Key result
Epicardiectomy restores cardiac function in post-ablation effusive-constrictive pericarditis.
Why the study?
The diagnosis and management of subacutely developed constrictive pericarditis with hemopericardium after catheter ablation therapy is not well characterized.
Case Report (n=1)
No
The possibility of effusive constrictive pericarditis must be considered in cases of subchronic cardiac tamponade following catheter ablation.
Prompts consideration of effusive-constrictive pericarditis post-ablation; single case leaves open epicardiectomy efficacy.
We report a case of subacutely developed constrictive pericarditis with hemopericardium. A 67-year-old man was admitted to the hospital because of chest discomfort at the inspiration and edema of the lower ex-tremities one month after catheter ablation therapy for WPW syndrome (type A). According to UCG and chest CT findings, cardiac tamponade with hemopericardium was suspected and a removal of hematoma was planned. Operative inspection, however, reveald that the heart was strangulated by thick epicardium, causing disturbance of cardiac dilatation. Then a epicardiectomy was performed. The cardiac function was improved and the postoperative course was uneventful. This case was diagnosed as effusive constrictive pericarditis. The possibility of constrictive pericarditis must be considered in cases of subchronic cardiac tamponade.
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Miyasaka et al. (1999) conducted a case report in Constrictive pericarditis with hemopericardium (n=1). Epicardiectomy and hematoma removal was evaluated on Improvement of cardiac function and symptoms. Epicardiectomy successfully improved cardiac function in a 67-year-old man who developed subacute effusive-constrictive pericarditis with hemopericardium one month after catheter ablation.
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