[A case of surgical treatment of sever constrictive pericarditis with biventricular failure].
A 68-year-old woman had been pointed out a calcification of pericardium on chest X-ray ten years ago. She admitted to our hospital associated with generalized edema. RA pressure.pulmonary capillary wedge pressure.RVEDP.LVEDP increased markedly and low cardiac output coexisted (C.I. = 1.77 l/min/m2). On September 9, 1992, she underwent a total pericardiectomy through mediansternotomy without cardiopulmonary bypass. She complicated a prolonged biventricular heart failure despite total pericardiectomy postoperatively. It was considered that delayed clinical improvement had based on myocardial degeneration or atrophy in long-term morbidity. We recommend a early operative intervention at the clinical hemodynamic deterioration.
Department of Cardiovascular Surgery, Metropolitan Hiroo Hospital, Tokyo, Japan.
Y
Y
Hayashibe
M
M
Sato
K
K
Goto
T
T
Maemura
S
S
Konno
D000368:Aged; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D010494:Pericarditis, Constrictive / Q000150:complications / Q000601:surgery*