Highlights a rare case of constrictive pericarditis developing as a late complication of myocardial infarction without anticoagulant-induced hemopericardium, successfully treated with pericardiectomy.
May inform recognition of post-MI constrictive pericarditis; leaves open pericardiectomy role pending larger studies.
Constrictive pericarditis developed in a 55 year old man two years after transmural myocardial infarction complicated by severe acute pericarditis. Pericardiectomy was successful. Although this very rare late complication of myocardial infarction has been reported as a sequela of frank anticoagulant induced haemopericardium, in this case there was no clinical evidence of such an association.
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Ramsdale et al. (1986) studied this question.
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