Recognizing pericardial disease complicating congenital heart lesions is crucial as it can simulate right heart failure but is often surgically correctable.
Alerts clinicians to correctable mimics of right heart failure in congenital defects; case reports leave broader applicability open.
Article1 September 1960PERICARDIAL DISEASE COMPLICATING CONGENITAL HEART LESIONSHERBERT J. SEMLER, M.D., ROBERT O. BRANDENBURG, M.D., F.A.C.P., JOHN W. KIRKLIN, M.D.HERBERT J. SEMLER, M.D., ROBERT O. BRANDENBURG, M.D., F.A.C.P., JOHN W. KIRKLIN, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-53-3-494 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPericardial disease superimposed upon a congenital intracardiac defect may, if unrecognized, simulate right heart failure, and hence suggest a very high surgical risk. It is important to identify the coexistence of both conditions, since they are usually correctable by present-day surgical technics.Pericardial disease complicating congenital malformations of the heart has rarely been reported. Taussig1described the pathologic findings in a nine year old girl (case 35) who, it was thought clinically, probably had an "auricular septal defect and a superimposed rheumatic infection." Necropsy revealed unsuspected fibrinous pericarditis, with 150 c.c. of pericardial fluid, in association with an atrial septal...Bibliography1. Taussig HB: Congenital malformations of the heart, 1947, The Commonwealth Fund, New York. Google Scholar2. PlachtaSpeer AFP: Congenital absence of the right coronary artery: report of a case associated with adherent pericardium and augmented pericardial vascularity, Am. J. Clin. Path. 24: 1035, 1954. CrossrefMedlineGoogle Scholar3. SummersStanleyStringer JBALCJ: Unusual case report: coarctation of the aorta, constrictive pericarditis and pleuritis, and primary carcinoma of the liver occurring in one person, J. Indiana M. A. 47: 1294, 1954. Google Scholar4. White PD: Chronic constrictive pericarditis, Circulation 4: 288, 1951. CrossrefMedlineGoogle Scholar5. White PD: Heart disease, 4th ed., 1951, The Macmillan Company, New York. Google Scholar6. Wood P: Diseases of the heart and circulation, 2nd ed., 1956, J. B. Lippincott Company, Philadelphia. Google Scholar7. Friedberg CK: Diseases of the heart, 2nd ed., 1956, W. B. Saunders Company, Philadelphia. Google Scholar8. Wood EH: Special technics of value in the cardiac catheterization laboratory, Proc. Staff Meet., Mayo Clin. 28: 58, 1953. MedlineGoogle Scholar9. Barratt-BoyesWood BGEH: The oxygen saturation of blood in the venae cavae, right-heart chambers, and pulmonary vessels of healthy subjects, J. Lab. and Clin. Med. 50: 93, 1957. MedlineGoogle Scholar10. Carvallo JM: Signo para el diagnostico de las insuficiencias tricuspideas, Arch. Inst. cardiol. México 16: 531, 1946. MedlineGoogle Scholar11. BajecBirkheadCarterWood DFNCSAEH: Localization and estimation of severity of regurgitant flow at the pulmonary and tricuspid valves, Proc. Staff. Meet., Mayo Clin. 33: 569, 1958. MedlineGoogle Scholar12. LisanRealeLikoff PAW: The postmitral commissurotomy syndrome: a four-year clinical, pathologic and serologic study, and its relation to restenosis, Ann. Int. Med. 50: 1352-1358 (June) 1959. LinkGoogle Scholar13. Durant TM: The recognition of pericardial disease, Mod. Concepts Cardiovas. Dis. 27: 455, 1958. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Rochester, Minnesota*Received for publication February 29, 1960.From the Sections of Medicine and Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.The Mayo Foundation is a part of the Graduate School of the University of Minnesota.Requests for reprints should be addressed to Mayo Clinic, Rochester, Minnesota . PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCase Report: Congenitally Corrected Transposition of the Great Vessels Complicated by Constricted PericarditisErkrankungen des PerikardsRapid Development of Constrictive Pericarditis in a Patient with Systemic Lupus ErythematosusConstrictive pericarditis and atrial septal defect, secundum typeInteratrial septal defect and pericardial diseaseCholesterol pericarditisCase 25-1966Atrial septal defect and constrictive PericarditisConstrictive Pericarditis Complicating Disseminated Lupus ErythematosusPericarditisIsolated Right Ventricular Hypoplasia with Atrial Septal Defect or Patent Foramen Ovale 1 September 1960Volume 53, Issue 3Page: 494-509KeywordsCardiovascular therapyCatheterizationGraduate medical educationHeart failureLesionsPericardial diseasesResearch laboratoriesStenosisSurgery ePublished: 1 December 2008 Issue Published: 1 September 1960 PDF downloadLoading ...
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