Inability of intracoronary stenting to provide long-term relief for coronary compression secondary to chronic constrictive pericarditis.
Chronic constrictive pericarditis can result in extrinsic compression of coronary arteries during diastole. We present one such case wherein the coronary compression and the resultant cardiac ischemia developed late after surgical pericardiectomy, and treatment with intracoronary stenting was unsuccessful. Issues pertaining to management of this rare condition are discussed and a case made for surgical treatment for such patients.
Jolly
Neeraj
N
University of Chicago Medical Center, 5841 S. Maryland Avenue, MC 5076, Chicago, IL 60637, USA. njolly@medicine.bsd.uchicago.edu
Goel
Ankush
A
Raman
Jai
J
D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D023921:Coronary Stenosis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000150:complications* / Q000601:surgery; D015607:Stents; D017211:Treatment Failure