Back to Search
Start Over
Chronic cardiac rejection masking as constrictive pericarditis.
- Source :
-
The Annals of thoracic surgery [Ann Thorac Surg] 1994 Jun; Vol. 57 (6), pp. 1579-83. - Publication Year :
- 1994
-
Abstract
- The hemodynamic changes consistent with constrictive pericarditis are often encountered in patients who have undergone cardiac transplantation. We describe here 4 patients who underwent pericardiectomy after cardiac transplantation. All were found to have evidence of a thickened and constricting peel of pericardium at surgical exploration. Their postoperative clinical courses were variable. One patient with primarily effusive constriction experienced marked improvement. Three patients failed to show clinical improvement and had persistently elevated atrial and ventricular end-diastolic pressures. A coexisting restrictive cardiomyopathy secondary to chronic rejection, coronary arteriopathy, or long-standing constriction may have been the cause of this poor outcome. Many patients with transplanted hearts exhibit evidence of poor diastolic ventricular compliance without evidence of classic constriction; some manifest both the restrictive and constrictive components. The careful selection of patients with constrictive pericarditis can optimize the outcome.
- Subjects :
- Adult
Blood Pressure physiology
Female
Humans
Male
Middle Aged
Pericardial Effusion etiology
Pericardial Effusion surgery
Pericardiectomy
Pericarditis, Constrictive physiopathology
Pericarditis, Constrictive surgery
Ventricular Pressure physiology
Graft Rejection diagnosis
Heart Transplantation adverse effects
Pericarditis, Constrictive diagnosis
Pericarditis, Constrictive etiology
Subjects
Details
- Language :
- English
- ISSN :
- 0003-4975
- Volume :
- 57
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The Annals of thoracic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 8010805
- Full Text :
- https://doi.org/10.1016/0003-4975(94)90127-9