title: Advanced effusive-constrictive pericarditis rescued by the aggressive waffle procedure.
abstract: We report the case of a 68-year-old man with progressive heart failure due to effusive-constrictive pericarditis. During approximately 1 month, echocardiography revealed rapid progression from pericarditis with effusion without tamponade to pericardial thickening and diastolic dysfunction. Cardiac catheterization revealed that the pressure in the right heart chambers remained high after pericardiocentesis. The patient was rescued by aggressive pericardiectomy and sharp dissection of the epicardium into small fragments. This on-pump beating-heart surgery is known as the waffle procedure.
authors.affiliation: Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawahara-machi, Sakyo, Kyoto, 606-8507, Japan. yamakazu@kuhp.kyoto-u.ac.jp
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Yamazaki
authors.forename: Akira
authors.initials: A
authors.lastname: Marui
authors.forename: Takahiro
authors.initials: T
authors.lastname: Nakahara
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Saji
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nishina
authors.forename: Tadashi
authors.initials: T
authors.lastname: Ikeda
authors.forename: Satoshi
authors.initials: S
authors.lastname: Shizuta
authors.forename: Ryuzo
authors.initials: R
authors.lastname: Sakata
mesh_terms: D000368:Aged; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass; D018450:Disease Progression; D015150:Echocardiography, Doppler; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010490:Pericardial Effusion / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010492:Pericardiectomy; D020519:Pericardiocentesis; D010494:Pericarditis, Constrictive / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011237:Predictive Value of Tests; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome