Key result
Subtotal pericardiectomy resolves severe post-radiation constrictive pericarditis, restoring NYHA class I in a single patient.
Why the study?
Post-radiation constrictive pericarditis is a rare complication with insidious onset, high morbidity, and high mortality, highlighting the importance of timely diagnosis.
Case Report (n=1)
No
Timely diagnosis and surgical treatment with subtotal pericardiectomy for post-radiation constrictive pericarditis leads to favorable clinical outcomes and symptom resolution.
Answers are grounded in this paper and cite their sources.
May support surgical consideration in post-radiation constrictive pericarditis; hypothesis-generating and requires larger studies before practice change.
Constrictive pericarditis secondary to radiation is a rare complication, due to its pathogenesis, the patient may present asymptomatic for a long period of time with a slight decrease in functional class that may go unnoticed, however, once constrictive physiology is established, presents greater functional deterioration, and favors the development of predominant arrhythmias, atrial fibrillation and preserved LVEF heart failure, the clinical course of the disease is progressive with high morbidity and mortality. The patient presented in the case report refers to the timely diagnosis through the different methods explained that leads to a favorable outcome.
No takes yet. Share an insight, caveat, or question.
Ugalde et al. (2023) conducted a case report in Post-Radiation Constrictive Pericarditis (n=1). Subtotal pericardiectomy was evaluated on Clinical improvement (NYHA functional class). Subtotal pericardiectomy successfully treated severe post-radiation constrictive pericarditis in a 56-year-old woman, resulting in clinical improvement to NYHA functional class I.
Synapse has enriched 10 related papers. Consider them for comparative context: