Cardiac Surgery, University Hospital Ostrava, Czech Republic

Aim: A case report of subacute effusive-constrictive pericarditis in a patient with iatrogenic hemopericardium is presented.

Methods: A 69-year-old man was referred to our department for percutaneous coronary intervention complicated with hemopericardium with cardiac tamponade. Continuous bleeding after pericardiocentesis required an urgent surgical revision with evacuation of hemopericardium and local treatment of the sources of bleeding. A mild to moderate pericardial effusion persisted in the post-operative period, without any symptoms of cardiac tamponade. A global heart failure developed in the patient eleven months after complicated coronary intervention (surgical revision). A technically successful pericardiocentesis did not improve the clinical state of the patient. Echocardiography and magnetic resonance imaging confirmed the diagnosis of effusive-constrictive pericarditis.

Results: Subsequent pericardiectomy resulted in a prompt and complete relief of symptoms and signs of heart failure.

Conclusion: Effusive-constrictive pericarditis is an uncommon disorder characterised by symptoms of refractory cardiac failure, thickening of the visceral pericardium and pericardial effusion, with no improvement after pericardiocentesis. In indicated cases, pericadiectomy leads to recovery in a large percentage of patients.

Keywords: Percutaneous coronary intervention, Hemopericardium, Pericarditis, Pericardiocentesis, Pericardiectomy

Received: October 28, 2010; Accepted: December 1, 2010; Published: March 1, 2011  Show citation

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Kolek, M. (2011). EFFUSIVE-CONSTRICTIVE PERICARDITIS POST SURGICAL REVISION FOR IATROGENIC HEMOPERICARDIUM. Biomedical papers155(1), 71-74. doi: 10.5507/bp.2011.012
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References

  1. Burchell HB. Problems in the recognition and treatment of pericarditis. J Lancet 1954;74:465470.
  2. Spodick DH, Kumar S. Subacute constrictive pericarditis with cardiac tamponade. Dis Chest 1968;54:6266. Go to original source... Go to PubMed...
  3. Cameron J, Oesterle SN, Baldwin JC, Hancock EW. The etiologic spectrum of constrictive pericarditis. Am Heart J 1987;113:354 360. Go to original source... Go to PubMed...
  4. Russell JB, Syed FF, Ntsekhe M, Mayosi BM, Moosa S, Tshifularo M, Smedema JP. Tuberculous effusive-constrictive pericarditis. Cardiovasc J Afr 2008;19:200201.
  5. Zagol B, Minderman D, Munir A, D'Cruz I. Effusive constrictive pericarditis: 2D, 3D echocardiography and MRI imaging. Echocardiography 2007;24:11101114. Go to original source... Go to PubMed...
  6. Ito M, Tanabe Y, Suzuki K, Kumakura M, Nakayama K, Kanazawa H, Yamazaki Y, Aizawa Y. A case of effusive-constrictive pericarditis after cardiac surgery. Mayo Clin Proc 2001;76:555558. Go to original source... Go to PubMed...
  7. Sagrist-Sauleda J, Angel J, Sánchez A, Permanyer-Miralda G, Soler-Soler J. Effusive-constrictive pericarditis. N Engl J Med 2004;350:469475. Go to original source... Go to PubMed...
  8. Hancock EW. Subacute effusive-constrictive pericarditis. Circulation 1971;43:183192. Go to original source... Go to PubMed...
  9. Nakayama Y, Ohtani Y, Kobayakawa N, Kobayashi J, Kaneko Y, Aoyagi T. A case of early phase dialysis associated effusive constrictive pericarditis with distinct surgical findings. Int Heart J 2009;50:685691. Go to original source... Go to PubMed...
  10. Himelman RB, Lee E, Schiller NB. Septal bounce, vena cava plethora, and pericardial adhesion: informative two-dimensional echocardiographic signs in the diagnosis of pericardial constriction. J Am Soc Echocardiogr 1988;1:333340. Go to original source... Go to PubMed...
  11. Himelman RB, Kircher B, Rockey DC, Schiller NB. Inferior vena cava plethora with blunted respiratory response: a sensitive echocardiographic sign of cardiac tamponade. J Am Coll Cardiol 1988;12:14701477. Go to original source... Go to PubMed...
  12. Breen JF. Imaging of the pericardium. J Thorac Imaging 2001;16:4754. Go to original source... Go to PubMed...
  13. Frank H, Globits S. Magnetic resonance imaging evaluation of myocardial and pericardial disease. J Magn Reson Imaging 1999;10:617626. Go to original source... Go to PubMed...
  14. Woods T, Vidarsson B, Mosher D, Stein JH. Transient effusiveconstrictive pericarditis due to chemotherapy. Clin Cardiol 1999;22:316318. Go to original source... Go to PubMed...
  15. Sagrist-Sauleda J, Permanyer-Miralda G, Candell-Riera J, Angel J, Soler-Soler J. Transient cardiac constriction: an unrecognized pattern of evolution in effusive acute idiopathic pericarditis. Am J Cardiol 1987;59:961966. Go to original source... Go to PubMed...
  16. Tanaka K, Kawauchi M, Murota Y, Takamoto I, Ikenouchi H, Hada Y, Furuse A. Reversible subacute effusive-constrictive pericarditis after correction of double-chambered right ventricle: a case report. J Cardiol 2002;39:267270.
  17. Clare GC, Troughton RW. Management of constrictive pericarditis in the 21st century. Current treatment options in cardiovascular medicine 2007;9:436442. Go to original source... Go to PubMed...
  18. Schwefer M, Aschenbach R, Heidemann J, Mey C, Lapp H. Constrictive pericarditis, still a diagnostic challenge: comprehensive review of clinical management. Eur J Cardiothorac Surg 2009;36:502510. Go to original source... Go to PubMed...