1.Constrictive Pericarditis Following Acute Idiopathic Pericarditis.
Journal of the Korean Pediatric Society 1984;27(3):313-318
No abstract available.
Pericarditis*
;
Pericarditis, Constrictive*
2.Echocardiographic Evaluation of Constrictive Pericarditis.
Journal of Cardiovascular Ultrasound 2007;15(2):37-39
No abstract available.
Echocardiography*
;
Pericarditis, Constrictive*
3.A Case of Constrictive Pericarditis with Localized Pericardial Effusion Simulating a Cystic Mass.
Jung Ae LEE ; Bong Seog KIM ; Hee Jun CHO ; Jae Kwan SONG ; Jhin Oh LEE ; Tae Woong KANG ; Hyo Yoon KIM ; Jae Il ZO ; Young Mog SHIM
Korean Circulation Journal 1991;21(4):791-796
Chronic constrictive pericarditis is an uncommon disease, but an importanat one because of its potential curability. It usually begins with an initial episode of acute pericarditis often with a pericardial effusion which may not be detected clinically. This then progresses to resorption of the effusion followed by obliteration of pericardial abity with formation of fibrotic tissue, which results in symmetrical scarring that produce uniform restriction. In general, there are no specific problems due to remained pericardial effusion in the clinically manifestated case of constrictive pericarditis. We report a case of chronic constrictive pericarditis with localized pericardial effusion, which caused to hemodynamic compromise due to local compression of the right ventricle.
Cicatrix
;
Heart Ventricles
;
Hemodynamics
;
Pericardial Effusion*
;
Pericarditis
;
Pericarditis, Constrictive*
4.The Usefulness of Pericardial Biopsy to Evaluate the Causes of Pericardial Disease.
So Young PARK ; Kee Sik KIM ; Jang Ho BAE ; You Hee KIM
Korean Circulation Journal 1999;29(5):517-522
BACKGROUND AND OBJECTIVES: The identification of a specific etiology of effusive pericardial disease is difficult because of the limited yield of cytologic and microbiologic pericardial fluid analysis. We performed retrospective study to find out whether pericardial biopsy was superior to pericardial fluid analysis in search of the etiology of pericardial effusion. MATERIALS AND METHOD: We reviewed 76 cases of moderate to severe pericardial effusion on which we performed surgical pericardial biopsy from Sep. 1986 to Sep. 1996. The results of pericardial fluid analysis, clinical manifestation, pericardial biopsy were compared retrospectively. RESULTS: 1)Clinical diagnosis of pericardial effusion were as follow:neoplastic disease (7.9%), tuberculosis (72.4%), constrictive pericarditis (17.1%), and others (2.6%). 2)By the percutaneous pericardial biopsy, we confirmed 19 cases (25%). Etiology of 4 cases (5.3%) were malignancy and 15 cases (19.7%) tuberculosis. Fifteen out of 76 patients who were diagnosed by biopsy as tuberculous pericarditis and 28 patients who were suspected as tuberculous pericarditis clinically were treated with antituberculous medications. Ten patients (66.7%) of pathologically diagnosed patients and 18 patients (69.2%) of clinically diagnosed patients showed complete resolution of pericarditis. CONCLUSION: By pericardial biopsy, we only confirmed 19 cases (25.0%). It means that pericardial biopsy is not superior to pericardial fluid analysis in searching of etiology of pericardial effusion. Moreover, it is not sufficient for final diagnosis of pericardial effusion.
Biopsy*
;
Diagnosis
;
Humans
;
Pericardial Effusion
;
Pericarditis
;
Pericarditis, Constrictive
;
Pericarditis, Tuberculous
;
Retrospective Studies
;
Tuberculosis
5.The Usefulness of Harmonic Scalpel During Pericardiectomy for Constrictive Pericariditis.
Do Hyung KIM ; Jung Cheul LEE ; Tae Eun JUNG ; Sung Sae HAN ; Jang Hoon LEE ; Dong Hyup LEE
The Korean Journal of Thoracic and Cardiovascular Surgery 2002;35(8):605-607
Harmonic Scalpel(Ethicon Endo-Surgery, Cincinnati, OH) has many advantages including no muscular stimulation, low heat, less smoke, easy hemostasis using ultrasound and good operation field. In patient with constrictive pericarditis, Harmonic Scalpel was beneficial during pericardiectomy.
Hemostasis
;
Hot Temperature
;
Humans
;
Pericardiectomy*
;
Pericarditis, Constrictive
;
Smoke
;
Ultrasonography
6.Clinical and Hemodynamic Observation on Constrictive Pericarditis.
Hong Soon LEE ; Jong Hwa KIM ; Woo Hyung LEE ; Yeong Cheol KIM ; Soo Woong YOO ; Hak Choong LEE ; Hoe Sung YU
Korean Circulation Journal 1983;13(1):97-105
A clinical study was done on 16 cases of constrictive pericarditis admitted to National Medical Center, from january, 1970 to October, 1982, were reviewed, conclusion as follows: 1) The patients with constrictive pericarditis generally revealed clinical features of right heart failure but low incidence of its characteristic features. 2) Hemodynamic and echocardiographic examinations were much helpful in confirmation of clinical diagnosis. 3) pericardiectomy was highly succesful in achievement of clinical improvement.
Diagnosis
;
Echocardiography
;
Heart Failure
;
Hemodynamics*
;
Humans
;
Incidence
;
Pericardiectomy
;
Pericarditis, Constrictive*
7.Malignant Pericardial Mesothelioma Misdiagnosed as Constrictive Pericarditis.
The Korean Journal of Thoracic and Cardiovascular Surgery 2005;38(8):576-578
We report aprimary malignant pericardial mesothelioma. Thirty-eight-year-old male patient complained of dyspnea and chest pain with left shoulder pain. At first, we thought it was because of tuberculous constrictive pericarditis and performed medical management for one and a half years. But, the above symptom recurred repeatedly; therefore we did pericardiectomy and diagnosed his case as malignant pericardial mesothelioma. Tumor was sticked to the myocardium and complete resection was impossible. He received postoperative chemoradiotherapy.
Chemoradiotherapy
;
Chest Pain
;
Dyspnea
;
Humans
;
Male
;
Mesothelioma*
;
Myocardium
;
Pericardiectomy
;
Pericarditis, Constrictive*
;
Pericarditis, Tuberculous
;
Pericardium
;
Shoulder Pain
8.A Case of Cardiac Tamponade in a Patient with Rheumatoid Arthritis.
Jin Young KIM ; Sung Kwon BAE ; Jung Soo SONG ; Won PARK
The Journal of the Korean Rheumatism Association 2000;7(2):153-157
Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease characterized by symmetric polyarthritis. RA may cause cardiac diseases by various mechanisms. Pericarditis is the most common cardiac manifestation of RA and has been found in 11~50% of autopsies of patients with RA. However only a few patients have clinical evidence of pericarditis which usually follows a benign course but it may progress to cardiac tamponade or constrictive pericarditis rarely. We experienced a case of cardiac tamponade in a 63-year-old patient with RA whose pericardial fluid analysis suggested rheumatoid pericarditis. He was successfully treated with pericardiocentesis and antirheumatic medication. This is the first case report of cardiac tamponade occurring as a complication of RA in Korea as far as we know.
Arthritis
;
Arthritis, Rheumatoid*
;
Autopsy
;
Cardiac Tamponade*
;
Heart Diseases
;
Humans
;
Korea
;
Middle Aged
;
Pericardiocentesis
;
Pericarditis
;
Pericarditis, Constrictive
9.Waffle Procedure in Chronic Constrictive Epicarditis Patient with Pericardial Effusion: A Case Report.
Hee Jae JUN ; Ki Bong KIM ; Kang Joo CHOI ; Yang Haeng LEE ; Youn Ho HWANG ; Kwang Hyun CHO
The Korean Journal of Thoracic and Cardiovascular Surgery 2002;35(4):307-310
The purpose of this presentation is to demonstrate a good results of a second operation, the Waffle procedure, in a patient who did not improve following pericardiectomy. Incomplete parietal pericardiectomy, myocardial fiber atrophy, and unexpected restrictive cardiomyopathy can be considered when the patient's symptom does not improve after pericardiectomy is carried out. Constrictive epicarditis is always ruled out. In our case, the patient having constrictive pericarditis combined with pericardial effusion received a pericardiectomy. However, hemodynamics and symptoms of the patient following the operation did not improve. However, we experienced a good result following a second operation, the Waffle procedure.
Atrophy
;
Cardiomyopathy, Restrictive
;
Hemodynamics
;
Humans
;
Pericardial Effusion*
;
Pericardiectomy
;
Pericarditis
;
Pericarditis, Constrictive
;
Rabeprazole
10.Prognostic Value of Initial Echocardiographic Features in Patients With Tuberculous Pericarditis.
Hyung Oh CHOI ; Jong Min SONG ; Tae Sun SHIM ; Sang Hyun KIM ; In Hyun JUNG ; Duk Hyun KANG ; Jae Kwan SONG
Korean Circulation Journal 2010;40(8):377-386
BACKGROUND AND OBJECTIVES: Tuberculous (TB) pericarditis is a major cause of constrictive pericarditis requiring pericardiectomy. We sought to determine initial prognostic factors in patients with TB pericarditis. SUBJECTS AND METHODS: We evaluated initial presentation and clinical outcomes (mean follow-up 32+/-27 months) in 60 consecutive patients newly diagnosed with TB pericarditis. RESULTS: Initial presentations were pericardial effusion (PE), effusive-constrictive pericarditis, and constrictive pericarditis in 45 (75%), 9 (15%), and 6 (10%) patients, respectively. Of the 54 patients without initial constrictive pericarditis, 32 (59%) showed echogenic materials in PE, including frond-like exudative coating and fibrinous strands. These patients had a longer disease duration before diagnosis, were initially more symptomatic, in a more advanced state, showed more persistent pericardial constrictions (38% vs. 0%, p<0.001) despite anti-TB medications, and tended to require pericardiectomy more often (19% vs. 0%, p=0.07, p<0.05 by Kaplan-Meier). All patients with effusive-constrictive pericarditis showed echogenic PE. Of the 60 total patients, 10 (17%) underwent pericardiectomies during follow-up. All of these patients showed initial pericardial constrictions, whereas no patient without initial pericardial constriction underwent pericardiectomy (p<0.001). Seven patients showed transient pericardial constrictions that resolved without pericardiectomy. CONCLUSION: Initial pericardial constriction and echogenic PE are poor prognostic signs for persistent pericardial constriction and pericardiectomy in patients with newly diagnosed TB pericarditis. These results suggest that early diagnosis and prompt anti-TB medication may be critical.
Constriction
;
Early Diagnosis
;
Echocardiography
;
Fibrin
;
Follow-Up Studies
;
Humans
;
Pericardial Effusion
;
Pericardiectomy
;
Pericarditis
;
Pericarditis, Constrictive
;
Pericarditis, Tuberculous
;
Prognosis
;
Tuberculosis