“…The pericardial fluid between the visceral and parietal pericardium minimizes friction and energy loss during cardiac motion. Severe thickening and fibrosis or calcification of the pericardial sac causing obliteration of the pericardial space with absent or normal volume of pericardial fluid leads to constrictive pericarditis [Shabetai 1981;Brockington 1990;Spodick 1997]. The most severe form of this process is Coeur de Stein, in which the entire visceral surface of the heart is covered with an armor-like calcification.…”
Radical pericardiectomy is a demonstrably useful procedure for correction of hemodynamic abnormalities and improvement of overall heart function in symptomatic patients with constrictive pericarditis.
“…The pericardial fluid between the visceral and parietal pericardium minimizes friction and energy loss during cardiac motion. Severe thickening and fibrosis or calcification of the pericardial sac causing obliteration of the pericardial space with absent or normal volume of pericardial fluid leads to constrictive pericarditis [Shabetai 1981;Brockington 1990;Spodick 1997]. The most severe form of this process is Coeur de Stein, in which the entire visceral surface of the heart is covered with an armor-like calcification.…”
Radical pericardiectomy is a demonstrably useful procedure for correction of hemodynamic abnormalities and improvement of overall heart function in symptomatic patients with constrictive pericarditis.
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