Constrictive pericarditis following Coronary Artery Bypass Grafting

Kundu, Anirban; Yadava, Om Prakash; Prakash, Arvind

doi:10.1016/j.ihj.2013.02.004

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…According to some studies [ 18 , 20 - 22 ], the most common causes of pericardial constriction were idiopathic or viral (42-49%), post-cardiotomy (11-37%), post-radiation (9-31%), connectivitis (3-7%), post-infectious including tuberculosis (3-6%) and other uncommon causes (<10%) including neoplasia, thoracic trauma, uremic pericarditis, asbestosis, sarcoidosis and the administration of certain drugs. Constrictive pericarditis post-cardiotomy is common in Western countries, it occurs after a few months to a few years after any cardiac surgery, particularly valve replacement and coronary artery bypass grafting (CABG) [ 23 , 24 ]. The occurrence of constriction could be explained by post-operative hemorrhage and the use of foreign material during the procedure, which causes a chronic inflammatory reaction and the onset of fibrosis [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Constrictive pericarditis: 21 years´ experience and review of literature

Taamallah¹,

Nesrine²,

Hatem³

et al. 2021

Pan Afr Med J

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To the best of our knowledge there are no publications about Tunisian experience in constrictive pericarditis (CP); the aim of this study was therefore to review our twenty-one years’ experience in terms of clinical and surgical outcomes and risk factors of death after pericardiectomy. An analytic bicentric and retrospective study carried out on 25 patients (20 male) with CP underwent pericardiectomy, collected over a 21-years period. The mean age was 40.46±16.74 years [7.5-72]. The commonest comorbid factor was tabagism (52%). The most common etiology was tuberculosis (n = 11, 44%). Dyspnea was the most common functional symptom (n = 21, 84%). Pericardiectomy was performed in all our patients within 2.9±3.19 months after confirmation of diagnosis. It was subtotal in 96% of cases. The commonest postoperative complications are pleural effusion (20%). Dyspnea was regressed within 1.8 months in 80% of cases and clinical signs of right heart failure within a mean duration of 1.62 months in 53% of cases. Perioperative mortality was 12% (3 deaths), late mortality was 4% (1 patient). Cardiopulmonary bypass, New York Heart Association (NYHA) over class II and right ventricular dysfunction are the prognostic factors of mortality (p = 0.001, 0.046, 0.019). Tuberculosis as etiology of CP had no impact on mortality. CP is a rare disease, with non-specific clinical signs. Pericardiectomy is effective with a significant improvement of the functional status of patients and favorable outcome at short and long term nevertheless hospital mortality is not negligible and depends on many factors.

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Section: Discussionmentioning

confidence: 99%

Constrictive pericarditis: 21 years´ experience and review of literature

Taamallah¹,

Nesrine²,

Hatem³

et al. 2021

Pan Afr Med J

View full text Add to dashboard Cite

show abstract

“…However, simultaneous coronary revascularization and pericardiectomy in a single-stage procedure without utilizing CPB has been reported very less. [ 4 5 ] Lifting of the heart is of paramount importance for performing beating heart bypass surgery, thus freeing of posterior LV wall to be done meticulously till the CS is easily visible. Coronary disease as an independent risk factor for early and late outcome after pericardiectomy is not reported in literature.…”

Section: Discussionmentioning

confidence: 99%

A case report of combined radical pericardiectomy and beating heart coronary artery bypass grafting in a patient with tubercular chronic constrictive pericarditis with coronary artery disease

et al. 2017

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We here report a successful midterm outcome following combined off-pump radical pericardiectomy and coronary artery bypass surgery (CABG) in a 65-year-old male patient who was suffering from chronic constrictive calcified tubercular pericarditis with coronary artery disease. Simultaneous off-pump CABG and radical pericardiectomy for nonsurgical constrictive pericarditis is reported very rarely in English literature.

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Early life threatening constrictive pericarditis following off-pump CABG

Barua,

Cosbey,

Jeeji

et al. 2023

Journal of Surgical Case Reports

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We present a unique case of aggressive symptomatic constrictive pericarditis within one month following off pump coronary artery bypass grafting surgery. The patient had a medical history of Hodgkin’s lymphoma treated with radiotherapy and chemotherapy 20 years ago. Investigations confirmed constrictive pericardium with patent grafts and good biventricular function. Pericardiectomy was successful with remarkable recovery of symptoms.

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Constrictive pericarditis following Coronary Artery Bypass Grafting

Cited by 3 publications

References 6 publications

Constrictive pericarditis: 21 years´ experience and review of literature

Constrictive pericarditis: 21 years´ experience and review of literature

A case report of combined radical pericardiectomy and beating heart coronary artery bypass grafting in a patient with tubercular chronic constrictive pericarditis with coronary artery disease

Early life threatening constrictive pericarditis following off-pump CABG

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