This case report highlights a rare instance of recurrent cardiac constriction caused by extensive mediastinal fibrosis following pericardiectomy.
Supports consideration of mediastinal fibrosis in recurrent constriction after pericardiectomy; leaves open optimal diagnostic and therapeutic strategies.
Dependent edema, ascites, and exertional dyspnea devel[ill]d in a patient seven months after pericardiectomy for [ill]strictive pericarditis. Cardiac catheterization documented [ill]strictive physiology. At the second operation, he was [ill]nd to have extensive mediastinal fibrosis that encased the [ill]rt. Postmortem examination showed a fibrocartilagenous [ill]skeleton that encased both ventricles. Possible etiologies this unusual reconstriction are discussed. [ill]Arch Intern Med1984;144:2061-2063)
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R. A. Pick (1984) studied this question.
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