Recurrent Postoperative Effusive-Constrictive Pericarditis Associated with Steroid Discontinuation.
10.4250/jcu.2009.17.3.102
- Author:
Gyung Min PARK
1
;
Jong Young LEE
;
Yong Giun KIM
;
Sun Jin BOO
;
Jong Min SONG
;
Duk Hyun KANG
;
Jae Kwan SONG
Author Information
1. Division of Cardiology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jksong@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Postpericardiotomy syndrome;
Constrictive pericarditis;
Steroid
- MeSH:
Aortic Valve;
Endocarditis;
Female;
Humans;
Ibuprofen;
Middle Aged;
Pericardial Effusion;
Pericarditis;
Pericarditis, Constrictive;
Postpericardiotomy Syndrome;
Prednisolone;
Recurrence
- From:Journal of Cardiovascular Ultrasound
2009;17(3):102-105
- CountryRepublic of Korea
- Language:English
-
Abstract:
Transient effusive-constrictive pericarditis is a rare complication of open-heart surgery, but is increasingly recognized. For patients with both pericardial effusion and constrictive physiology soon after uneventful open-heart surgery, proper treatment remains to be established. We experienced a case of transient effusive-constrictive pericarditis in a 50-year-old woman who underwent aortic valve replacement due to infective endocarditis. Initially, she was treated with both prednisolone and ibuprofen, which resulted in dramatic relief of symptom. However, she suffered from a relapse of pericaridis after rapid steroid discontinuation and was stabilized by re-treatment with steroid.
