Hemodynamic rounds series II: Evaluating new hemodynamic criteria of constrictive physiology: Respiratory dynamics

Azrak, Elie; Kern, Morton J.

doi:10.1002/(sici)1522-726x(199905)47:1<80::aid-ccd18>3.0.co;2-w

Cited by 2 publications

(1 citation statement)

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“…Examination of dynamic respiratory changes, which demonstrates exaggerated ventricular interdependence, is quite specifi c in demonstrating the presence of constrictive physiology. 2,3,4 The diastolic fi lling pattern and partial respiratory discordance observed in our patient was suggestive of, but not conclusive for, constrictive pericarditis. Perhaps, temporary occlusion of the atrial septal defect with a balloon might have assisted in unmasking the dynamic respiratory variation.…”

Section: Discussionmentioning

confidence: 61%

Atrial Septal Defect with Ascites and Pleural Effusion

Chau

Chiu

et al. 2007

Asian Cardiovasc Thorac Ann

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Section: Discussionmentioning

confidence: 61%

Atrial Septal Defect with Ascites and Pleural Effusion

Chau

Chiu

et al. 2007

Asian Cardiovasc Thorac Ann

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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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Hemodynamic rounds series II: Evaluating new hemodynamic criteria of constrictive physiology: Respiratory dynamics

Cited by 2 publications

References 10 publications

Atrial Septal Defect with Ascites and Pleural Effusion

Atrial Septal Defect with Ascites and Pleural Effusion

Constrictive pericarditis: 21 years´ experience and review of literature

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