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Left ventricular dysfunction after pericardiectomy for constrictive pericarditis.

Richard S Schofield1, Steven B Shoemaker, Eugene G Ryerson

  • 1Malcom Randall Veterans Administration Medical Center, Department of Medicine, University of Florida College of Medicine, Gainesville, USA. schofrs@medicine.ufl.edu

The Annals of Thoracic Surgery
|April 6, 2004
PubMed
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This study reports a rare case of acute reduction in left ventricular ejection fraction (LVEF) after pericardiectomy for constrictive pericarditis. The patient

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Constrictive pericarditis requires surgical intervention, typically pericardiectomy.
  • Post-operative hemodynamic complications can occur, but are not well-documented.

Observation:

  • A 56-year-old male underwent successful pericardiectomy for confirmed constrictive pericarditis.
  • Four days post-surgery, the patient developed dyspnea and showed an acute decrease in left ventricular ejection fraction (LVEF) on echocardiography.

Findings:

  • The patient's symptoms and LVEF normalized within 4 weeks.
  • This case documents, for the first time in literature, an acute echocardiographically confirmed reduction in LVEF following pericardiectomy for constrictive pericarditis.

Implications:

  • Transient left ventricular dysfunction may occur after pericardiectomy.

Related Experiment Videos

  • Further research is needed to understand the mechanisms and prevalence of post-pericardiectomy LVEF reduction.