Transient Right Ventricular Dysfunction After Pericardiectomy in Patients With Constrictive Pericarditis
Korean Circulation Journal
; : 283-286, 2011.
Article
en En
| WPRIM
| ID: wpr-43502
Biblioteca responsable:
WPRO
ABSTRACT
Pericardiectomy is the standard treatment in patients with chronic constrictive pericarditis who have persistent symptoms. However, myocardial atrophy with prolonged pericardial constriction and abrupt increase in venous return can lead to heart failure with volume overload after pericardial decompression, especially in the right ventricle (RV). We experienced a 44 year old male patient who developed transient RV failure after pericardiectomy for constrictive pericarditis. Echocardiography revealed a markedly dilated RV with decreased peak systolic velocity of the tricuspid annulus, suggesting severe RV dysfunction. After treatment with inotropics and diuretics, a follow-up echocardiography revealed an improved systolic function with decreased RV chamber size. This case demonstrates the importance of volume overload and RV dysfunction in patients with constrictive pericarditis undergoing pericardiectomy.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Pericarditis Constrictiva
/
Atrofia
/
Pericardiectomía
/
Ecocardiografía
/
Estudios de Seguimiento
/
Disfunción Ventricular Derecha
/
Constricción
/
Descompresión
/
Diuréticos
/
Insuficiencia Cardíaca
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
/
Male
Idioma:
En
Revista:
Korean Circulation Journal
Año:
2011
Tipo del documento:
Article