Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Transient Constrictive Pericarditis after Coronary Bypass Surgery

  • Kim, Jae-Bum (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, College of Medicine, Keimyung University) ;
  • Park, Nam-Hee (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, College of Medicine, Keimyung University) ;
  • Choi, Sae-Young (Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, College of Medicine, Keimyung University) ;
  • Kim, Hyung-Seop (Department of Internal Medicine, Dongsan Medical Center, College of Medicine, Keimyung University)
  • Received : 2010.04.26
  • Accepted : 2010.06.25
  • Published : 2011.02.05
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Abstract

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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References

  1. Matsuyama K, Matsumoto M, Sugita T, et al. Clinical characteristics of patients with constrictive pericarditis after coronary bypass surgery. Jpn Circ J 2001;65:480-2. https://doi.org/10.1253/jcj.65.480
  2. Haley JH, Tajik AJ, Danielson GK, Schaff HV, Mulvagh SL, Oh JK. Transient constrictive pericarditis; causes and natural history. J Am Coll Cariol 2004;43:271-5. https://doi.org/10.1016/j.jacc.2003.08.032
  3. Blasco PB, Comas JG, Ferrer JC, Menduna QF, Garcia BM, Ipina FG. Transient postoperative pericardial constriction in a child. Int J Cardiol 2009;131:e45-7. https://doi.org/10.1016/j.ijcard.2007.05.097
  4. Fowler NO. Constrictive pericarditis: Its history and current status. Clin Cardiol 1995;18:341-50. https://doi.org/10.1002/clc.4960180610
  5. Heidecker J, Sahn SA. The spectrum of pleural effusions after coronary artery bypass grafting surgery. Clin Chest Med 2006;27:267-83. https://doi.org/10.1016/j.ccm.2006.01.007
  6. Sagrista-Sauleda J, Permanyer-Miralda G, Candell-Riera J, Angel J, Soler-Soler J. Transient cardiac constriction: an unrecognized pattern of evolution in effusive acute idiopathic pericarditis. Am J Cardiol 1987;59:961-6. https://doi.org/10.1016/0002-9149(87)91134-9
  7. Sagrista-Sauleda J. Cardiac constriction syndromes. Rev Esp Cardiol 2008;61(Suppl 2):33-40.
  8. Ansinelli RA, Weeks KD, Key TS. Effects of steroids on postoperative constrictive pericarditis. Am J Cardiol 1983;51:1238-40. https://doi.org/10.1016/0002-9149(83)90382-X