Cause Of Constrictive Pericarditis Research Articles

Foreign body in the myocardium as a cause of constrictive pericarditis

An unusual case of constrictive pericarditis, caused by lodging of a needle in the heart wall, is presented and discussed. Attention is focused on the rapid development of the constriction and the benefit gained from surgical intervention.

Constrictive Pericarditis: An Analysis of 17 Cases

Seventeen cases of constrictive pericarditis seen at University of Iowa Hospitals in the past six years have been analyzed. The importance of early diagnosis and prompt surgery cannot be overemphasized in this disease where mechanical factors play a major role and where the passage of time modifies the normal myocardium. Though tuberculosis has long been held as the most common known cause of constrictive pericarditis, its unequivocal association in our series, as in many others, is rare. Other infective agents, particularly viral, seem to play an important role. For a better understanding of the causative factors, better epidemiologic viral studies are necessary. With positive information from such studies, methods to prevent constrictive pericarditis may evolve.

Chronic constrictive pericarditis treated with pericardiectomy

During the past ten years twenty-six patients have been operated upon at the Cleveland Clinic Hospital for the surgical correction of chronic constrictive pericarditis. There has been considerable variation in technical features of the operation, but with increasing experience the trend is toward one of two basic incisions: (1) the median sternotomy (sternal-splitting) or (2) the transverse sternotomy (sternal transection). Either incision provides excellent exposure of the anterior aspect of the pericardial sac and its contents. Successful decortication is dependent upon the surgical exposure; however, other factors may be of equal significance. The most important of these is the character of the pericardial disease in the patient. The ability to establish a cleavage plane is usually dependent upon the pathologic process itself. Other reasons for failure are myocardial disease and postoperative complications. The cause of chronic constrictive pericarditis is still a matter of interest. Although tuberculous pericarditis was originally presumed to be the responsible cause of constrictive pericarditis, it now appears that this may be comparatively rare. Comparison of a sizable series of patients with acute pcricardial effusion treated during the same time interval suggests a possible relationship between acute hemorrhagic pericarditis and chronic constrictive pericarditis. The investigative problem remains to establish the common cause of acute pericardial hemorrhage and the factors that allow intrapericardial blood to incite a possible constrictive pericarditis.

CONSTRICTIVE PERICARDITIS AS SEQUEL TO HEMOPERICARDIUM: REPORT OF A CASE FOLLOWING ANTICOAGULANT THERAPY

Case Reports1 February 1957CONSTRICTIVE PERICARDITIS AS SEQUEL TO HEMOPERICARDIUM: REPORT OF A CASE FOLLOWING ANTICOAGULANT THERAPYMAURICE H. LASZLO, M.D.MAURICE H. LASZLO, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-46-2-403 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe various causes of constrictive pericarditis have as yet not been thoroughly elucidated. Indeed, there is a wide divergence in various studies with respect to the incidence of the several known etiologic factors.1-4Undoubtedly tuberculous pericarditis is a fairly common precursor of constrictive pericarditis; pyogenic agents, polyserositis and previous nonspecific acute pericarditis are also at times implicated as causative factors. In addition, there still remains a large group of cases of indeterminate cause where the pathology of the pericardium, as found at surgery or autopsy, throws no light on the etiology. For example, no etiologic agent could be demonstrated in...Bibliography1. PaulCastlemanWhite OBPD: Chronic constrictive pericarditis: a study of 53 cases, Am. J. M. Sc. 216: 361, 1948. CrossrefMedlineGoogle Scholar2. AndrewsPickeringSellors GWGWTH: The aetiology of constrictive pericarditis with special reference to tuberculous pericarditis, together with a note on polyserositis, Quart. J. Med. 17: 291, 1948. MedlineGoogle Scholar3. ChamblissJaruszewskiBrofmanMartinFeil JREJBLJFH: Chronic cardiac compression (chronic constrictive pericarditis), Circulation 4: 816, 1951. CrossrefMedlineGoogle Scholar4. Moschcowitz E: Pathogenesis of constrictive pericardium, J. A. M. A. 153: 194, 1953. CrossrefMedlineGoogle Scholar5. Nichol ES: The risk of hemorrhage in anticoagulant therapy, Ann. West. Med. and Surg. 4: 71, 1950. MedlineGoogle Scholar6. GoldsteinWolff RL: Hemorrhagic pericarditis in acute myocardial infarction treated with bishydroxycoumarin, J. A. M. A. 146: 616, 1951. CrossrefMedlineGoogle Scholar7. IzzoStevensTomsykoskiRodriguez PARCAJCE: Hemopericardium associated with anticoagulant therapy, Arch. Int. Med. 92: 350, 1953. CrossrefGoogle Scholar8. WoodWolferthBellet FCCCS: Infarction of the lateral wall of the left ventricle: electrocardiographic characteristics, Am. Heart. J. 16: 387, 1938. CrossrefGoogle Scholar9. ThomsonFeil HWH: Infarction of the lateral wall of the left ventricle: pathologic and electrocardiographic study, Am. J. M. Sc. 207: 588, 1944. CrossrefGoogle Scholar10. Beck CS: The effect of surgical solution of chlorinated soda (Dakin's solution) in the pericardial cavity, Arch. Surg. 18: 1659, 1929. CrossrefGoogle Scholar11. DanielPuder GS: Pericarditis et pleuritis cholesterinea, Virchows Arch. f. path. Anat. 284: 853, 1932. CrossrefGoogle Scholar12. White PD: Heart disease, 1937, The Macmillan Company, New York. Google Scholar13. Beck CS: Acute and chronic compression of the heart, Am. Heart J. 14: 515, 1937. CrossrefGoogle Scholar14. Glenn EE: Traumatic constrictive pericarditis, J. Missouri M. A. 37: 7, 1940. Google Scholar15. Dejou L: Hemo-pericarde compressif, au second mais d'une plaie cardiaque mecounne, Mém. Acad. de chir. 72: 352, 1946. Google Scholar16. AdaJonesSheeran AEORAD: Partial pericardiectomy in a case of hemopericardium due to nonpenetrating trauma, J. Thoracic Surg. 20: 105, 1950. CrossrefGoogle Scholar17. BarkerJohnston PSFD: Chronic pericarditis with effusion, Circulation 2: 134, 1950. CrossrefMedlineGoogle Scholar18. McKusick VA: Chronic constrictive pericarditis. 1. Some clinical and laboratory observations, Bull. Johns Hopkins Hosp. 90: 3, 1952. MedlineGoogle Scholar19. Warburg E: Traumatic armour heart, Am. Heart J. 49: 633, 1955. CrossrefMedlineGoogle Scholar20. OverholtBurwellWoodburyWalker RHCSJWJH: Constrictive pericarditis and constrictive pleuritis treated by pericardiectomy and pulmonary decortication, J. Thoracic Surg. 23: 1, 1952. CrossrefGoogle Scholar21. ElkinCampbell DCRE: Cardiac tamponade: treatment by aspiration, Ann. Surg. 133: 623, 1951. CrossrefMedlineGoogle Scholar22. MaguireGage CHM: A discussion of cardiac tamponade: treatment by aspiration, by Elkin, D. C., and Campbell, R. E.21 Google Scholar23. EhrenhaftTaber JLRE: Hemopericardium and constrictive pericarditis, J. Thoracic Surg. 24: 355, 1952. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Received for publication February 24, 1956.From the Medical Service of the United States Public Health Service Hospital, Memphis, Tennessee. The opinions expressed are those of the author and do not necessarily reflect those of the U. S. Public Health Service.Requests for reprints should be addressed to Maurice H. Laszlo, M. D., Montefiore Hospital, New York 67, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byLeserbreif zum Artikel: Kardiogener Schock 4 Stunden nach akut-PTCA bei HinterwandinfarktEarly constrictive pericarditis and anemia after Dressler's syndrome and inferior wall myocardial infarction.Constrictive pericarditis after myocardial infarction.Constrictive pericarditis after myocardial infarction. Sequela of anticoagulant-induced hemopericardiumCardiac Tamponade Complicating the Postpericardiotomy SyndromeTraumatic Hemopericardium and Chronic Constrictive PericarditisConstrictive pericarditis associated with hemangioma of the pericardiumAnticoagulant-Induced Hemopericardium with TamponadeThe evolution and current concepts of the surgical treatment of constrictive pericarditisA case of traumatic pericarditis with chronic tamponade and constrictionManagement of pericarditis secondary to myocardial infarctionSmall bowel obstruction due to hemorrhage secondary to anticoagulant therapyPostpericardiotomy syndrome following penetrating stab wounds of the chest: Comparison with the postcommissurotomy syndromeHemorrhagic pericardial effusion following myocardial infarction associated with a ventricular aneurysmPostpericardiotomy Syndrome Following Surgery for Nonrheumatic Heart Disease 1 February 1957Volume 46, Issue 2Page: 403-413KeywordsAutopsy pathologyElectrocardiographyEtiologyHemorrhageLesionsMedical servicesPericardiumResearch laboratoriesSurgeryTuberculosis ePublished: 1 December 2008 Issue Published: 1 February 1957 PDF downloadLoading ...

Metastatic carcinoma as a cause of constrictive pericarditis: Report of a case

The syndrome of constrictive pericarditis may be produced by neoplastic involvement of the pericardium. Such a process should be suspected when the symptoms of predominant right-sided heart failure appear during the course of a malignancy, in the absence of other usual causes of such failure. A case of bronchogenic carcinoma with metastasis to the pericardium demonstrating this condition is reported.