title: Recurrent cardiac constriction after complete pericardiectomy.
abstract: We present a patient with recurrent constrictive physiology resulting from exuberant post-operative fibrosis after complete pericardiectomy. The patient underwent a repeat stripping procedure. At surgery, there was an extensive fibrotic and calcified rind around the heart. The recurrence of constriction physiology after complete pericardiectomy in non-tuberculous pericarditis is a rarely reported in literature. The management supports repeat surgery and the potential value of steroid administration.
authors.affiliation: Division of Cardiac Surgery, University of Ottawa Heart Institute, University of Ottawa, Canada.
authors.forename: Elsayed M
authors.initials: EM
authors.lastname: Elmistekawy
authors.forename: John P
authors.initials: JP
authors.lastname: Veinot
authors.forename: Carole J
authors.initials: CJ
authors.lastname: Dennie
authors.forename: Fraser D
authors.initials: FD
authors.lastname: Rubens
mesh_terms: D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D012008:Recurrence