title: [Pericardiectomy of effusive constrictive pericarditis with an ultrasonic scalpel; report of a case].
abstract: Effusive constrictive pericarditis is a rare clinical entity characterized by concurrent pericardial effusion and visceral pericardial constriction. The most effective therapy for this state is pericardiectomy with complete removal of the parietal and visceral membranes, although the perioperative mortality and morbidity can be high. We presented a case of a 45-year-old man in whom a visceral pericardiectomy with waffle procedure was successfully performed using an ultrasonic scalpel without use of cardiopulmonary bypass. His postoperative course was uneventful and cardiac hemodynamics restored to normal. There were no signs or symptoms of recurrence in 2 years of follow-up.
authors.affiliation: Department of Cardiovascular Surgery, Kagoshima Medical Center, Kagoshima, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Kanda
authors.forename: Yukinori
authors.initials: Y
authors.lastname: Moriyama
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Fukumoto
authors.forename: Takayuki
authors.initials: T
authors.lastname: Ueno
authors.forename: Satoshi
authors.initials: S
authors.lastname: Iwamoto
authors.forename: Masafumi
authors.initials: M
authors.lastname: Yamashita
authors.forename: Goichi
authors.initials: G
authors.lastname: Yotsumoto
authors.forename: Kosuke
authors.initials: K
authors.lastname: Mukaihara
mesh_terms: D003251:Constriction, Pathologic; D003952:Diagnostic Imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D010492:Pericardiectomy / Q000295:instrumentation* / Q000379:methods; D010493:Pericarditis / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery*; D010496:Pericardium / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome; D059708:Ultrasonic Surgical Procedures / Q000295:instrumentation* / Q000379:methods