Reoperation for calcific constrictive pericarditis 43 years after pericardiectomy.
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.
Madershahian
Navid
N
Department of Cardiothoracic and Vascular Surgery, Friedrich-Schiller University Jena, Jena, Germany. Navid.Madershahian@med.uni-jena.de
Franke
Ulrich
U
Bruhin
Raimund
R
Wahlers
Thorsten
T
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