Key result
Prior cardiac surgery links to constrictive pericarditis diagnosed at an average ~13 months postoperatively.
Why the study?
Constrictive pericarditis can occur as a long-term complication after cardiac surgery, but its pathogenesis remains unknown and clinical characteristics need clarification.
Case Report (n=12)
No
May warrant consideration in symptomatic patients after cardiac surgery; leaves open contemporary incidence and prevention strategies.
From January 1972 to June 1983, 12 cases of confirmed constrictive pericarditis were found at the Cleveland Clinic, occurring as a long-term complication of cardiac surgery. These patients had had valve replacement, coronary artery bypass surgery, or other surgical procedures. Average time interval from initial cardiac surgery to definitive diagnosis was 12.6 months (range, 5 weeks to 34 months). Two patients were treated medically and 10 were treated surgically. Pathogenesis of pericardial constriction following cardiac surgery is unknown. Possible factors are mesothelial injury, bleeding, postpericardiotomy syndrome, and povidone-iodine irrigation. Constrictive pericarditis should be considered in the differential diagnosis of patients with right-sided heart failure after cardiac surgery.
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Ng et al. (1984) conducted a case report in Constrictive pericarditis following cardiac surgery (n=12). Prior cardiac surgery was evaluated. Prior cardiac surgery resulted in constrictive pericarditis diagnosed at an average of 12.6 months postoperatively in 12 patients, 10 of whom were treated surgically.
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