[Constrictive pericarditis: diagnostic aspects and surgical results in 23 cases]. / Pericarditis constrictiva: aspectos diagnósticos y resultados quirúrgicos en 23 casos.
Rev Med Chil
; 117(1): 34-9, 1989 Jan.
Article
em Es
| MEDLINE
| ID: mdl-2641622
We reviewed the clinical data on 23 patients operated on for constrictive pericarditis. Mean age was 35 years and 17 were males. The chief complaint was dyspnea (87%). Outstanding physical findings were venous hypertension (96%), hepatomegaly (78%), ascitis (57%), pulsus paradoxus (57%) and Kussmaul sign (43%). The ECG, although always abnormal was non contributory. Chest X ray findings included cardiomegaly (48%) and pericardial calcification (35%). Half of the cases showed pericardial thickening and abnormal septal motion on M mode echocardiography. An equalization of diastolic pressures and the dip and plateau sign was confirmed at cardiac catheterization in all cases. The etiology could be established in only 6 patients (tuberculosis 3, traumatic 2 and septic 1). Surgical mortality was 9% (2 patients). Follow up was available on 10 patients at a mean of 35 months, 9 in functional class I and 1 in FC II.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pericardite Constritiva
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Es
Revista:
Rev Med Chil
Ano de publicação:
1989
Tipo de documento:
Article
País de publicação:
Chile