Recurrent postoperative effusive-constrictive pericarditis associated with steroid discontinuation.
Transient effusive-constrictive pericarditis is a rare complication of open-heart surgery, but is increasingly recognized. For patients with both pericardial effusion and constrictive physiology soon after uneventful open-heart surgery, proper treatment remains to be established. We experienced a case of transient effusive-constrictive pericarditis in a 50-year-old woman who underwent aortic valve replacement due to infective endocarditis. Initially, she was treated with both prednisolone and ibuprofen, which resulted in dramatic relief of symptom. However, she suffered from a relapse of pericaridis after rapid steroid discontinuation and was stabilized by re-treatment with steroid.
Park
Gyung-Min
GM
Division of Cardiology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Lee
Jong-Young
JY
Kim
Yong-Giun
YG
Boo
Sun-Jin
SJ
Song
Jong-Min
JM
Kang
Duk-Hyun
DH
Song
Jae-Kwan
JK