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Constrictive pericarditis in children.

A W Strauss, M Santa-Maria, D Goldring

    American Journal of Diseases of Children (1960)
    |July 1, 1975
    PubMed
    Summary
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    Constrictive pericarditis (CP) is rare in children but requires high suspicion for diagnosis. Early recognition and surgical treatment are crucial for favorable outcomes in pediatric CP cases.

    Area of Science:

    • Pediatric Cardiology
    • Cardiovascular Surgery
    • Internal Medicine

    Background:

    • Constrictive pericarditis (CP) is a rare condition in children.
    • CP presents with chronic or acute forms, often following effusive pericarditis.
    • Diagnosis can be challenging, especially in children with ascites or failure to thrive.

    Purpose of the Study:

    • To review clinical findings, causes, and hemodynamics of constrictive pericarditis in children.
    • To emphasize the importance of early diagnosis and intervention for pediatric CP.
    • To highlight diagnostic challenges and key indicators for constrictive pericarditis in pediatric patients.

    Main Methods:

    • Retrospective case series analysis.
    • Review of clinical presentations, diagnostic workup, and treatment outcomes.

    Related Experiment Videos

  • Analysis of hemodynamic findings in five pediatric patients with CP over 12 years.

    • Main Results:

    • Five cases of constrictive pericarditis were identified over a 12-year period.
    • Two variants observed: chronic (unknown cause) and acute (post-effusive pericarditis).
    • Ascites and failure to thrive in children warrant suspicion for CP.

    Conclusions:

    • Constrictive pericarditis, though rare in childhood, demands a high index of suspicion.
    • Prompt diagnosis and surgical intervention are essential for effective management of pediatric CP.
    • Early recognition improves outcomes in children with constrictive pericarditis.