title: Reoperation for calcific constrictive pericarditis 43 years after pericardiectomy.
abstract: The case of calcific pericarditis in a 63-year-old male with a 1-year history of progressive right heart failure 43 years after pericardiectomy in 1960 is reported. The recurrent constriction was caused by the calcification of the residual posteroinferior pericardium and the impressing sternum of a pectus excavatum encasing the heart like a skull. The patient underwent total pericardiectomy of his residual pericardium through median sternotomy using cardiopulmonary bypass resulting in complete relief of his symptoms.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Friedrich-Schiller University Jena, Jena, Germany. Navid.Madershahian@med.uni-jena.de
authors.forename: Navid
authors.initials: N
authors.lastname: Madershahian
authors.forename: Ulrich
authors.initials: U
authors.lastname: Franke
authors.forename: Raimund
authors.initials: R
authors.lastname: Bruhin
authors.forename: Thorsten
authors.initials: T
authors.lastname: Wahlers
mesh_terms: D002114:Calcinosis / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010492:Pericardiectomy / Q000009:adverse effects / Q000379:methods; D010494:Pericarditis, Constrictive / Q000175:diagnosis / Q000601:surgery*; D010495:Pericarditis, Tuberculous / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D014057:Tomography, X-Ray Computed