Constrictive Pericarditis with Particular Reference to Etiology

Robertson, Ross; Arnold, Craig R.

doi:10.1161/01.cir.26.4.525

Cited by 39 publications

(8 citation statements)

References 9 publications

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“…In our patient a relatively short period of only five months was required for the constriction to become fully established. This contrasts with an average period of three years when tuberculosis is the aetiological factor (Deterling and Humphreys, 1955;Robertson and Arnold, 1962), and with a period of six years in the case reported by Straus (1944), where the pericarditis was caused by a needle in the heart wall. Constriction developed less than three months after the onset of a typical acute, non-specific pericarditis in a case reported by Rabiner, Specter, Ripstein, and Schlecker (1954).…”

Section: Discussionmentioning

confidence: 60%

See 1 more Smart Citation

Foreign body in the myocardium as a cause of constrictive pericarditis

Kishon¹,

Pauzner²,

Dalith³

et al. 1967

Thorax

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An unusual case of constrictive pericarditis, caused by lodging of a needle in the heart wall, is presented and discussed. Attention is focused on the rapid development of the constriction and the benefit gained from surgical intervention.Constrictive pericarditis due to foreign bodies is exceedingly rare. During the past three decades the relationship between trauma and constrictive pericarditis has been established in welldocumented cases (Warburg, 1933;Glenn, 1940;Straus, 1944;Watts and Toone, 1945;Mortensen and Warburg, 1948;McKusick, 1952).The injurious agents are many, including needles (Straus, 1944) and knives (McKusick, 1952). The relationship between trauma and the development of constrictive pericarditis has been questioned by Robertson and Arnold (1962), and McKusick (1952) states that trauma should not be overlooked in the aetiology, although in his view this cause has never been proven unequivocally.It is the purpose of this paper to describe another case of this condition. Of special interest is the fact that constrictive pericarditis developed very rapidly in this patient, a point which raises the question of the need for prompt surgical intervention in similar cases. CASE REPORTA 32-year-old woman was admitted to the TelHashomer Hospital in August 1953 because of congestive heart failure. One month earlier, while under treatment in a mental hospital, the patient attempted suicide by inserting needles into her chest. Within less than a week she developed fever and transient arrhythmias. She had several episodes of peripheral shock.Physical examination in our hospital revealed an undernourished woman in no acute distress. Her body temperature was 38°C.. the blood pressure was 120/ 100 mm. Hg, and the heart was in sinus rhythm at a rate of 130 per minute. The cardiac impulse was hardly palpable. On percussion there was an increased area of cardiac dullness. The heart sounds were distant but clear. A pleuropericardial friction rub was heard over the lower end of the sternum. There was dullness at the base of the right lung with diminished breath sounds. Moist rales were heard over the left base. The liver was palpable three fingerbreadths below the costal margin and was tender. Paradoxical pulse, Broadbent's sign, and systolic retractions at the apex were absent.FIG. 1. Chest radiograph showing the presence of three needles, two of which are seen to be embedded between the chest wall and the heart, while the third is thought to be embedded within the myocardium. 238 on 9 May 2018 by guest. Protected by copyright.

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Section: Discussionmentioning

confidence: 60%

“…The relationship between trauma and the development of constrictive pericarditis has been questioned by Robertson and Arnold (1962), and McKusick (1952) states that trauma should not be overlooked in the aetiology, although in his view this cause has never been proven unequivocally.…”

mentioning

confidence: 99%

Foreign body in the myocardium as a cause of constrictive pericarditis

Kishon¹,

Pauzner²,

Dalith³

et al. 1967

Thorax

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“…The most common antecedents are idiopathic and tuberculosis. The tuberculosis accounted for 49% of cases of constrictive pericarditis in a series reported in 1962 [4] and it was found to be the most common cause in third-world countries such as India [5] [6]. Viral pericarditis is more common in the west and in Europe and North, it is often a sequelae of cardiac surgery and mediastinal irradiation.…”

Section: Discussionmentioning

confidence: 99%

“End-Stage” Constrictive Pericarditis—A Case Report

Muthiah¹

2017

CRCM

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Aim: To report a case of "end-stage" constrictive pericarditis with clinical manifestations such as ascites mimicking as cirrhosis of liver. Introduction: In "End-stage" constrictive pericarditis, the etiology remains unknown in majority of cases and inflammation plays a central role in its development. It has been readily confused with cirrhosis of liver in which there may be ascites, but venous pressure is normal, the neck veins are not engorged and cardiac enlargement is frequent in other causes of heart failure. Case Report: A 67 years old male presented with sudden onset of tachycardia. Clinical examination revealed right-sided heart failure, "Egg-shell" calcification in Chest X-ray and echocardiographic features of pericardial constriction such as septal bounce and dynamic respiratory changes in mitral inflow velocity. The patient was advised medical measures. Conclusion: When clinical signs of right heart failure become unresponsive to increased doses of diuretics, constrictive pericarditis is more likely the underlying disease since severe, right-sided failure develops in very advanced, the "end-stage" of the disease.

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“…The aetiology is obscure in all, although in 2 of the children there were associated features which support the suggestion of viral infection. Presumptive evidence for a virus aetiology to explain 'idiopathic' pericardial constriction was produced by Robertson and Arnold (1962) who found a cluster of about 5 such cases a year after an epidemic of virus pericarditis: 2 of their patients had had pericarditis during the epidemic (caused by Coxsackie B5 virus). In our Case 2 the coexistence of interstitial keratitis with negative serology for syphilis, and in Case 1 the low birthweight for gestational age and poor progress from birth, would be consistent with this possibility.…”

Section: Discussionmentioning

confidence: 99%