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Published on: February 11, 2022
Recurrent cardiac constriction after complete pericardiectomy
Elsayed M Elmistekawy1, John P Veinot, Carole J Dennie
1Division of Cardiac Surgery, University of Ottawa Heart Institute, University of Ottawa, Canada.
Abstract:
We present a patient with recurrent constrictive physiology resulting from exuberant post-operative fibrosis after complete pericardiectomy. The patient underwent a repeat stripping procedure. At surgery, there was an extensive fibrotic and calcified rind around the heart. The recurrence of constriction physiology after complete pericardiectomy in non-tuberculous pericarditis is a rarely reported in literature. The management supports repeat surgery and the potential value of steroid administration.
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