[Peracute constrictive, idiopathic pericarditis--a case report of an acute life-threatening disease picture].
Generally, idiopathic pericarditis is considered a benign, self-limiting disease. Frequently, the exsudative phase of the disease is followed by a mild form of transitory constriction of the pericardium. The case reported here shows an unusual course of the disease. Shortly after the symptoms of exsudative pericarditis subsided a life-threatening form of pericardial constriction developed within weeks. In case of chronic pericardial constriction perioperative mortality for partial pericardiectomy is not insignificant. This is a result of myocardial damage that is difficult to assess prior to surgery. For that reason a partial pericardiectomy should be attempted as early as possible, even in cases with acute pericardial constriction.
Hambrecht
R
R
Med. Universitätsklinik Heidelberg, Abteilung für Innere Medizin III-Kardiologie, Angiologie und Pulmologie.
Schuler
G
G
Mall
G
G
Hagl
S
S
Kübler
W
W
D000208:Acute Disease; D000328:Adult; D006328:Cardiac Catheterization; D003586:Cytomegalovirus Infections / Q000150:complications; D004452:Echocardiography; D004562:Electrocardiography; D006333:Heart Failure / Q000175:diagnosis; D006801:Humans; D008297:Male; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010496:Pericardium / Q000473:pathology
Perakute konstriktive, idiopathische Perikarditis--Fallbeispiel eines akut lebensbedrohlichen Krankheitsbildes.