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Recurrent postoperative effusive-constrictive pericarditis associated with steroid discontinuation

Gyung-Min Park1, Jong-Young Lee, Yong-Giun Kim

  • 1Division of Cardiology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Journal of Cardiovascular Ultrasound
|July 28, 2010
PubMed

Transient effusive-constrictive pericarditis is a rare complication of open-heart surgery, but is increasingly recognized. For patients with both pericardial effusion and constrictive physiology soon after uneventful open-heart surgery, proper treatment remains to be established. We experienced a case of transient effusive-constrictive pericarditis in a 50-year-old woman who underwent aortic valve replacement due to infective endocarditis. Initially, she was treated with both prednisolone and ibuprofen, which resulted in dramatic relief of symptom. However, she suffered from a relapse of pericaridis after rapid steroid discontinuation and was stabilized by re-treatment with steroid.

Keywords:
Constrictive pericarditisPostpericardiotomy syndromeSteroid

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