Ephemeral Effusive Constrictive Pathophysiology

Subacute effusive-constrictive pericarditis.

Clinical and hemodynamic observations are reported in 13 patients who demonstrated a distinct pathophysiologic form of compressive pericardial disease characterized by effusion into a free pericardial space associated with constriction of the heart by the visceral pericardium. The pericardial disease was idiopathic (nine patients) or subsequent to radiotherapy (four patients), with a maximal du...

Effusive-constrictive pericarditis.

BACKGROUND Effusive-constrictive pericarditis is an uncommon pericardial syndrome characterized by concomitant tamponade, caused by tense pericardial effusion, and constriction, caused by the visceral pericardium. We conducted a prospective study of its clinical evolution and management. METHODS From 1986 through 2001, all patients with effusive-constrictive pericarditis were prospectively ev...

Acute effusive-constrictive staphylococcal pericraditis.

movement of the septum transversum after cyst formation. On the other hand, Maier6 regarded pericardial cysts as a congenital structure, but felt that diverticulae resulted from gradual stretching of a herniated portion of pericardium through a weakened fibrous layer in many cases. He suggested that congenital factors may play a predisposing role by providing a weak area of pericardium, but per...

A clearer view of effusive-constrictive pericarditis.

Hemodynamic Findings of Effusive-Constrictive Pericarditis.

A 64-year-old man with rheumatoid arthritis presented with progressive abdominal and leg swelling, anorexia, and dyspnea for several years. Physical examination was notable for a pericardial knock, pulsatile hepatomegaly, and lower extremity edema. The jugular vein was distended past the angle of the jaw and did not decrease with inspiration (Kussmaul’s sign). Transthoracic echocardiography dem...