Off-pump waffle procedure using an ultrasonic scalpel for constrictive pericarditis
نویسندگان
چکیده
منابع مشابه
Surgical treatment of chronic constrictive pericarditis using an ultrasonic scalpel.
A 61-year-old male had complained of cough and dyspnea on effort, with right pleural effusion. Computed tomography demonstrated a calcific pericardium surrounding the entire heart, with thickening of 10 mm. Cardiac catheterization showed no coronary disease, but a dip-and-plateau of the pressure curve of both ventricles. We diagnosed congestive heart failure due to chronic constrictive pericard...
متن کاملWaffle Procedure for Selected Patients with Constrictive Pericarditis
Pericardiectomy is the standard procedure used to relieve hemodynamic conditions produced by constrictive pericarditis (CP), a form of severe diastolic heart failure. CP is observed in 0.2%– 0.4% of patients undergoing cardiac surgery. They generally have experienced pericardial trauma or inflammation [1]. Despite its poor prognosis when untreated, CP is potentially curable. Surgical pericardie...
متن کاملConstrictive pericarditis.
A study has been made of 62 patients with constrictive pericarditis. There was considerable variation from the classical description of the disease. It is hoped that the findings may be of use, because both diagnosis and treatment can sometimes cause perplexity. The atiology and mode of onset of constrictive pericarditis will be considered first, since ,these have important effects on the final...
متن کاملConstrictive Pericarditis
T HE essential pathology of constrictive pericarditis is the partial replacement of the epicardium and superficial myocardial layers by inelastic fibrous tissue. This interferes with diastolic filling of the ventricles and is recorded during right ventricular catheterization as a high end-diastolic plateau. In addition, the encasing and infiltrating lesion interferes with contractility and ther...
متن کاملConstrictive pericarditis
Constrictive pericarditis — Constrictive pericarditis is the result of scarring and consequent loss of the normal elasticity of the pericardial sac. Pericardial constriction is typically chronic, but variants include subacute, transient, and occult constriction. Pathologically, this results in chronic inflammation and, frequently, calcification. Grossly, the pericardium is considerably thicker ...
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ژورنال
عنوان ژورنال: European Journal of Cardio-Thoracic Surgery
سال: 2015
ISSN: 1010-7940,1873-734X
DOI: 10.1093/ejcts/ezu554