Key result
Treatment with prednisolone and ibuprofen dramatically resolved postoperative effusive-constrictive pericarditis, though rapid steroid discontinuation led to a relapse requiring re-treatment.
Case Report (n=1)
No
Rapid discontinuation of steroids in postoperative effusive-constrictive pericarditis can lead to recurrence, highlighting the need for careful tapering and vigilance.
May warrant cautious steroid tapering to prevent relapse in postoperative effusive-constrictive pericarditis; leaves open optimal regimen in prospective studies.
Transient effusive-constrictive pericarditis is a rare complication of open-heart surgery, but is increasingly recognized. For patients with both pericardial effusion and constrictive physiology soon after uneventful open-heart surgery, proper treatment remains to be established. We experienced a case of transient effusive-constrictive pericarditis in a 50-year-old woman who underwent aortic valve replacement due to infective endocarditis. Initially, she was treated with both prednisolone and ibuprofen, which resulted in dramatic relief of symptom. However, she suffered from a relapse of pericaridis after rapid steroid discontinuation and was stabilized by re-treatment with steroid.
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Park et al. (2009) conducted a case report in Postoperative Effusive-Constrictive Pericarditis (n=1). Prednisolone and ibuprofen was evaluated on Clinical and echocardiographic resolution of pericarditis. Treatment with prednisolone and ibuprofen dramatically resolved postoperative effusive-constrictive pericarditis, though rapid steroid discontinuation led to a relapse requiring re-treatment.
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