Transient constrictive pericarditis: causes and natural history

Haley, John H.; Tajik, A. Jamil; Danielson, Gordon K.; Schaff, Hartzell V.; Mulvagh, Sharon L.; Oh, Jae K.

doi:10.1016/j.jacc.2003.08.032

Cited by 190 publications

(66 citation statements)

References 10 publications

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“…The pathophysiology of transient constrictive pericarditis is not clearly confirmed but may be due to transient thickness and loss of elasticity caused by inflammation, fibrin deposition, and edema 14). The definitive treatment for constrictive pericarditis is pericardiectomy,15) but according to Haley et al16) transient constrictive pericarditis can be resolved in 3 months by conservative medical treatment, including NSAIDs or steroids. If constrictive pericarditis is indicated in a hemodynamically stable patient, medical treatment should be considered over pericardiectomy in the early phase.…”

Section: Discussionmentioning

confidence: 99%

Constrictive Pericarditis Accompanied by Swine-Origin Influenza A (H1N1) Infection

et al. 2010

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Swine-origin influenza A (H1N1) is caused by a new strain of the influenza virus. The disease has spread rapidly and was declared a pandemic in April, 2009. So far, however, there is a scarcity of information regarding the complications of swine influenza. A report of the disease in the winter of 2009 in the Southern Hemisphere found that the most common manifestations of influenza A virus infection are upper respiratory tract infection and pneumonia. Although there may be an association between fulminant myocarditis and Swine influenza, cardiovascular complications resulting from swine Influenza A infection are exceedingly rare. We report a case of acute constrictive pericarditis in a healthy subject infected by the swine-origin influenza A (H1N1) virus.

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Section: Discussionmentioning

confidence: 99%

Constrictive Pericarditis Accompanied by Swine-Origin Influenza A (H1N1) Infection

et al. 2010

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“…Haley et al [2] reported 36 patients with transient constrictive pericarditis and concluded that a subset of patients with constrictive pericarditis cured without pericardiectomy. They emphasized that all of their patients were diagnosed during the acute phase of their illness.…”

Section: Discussionmentioning

confidence: 99%

“…Classic constrictive pericarditis after cardiac surgery is considered to be progressive and irreversible, for which definitive therapy is a pericardiectomy [1]. However, there have been recent reports describing a transient form of constrictive pericarditis that resolves without surgical intervention [2,3]. Here we report a patient, who developed transient form of acute constrictive pericarditis four weeks after a CABG procedure that resolved only with steroid therapy.…”

Section: Case Reportmentioning

confidence: 99%

Transient Constrictive Pericarditis after Coronary Bypass Surgery

Kim

Park

Choi

et al. 2011

Korean J Thorac Cardiovasc Surg

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Constrictive pericarditis is a rare complication after coronary artery bypass grafting In most cases pericardiectomy is required as a definitive treatment. However, there are several types of constrictive pericarditis such as transient cardiac constriction. Some types of constrictive pericarditis can only be managed with medical therapy. We report a 72-year-old female patient who developed subacute transient constrictive pericarditis with persistent left pleural effusion as a result of postcardiac injury syndrome. The patient went through coronary bypass surgery that was successfully treated with postoperative steroid therapy.

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“…Data from the Mayo Clinic showed that about 17% of constrictive pericarditis patients developed transient constrictions, the common etiology being prior cardiovascular surgery, whereas only 1 case of TB pericarditis was transient 26). However, TB pericarditis seems to be a primary etiology of transient constrictive pericarditis in Korea, where TB is more prevalent than in the United States 27).…”

Section: Discussionmentioning

confidence: 99%

Prognostic Value of Initial Echocardiographic Features in Patients With Tuberculous Pericarditis

et al. 2010

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Background and ObjectivesTuberculous (TB) pericarditis is a major cause of constrictive pericarditis requiring pericardiectomy. We sought to determine initial prognostic factors in patients with TB pericarditis.Subjects and MethodsWe evaluated initial presentation and clinical outcomes (mean follow-up 32±27 months) in 60 consecutive patients newly diagnosed with TB pericarditis.ResultsInitial presentations were pericardial effusion (PE), effusive-constrictive pericarditis, and constrictive pericarditis in 45 (75%), 9 (15%), and 6 (10%) patients, respectively. Of the 54 patients without initial constrictive pericarditis, 32 (59%) showed echogenic materials in PE, including frond-like exudative coating and fibrinous strands. These patients had a longer disease duration before diagnosis, were initially more symptomatic, in a more advanced state, showed more persistent pericardial constrictions (38% vs. 0%, p<0.001) despite anti-TB medications, and tended to require pericardiectomy more often (19% vs. 0%, p=0.07, p<0.05 by Kaplan-Meier). All patients with effusive-constrictive pericarditis showed echogenic PE. Of the 60 total patients, 10 (17%) underwent pericardiectomies during follow-up. All of these patients showed initial pericardial constrictions, whereas no patient without initial pericardial constriction underwent pericardiectomy (p<0.001). Seven patients showed transient pericardial constrictions that resolved without pericardiectomy.ConclusionInitial pericardial constriction and echogenic PE are poor prognostic signs for persistent pericardial constriction and pericardiectomy in patients with newly diagnosed TB pericarditis. These results suggest that early diagnosis and prompt anti-TB medication may be critical.

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Transient constrictive pericarditis: causes and natural history

Abstract: A subset of patients with CP experience resolution of the disorder without requiring pericardiectomy.

Cited by 190 publications

References 10 publications

Constrictive Pericarditis Accompanied by Swine-Origin Influenza A (H1N1) Infection

Constrictive Pericarditis Accompanied by Swine-Origin Influenza A (H1N1) Infection

Transient Constrictive Pericarditis after Coronary Bypass Surgery

Prognostic Value of Initial Echocardiographic Features in Patients With Tuberculous Pericarditis

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