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Recurrent cardiac constriction after complete pericardiectomy.

Abstract
We present a patient with recurrent constrictive physiology resulting from exuberant post-operative fibrosis after complete pericardiectomy. The patient underwent a repeat stripping procedure. At surgery, there was an extensive fibrotic and calcified rind around the heart. The recurrence of constriction physiology after complete pericardiectomy in non-tuberculous pericarditis is a rarely reported in literature. The management supports repeat surgery and the potential value of steroid administration.
AuthorsElsayed M Elmistekawy, John P Veinot, Carole J Dennie, Fraser D Rubens
JournalHeart, lung & circulation (Heart Lung Circ) Vol. 20 Issue 12 Pg. 766-8 (Dec 2011) ISSN: 1444-2892 [Electronic] Australia
PMID21640650 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2011 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier B.V. All rights reserved.
Topics
  • Constriction, Pathologic (diagnostic imaging, surgery)
  • Humans
  • Male
  • Middle Aged
  • Pericardiectomy
  • Pericarditis, Constrictive (pathology, surgery)
  • Radiography
  • Recurrence

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