Constrictive pericarditis after lung transplantation: an under-recognized complication.
Primary graft dysfunction, acute rejection, and infection account for most of the early morbidity after lung transplantation, with bronchiolitis obliterans syndrome accounting for most late morbidity. Mediastinal and pericardial complications, in the form of constriction, are not common. We present 4 patients with constrictive pericarditis after lung transplantation and recommend that constrictive pericarditis be considered in the differential diagnosis in lung transplant recipients who present with signs and symptoms of systemic and pulmonary venous congestion.
Karolak
Wojtek
W
Division of Thoracic Surgery, Department of Surgery, University of Toronto, Toronto, Canada.
Cypel
Marcelo
M
Chen
Fengshi
F
Daniel
Lorretta
L
Chaparro
Cecilia
C
Keshavjee
Shaf
S
D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D016040:Lung Transplantation / Q000502:physiology; D008297:Male; D008875:Middle Aged; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D014057:Tomography, X-Ray Computed