A Case of Jaundiced Constrictive Pericarditis.
10.4326/jjcvs.27.111
- VernacularTitle:黄だんを呈した収縮性心膜炎の一例
- Author:
Noriyoshi Kutsukata
;
Shigeyuki Hirano
;
Tomomi Hirata
;
Takao Hisayoshi
;
Masafumi Hioki
;
Shigeo Tanaka
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1998;27(2):111-113
- CountryJapan
- Language:Japanese
-
Abstract:
We treated a constrictive pericarditis patients that developed jaundice. The 28-year-old male complained chiefly of dyspnea on exertion. In addition to hyperbilirubinemia, his chest X-ray showed calcification of the pericardium. Cardiac catheterization found increased central venous pressure (24mmHg), a dip and plateau of the right and left ventricular pressure, and a patent foramen ovale (PFO). Surgery to excise the pericardium and close the PFO was performed under extracorporeal circulation. Hypertrophic pericardium had expanded throughout the right atrium to the free wall of the right ventricle and was partially calcified. Surgery restored the patient's cardiac and liver functions and allowed him to resume normal social activity.