Transient cardiac constriction: an unrecognized pattern of evolution in effusive acute idiopathic pericarditis

Sagristà-Sauleda, Jaume; Permanyer-Miralda, Gaietà; Candell‐Riera, Jaume; Ángel, Juan; Soler‐Soler, Jordi

doi:10.1016/0002-9149(87)91134-9

Cited by 137 publications

(75 citation statements)

References 13 publications

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“…10) On the other hand, few cases of transient CP have been reported. [1][2][3][4][5] Sagrista-Sauleda and colleagues reported that 16 of 177 patients with acute idiopathic constrictive pericarditis had a transient course. 1) Also, Haley and colleagues investigated the cause and natural history of transient CP, and reported that 36 of 212 patients (including 9 of 48 following cardiovascular surgery) who had echocardiographic findings of CP showed resolution of constrictive hemodynamics without a pericardiectomy in follow-up echocardiogram findings.…”

Section: Discussionmentioning

confidence: 99%

“…However, a few reports have noted that CP was treated successfully by conservative therapy including administrations of non-steroidal anti-inflammatory drugs (NSAIDs) and steroids. [1][2][3][4][5] Such a pathophysiology has been termed transient CP. Herein, we describe 2 cases of transient CP following cardiac surgery that recovered after receiving NSAID administrations.…”

Section: Introductionmentioning

confidence: 99%

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Transient Constrictive Pericarditis Following Cardiac Surgery

Maeda

Saito

Toda

et al. 2014

ATCS

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Transient constrictive pericarditis (CP) is quite rare, with only a few reports presented. Herein, we report 2 cases of transient CP following cardiac surgery. Case 1 was an 80-year-old man who underwent repair of a left ventricular free wall rupture, while Case 2 was a 69-year-old woman who underwent a conventional aortic valve implantation procedure. In both cases, constrictive features developed about 2 weeks after surgery, which were treated successfully by administrations of non-steroidal anti-inflammatory drugs (NSAIDs). Prior to performing a pericardiectomy, NSAID administration should be considered for affected patients who are hemodynamically stable.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Transient Constrictive Pericarditis Following Cardiac Surgery

Maeda

Saito

Toda

et al. 2014

ATCS

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“…A spontaneous resolution of constriction after pericardiocentesis is possible, especially in patients with idiopatic exudative acute pericarditis (transient cardiac constriction) 7,[14][15][16] . However, a persistence of severe symptoms and signs of heart failure and of hemodynamic abnormalities is an indication for pericardiectomy, which is followed by prompt improvement in most patients.…”

Section: Discussionmentioning

confidence: 99%

Effusive-Constrictive Pericarditis Post Surgical Revision for Iatrogenic Hemopericardium

Kolek¹

2011

BIOMED PAP

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Aim.A case report of subacute effusive-constrictive pericarditis in a patient with iatrogenic hemopericardium is presented.Methods. A 69-year-old man was referred to our department for percutaneous coronary intervention complicated with hemopericardium with cardiac tamponade. Continuous bleeding after pericardiocentesis required an urgent surgical revision with evacuation of hemopericardium and local treatment of the sources of bleeding. A mild to moderate pericardial effusion persisted in the post-operative period, without any symptoms of cardiac tamponade. A global heart failure developed in the patient eleven months after complicated coronary intervention (surgical revision). A technically successful pericardiocentesis did not improve the clinical state of the patient. Echocardiography and magnetic resonance imaging confirmed the diagnosis of effusive-constrictive pericarditis.Results. Subsequent pericardiectomy resulted in a prompt and complete relief of symptoms and signs of heart failure. Conclusion. Effusive-constrictive pericarditis is an uncommon disorder characterised by symptoms of refractory cardiac failure, thickening of the visceral pericardium and pericardial effusion, with no improvement after pericardiocentesis. In indicated cases, pericadiectomy leads to recovery in a large percentage of patients.

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“…Multivariate clinical predictors of survival in patients with constrictive pericarditis more careful evaluation for possibility of CP would be necessary in patients with chronic liver or renal disease (12,13), recurrent ascites (14), or pleural effusion (15). Although it is generally accepted that pericardiectomy is the only way to break the vicious cycle of progressive deterioration of cardiac relaxation and filling in CP (16), complete disappearance of constrictive physiology with medical supportive care in some patients with CP has been reported in the literature (17)(18)(19)(20). Transient inflammation or fibrosis of the pericardium associated with viral or bacterial infection or immunologic mechanism after acute effusive pericarditis has been proposed as a mechanism of this transient CP (21).…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Constrictive Pericarditis Diagnosed by Echo-Doppler Technique in Korea

Yang

Song

et al. 2001

J Korean Med Sci

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A retrospective analysis of clinical data of 71 patients with constrictive pericarditis (CP) diagnosed by echo-Doppler technique (mean age, 49+/-17) was done. In 27 patients (38%), the etiology was unknown, and the three most frequent identifiable causes were tuberculosis (23/71, 32%), cardiac surgery (8/71, 11%), and mediastinal irradiation (6/71, 9%). Pericardiectomy was performed in 35 patients (49%) with a surgical mortality of 6% (2/35), and 11 patients (15%, 11/ 71) showed complete resolution of constrictive physiology with medical treatment. Patients with transient CP were characterized by absence of pericardial calcification, shorter symptom duration, and higher incidence of fever, weight loss, and tuberculosis. The 5-yr survival rates of patients with transient CP and those undergoing pericardiectomy were 100% and 85+/-6%, respectively, which were significantly higher than that of patients without undergoing pericardiectomy (33+/-17%, p=0.0083). Mediastinal irradiation, higher functional class, low voltage in ECG, low serum albumin, and old age were the independent variables associated with a higher mortality. Tuberculosis is still the most important etiology of CP in Korea, and not infrequently, it may cause transient CP. Early diagnosis and decision-making using follow-up echocardiography are crucial to improve the prognosis of patients with CP.

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Transient cardiac constriction: an unrecognized pattern of evolution in effusive acute idiopathic pericarditis

Cited by 137 publications

References 13 publications

Transient Constrictive Pericarditis Following Cardiac Surgery

Transient Constrictive Pericarditis Following Cardiac Surgery

Effusive-Constrictive Pericarditis Post Surgical Revision for Iatrogenic Hemopericardium

Clinical Characteristics of Constrictive Pericarditis Diagnosed by Echo-Doppler Technique in Korea

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