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Published on: September 15, 2023
Early development of severe constrictive pericarditis after coronary bypass grafting
Michael Bergman1, Gideon Sahar, Janos Vitrai
1Department of Medicine C, Golda Campus, Rabin Medical Center, Petah Tiqva, Israel. dc375380@netvision.net.il
Abstract:
A 61-year-old patient developed severe constrictive pericarditis with exertional dyspnea, 3 weeks after coronary bypass surgery. The diagnosis was confirmed by echocardigraphy and computed tomography examination. Despite the short duration of the disease, the pericardium showed a thickness of about 1 cm. Because initial treatment with steroids, diuretics and antiinflammatory drugs was of no avail, the patient underwent pericardiectomy, with a satisfactory outcome. The relatively rapid progress of constriction and the marked thickness of the pericardium that developed after a short period of time are emphasized.
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