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ALLMedicine™ Constrictive Pericarditis Center - Research & Reviews

Constrictive pericarditis in the modern era: novel criteria for diagnosis in the cardia...
https://doi.org/10.1016/j.jacc.2007.09.039
Journal of the American College of Cardiology; Talreja DR, Nishimura RA et. al.

Jan 21st, 2008 - This study sought to determine the clinical utility of a new catheterization criterion for the diagnosis of constrictive pericarditis (CP). The finding of early rapid filling and equalization of end-diastolic pressures obtained by cardiac catheterization are necessary for the diagnosis of CP, but these findings are also present in patients with restrictive myocardial disease (RMD). Enhanced ven...

Massive bilateral chylothoraces complicating mediastinal granulomatous disease.
https://doi.org/10.1016/j.athoracsur.2009.01.053
The Annals of Thoracic Surgery; Fernandez FG, Denlinger CE et. al.

Aug 24th, 2009 - Mediastinal granulomatous disease with resulting fibrosis is known to cause several serious complications, including pulmonary artery occlusion, bronchial stenosis, superior vena cava syndrome, and constrictive pericarditis. This process is typically the result of an excessive fibrogenic response to the antigen of the fungus Histoplasma capsulatum. We present a case of a 20-year-old man who had...

Simultaneous right and left heart real-time, free-breathing CMR flow quantification ide...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560101
JACC. Cardiovascular Imaging; Thavendiranathan P, Verhaert D et. al.

Jan 13th, 2012 - The purpose of this study was to evaluate the ability of a novel cardiac magnetic resonance (CMR) real-time phase contrast (RT-PC) flow measurement technique to reveal the discordant respirophasic changes in mitral and tricuspid valve in flow indicative of the abnormal hemodynamics seen in constrictive pericarditis (CP). Definitive diagnosis of CP requires identification of constrictive hemodyn...

Acute constrictive pericarditis after lung transplantation for lymphangioleiomyomatosis.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742173
The Journal of Heart and Lung Transplantation : the Offic... Billings ME, Mulligan M et. al.

Jan 12th, 2009 - Lymphangioleiomyomatosis (LAM) is a rare, cystic, progressive lung disease with many extrapulmonary manifestations, which may complicate allograft function after transplantation. We present a LAM patient with new dyspnea and declining spirometry without rejection, infection or recurrence one year after bilateral lung transplantation. Investigation revealed acute constrictive pericarditis, which...

Risk of constrictive pericarditis after acute pericarditis.
https://doi.org/10.1161/CIRCULATIONAHA.111.018580
Circulation Imazio M, Brucato A et. al.

Aug 16th, 2011 - Constrictive pericarditis (CP) is considered a rare, dreaded possible complication of acute pericarditis. Nevertheless, there is a lack of prospective studies that have evaluated the specific risk according to different etiologies. The aim of this study is to evaluate the risk of CP after acute pericarditis in a prospective cohort study with long-term follow-up. From January 2000 to December 20...

Prevalence and Prognostic Value of Right Ventricular Systolic Dysfunction in Patients W...
https://doi.org/10.1016/j.amjcard.2015.04.044
The American Journal of Cardiology; Choudhry MW, Homsi M et. al.

Jun 6th, 2015 - Impaired right ventricular systolic function (RVSF) may complicate the treatment of constrictive pericarditis (CP) by pericardiectomy, which is a procedure that remains with significant morbidity and mortality. We evaluated RVSF in patients with CP who underwent pericardiectomy to determine the prognostic value of RVSF. RVSF was assessed by measuring Tricuspid Annular Plane Systolic Excursion (...

Constrictive pericarditis treated by surgery.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3384050
Texas Heart Institute Journal; Ghavidel AA, Gholampour M et. al.

Jun 28th, 2012 - We reviewed the records of 45 patients (mean age, 46.6 ± 14.9 yr; range, 21-84 yr) with a diagnosis of constrictive pericarditis who had undergone pericardiectomy from 1994 through 2006. Preoperatively, 2 of the patients (4.4%) were in New York Heart Association (NYHA) functional class I, 20 (44.4%) in class II, 22 (48.9%) in class III, and 1 (2.2%) in class IV. Pericardial calcification was de...

Pericardial constriction after cardiac transplantation.
https://doi.org/10.1016/j.healun.2009.07.015
The Journal of Heart and Lung Transplantation : the Offic... Bansal R, Perez L et. al.

Oct 6th, 2009 - In this study we present a series of 5 cases that developed constrictive pericarditis after orthotopic heart transplantation. All 5 patients had pericardial effusion of non-infectious etiology in the early post-transplant period. They subsequently presented with heart failure unresponsive to standard medical management. The diagnosis was made by comprehensive echo-Doppler studies. Findings were...

Diagnostic concordance of echocardiography and cardiac magnetic resonance-based tissue ...
https://doi.org/10.1161/CIRCIMAGING.114.002103
Circulation. Cardiovascular Imaging; Amaki M, Savino J et. al.

Aug 11th, 2014 - Variations in longitudinal deformation of the left ventricle have been suggested to be useful for differentiating chronic constrictive pericarditis (CP) and restrictive cardiomyopathy (RCM). We assessed left ventricular mechanics derived from cardiac magnetic resonance (CMR) cine-based and 2-dimensional echocardiography-based tissue tracking to determine intermodality consistency of diagnostic ...

Pericardiectomy for Constrictive Pericarditis: 20 Years of Experience at the Montreal H...
https://doi.org/10.1016/j.athoracsur.2015.02.054
The Annals of Thoracic Surgery; Vistarini N, Chen C et. al.

May 16th, 2015 - The aim of this study was to evaluate our single-center experience with pericardiectomy for constrictive pericarditis. The main objectives of our analysis were long-term survival, clinical outcome, and identification of risk factors. Over a 20-year period, 99 consecutive patients underwent pericardiectomy at the Montreal Heart Institute. The indications for operation were idiopathic pericarditi...

Constrictive Pericarditis Versus Restrictive Cardiomyopathy?
https://doi.org/10.1016/j.jacc.2016.01.076
Journal of the American College of Cardiology; Garcia MJ

Apr 29th, 2016 - About one-half of the patients with congestive heart failure have preserved left ventricular ejection fraction (HFpEF). Although the etiology of HFpEF is most commonly related to long-standing hypertension and atherosclerosis, a significant number of suspected HFpEF patients have a restrictive cardiomyopathy or chronic pericardial disease. Recognizing these syndromes is important because early ...

Clinical review: intrapericardial fibrinolysis in management of purulent pericarditis.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3219308
Critical Care (London, England); Augustin P, Desmard M et. al.

May 17th, 2011 - Purulent pericarditis (PP) is a potentially life-threatening disease. Reported mortality rates are between 20 and 30%. Constrictive pericarditis occurs over the course of PP in at least 3.5% of cases. The frequency of persistent PP (chronic or recurrent purulent pericardial effusion occurring despite drainage and adequate antibiotherapy) is unknown because this entity was not previously classif...

Constrictive pleuropericarditis: a dominant clinical manifestation in Whipple's disease.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3924190
BMC Infectious Diseases; Stojan G, Melia MT et. al.

Dec 10th, 2013 - Whipple's disease is a rare, multisystemic, chronic infectious disease which classically presents as a wasting illness characterized by polyarthralgia, diarrhea, fever, and lymphadenopathy. Pleuropericardial involvement is a common pathologic finding in patients with Whipple's disease, but rarely causes clinical symptoms. We report the first case of severe fibrosing pleuropericarditis necessita...

Risk factors for mortality after pericardiectomy for chronic constrictive pericarditis ...
https://doi.org/10.1093/ejcts/ezv322
European Journal of Cardio-thoracic Surgery : Official Jo... Busch C, Penov K et. al.

Sep 16th, 2015 - Constrictive pericarditis (CP) is an uncommon disease with multiple causes and unclear clinical outcomes. To date, few publications have clearly defined risk factors of poor outcomes after surgery for CP. We performed a retrospective analysis of almost 100 patients undergoing surgical treatment for CP at a single institution in order to identify risk factors for perioperative and long-term mort...

Imaging of the Pericardium: A Multimodality Cardiovascular Imaging Update.
https://doi.org/10.1016/j.ccl.2017.07.003
Cardiology Clinics; Xu B, Kwon DH et. al.

Oct 13th, 2017 - Pericardial diseases represent diverse conditions, ranging from painful inflammatory states, such as acute pericarditis, to life-threatening tamponade and chronic heart failure due to constrictive pericarditis. Multimodality cardiovascular imaging plays important roles in diagnosis and management of pericardial conditions. This review provides a clinical update on multimodality cardiovascular i...

Constrictive pericarditis: risks, aetiologies and outcomes after total pericardiectomy:...
https://doi.org/10.1093/ejcts/ezt138
European Journal of Cardio-thoracic Surgery : Official Jo... Szabó G, Schmack B et. al.

Jun 13th, 2013 - Constrictive pericarditis is the result of a spectrum of primary cardiac and non-cardiac conditions. Few data exist on the preoperative risk specific to survival after pericardiectomy. This study was designed to compare the association of aetiology of constrictive pericarditis and other clinical variables, with long-term survival after total pericardiectomy. A total of 89 patients were studied,...

Constrictive pericarditis requiring pericardiectomy at Groote Schuur Hospital, Cape Tow...
https://doi.org/10.1016/j.jtcvs.2014.07.065
The Journal of Thoracic and Cardiovascular Surgery; Mutyaba AK, Balkaran S et. al.

Sep 1st, 2014 - The causes of constrictive pericarditis and predictors of perioperative outcome after pericardiectomy have not been clearly elucidated, especially in Africa, where the disease characteristics differ from those in developed countries. Furthermore, the effect of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) on pericardial constriction and outcomes after surgery is u...

Mitral and tricuspid annular velocities before and after pericardiectomy in patients wi...
https://doi.org/10.1161/CIRCIMAGING.110.959619
Circulation. Cardiovascular Imaging; Veress G, Ling LH et. al.

May 5th, 2011 - Previous studies have demonstrated that mitral annulus early diastolic (e') velocity is increased in constrictive pericarditis (CP) and reduced in restrictive cardiomyopathy. However, those studies did not comprehensively evaluate mitral and tricuspid annular velocities before and after pericardiectomy. We performed comprehensive echocardiography before and after pericardiectomy in 99 patients ...

Biventricular mechanics in constrictive pericarditis comparison with restrictive cardio...
https://doi.org/10.1161/CIRCIMAGING.112.000078
Circulation. Cardiovascular Imaging; Kusunose K, Dahiya A et. al.

Mar 27th, 2013 - The aim of our study was to compare myocardial mechanics of constrictive pericarditis (CP) with restrictive cardiomyopathy (RCM), or healthy controls; to assess the impact of pericardial thickening detected by cardiac magnetic resonance on regional myocardial mechanics in CP; and to quantitate the effect of pericardiectomy on myocardial mechanics in CP. Myocardial mechanics were evaluated by 2-...

Experience With Pericardiectomy for Constrictive Pericarditis Over Eight Decades.
https://doi.org/10.1016/j.athoracsur.2017.05.063
The Annals of Thoracic Surgery; Murashita T, Schaff HV et. al.

Aug 1st, 2017 - The purpose of this study was to review the surgical outcomes of pericardiectomy for constrictive pericarditis and to examine risk factors for overall mortality in a contemporary period. We reviewed all patients who underwent pericardiectomy for constriction from 1936 through 2013. The investigation included constrictive pericarditis cases confirmed intraoperatively, all other types of pericard...