Postoperative Effusive Constrictive Pericarditis in Ventricular Septal Defect Repair.
- Author:
Kwang Soo CHA
1
;
Youl BAE
;
Young Keun AHN
;
Jong Cheol PARK
;
Jeong Pyung SEO
;
Joo Hyung PARK
;
Myung Ho JEONG
;
Jeong Gwan CHO
;
Jong Chun PARK
;
Jung Chaee KANG
Author Information
1. Department of Cardiology, Chonnam University Hospital, Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
Effusive constrictive pericarditis;
Cardiac surgery;
Doppler echocariography
- MeSH:
Causality;
Constriction;
Early Diagnosis;
Echocardiography, Doppler;
Heart Failure;
Heart Septal Defects, Ventricular*;
Hemorrhage;
Humans;
Inflammation;
Pericardial Window Techniques;
Pericarditis, Constrictive*;
Pericardium;
Physiology;
Postpericardiotomy Syndrome;
Thoracic Surgery;
Venous Pressure
- From:Journal of the Korean Society of Echocardiography
1997;5(1):36-41
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Effusive constrictive pericarditis after open heart surgery is a rare complication occuring in 0.2% to 0.3%. Presenting symptoms after surgery are associated with right heart failure and an elevated jugular venous pressure is most common abnormal physical sign. Predisposing factors include hemorrhage, perioperative pericardial injury or inflammation, presence of postpericardiotomy syndrome and open pericardium. Early diagnosis is important because(1) if it is unrecognized, the patient may deteriorate clinically, and(2) if surgery is delayed, the patient may have an increased risk of operative death. Hereby we report a case of effusive constrictive pericarditis after ventricular septal defect repair, in which constriction physiology was suggested by Doppler echocardiography after pericardiostomy.
