Waffle Procedure for a Constrictive Pericarditis as an Emerging Manifestation of Hyper-IgG4 Disease
10.4326/jjcvs.41.95
- VernacularTitle:心外膜格子状切開術（waffle procedure）とステロイド治療が奏効した IgG4 関連心外膜炎の1例
- Author:
Keigo Yamashita
;
Takehisa Abe
;
Nobuoki Tabayashi
;
Yoshiro Yoshikawa
;
Yoshihiro Hayata
;
Tomoaki Hirose
;
Shun Hiraga
;
Yoichi Kameda
;
Yinghao Hu
;
Shigeki Taniguchi
- Publication Type:Journal Article
- Keywords:
constrictive pericarditis;
waffle procedure;
hyper-IgG4 disease
- From:Japanese Journal of Cardiovascular Surgery
2012;41(2):95-98
- CountryJapan
- Language:Japanese
-
Abstract:
A 74-year-old man presenting with general fatigue and dyspnea was admitted to another hospital. He was transferred to our hospital because his symptoms deteriorated and pericardial fluid increased. The symptoms did not improve even after percutaneous pericardial drainage. On a diagnosis of heart failure due to pericardial constriction, he underwent pericardiectomy. No hemodynamics improvement was found despite subtotal pericardiectomy. Multiple longitudinal and transverse incisions like a waffle were made in the thickened epicardium and improved the hemodynamics. The symptoms improved after sugery. Steroid therapy was effective after pathological examination of the excised epicardium that confirmed an emerging manifestation of hyper-IgG4 disease. We report a waffle procedure with good results for a constrictive pericarditis with hyper-IgG4 disease.
