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Pericarditis III: Medical Management

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The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...

Pericarditis I: Introduction

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Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy

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Published on: September 9, 2020

Transient constrictive pericarditis after coronary bypass surgery.

Jae-Bum Kim¹, Nam-Hee Park, Sae-Young Choi

¹Department of Thoracic and Cardiovascular Surgery, Dongsan Medical Center, College of Medicine, Keimyung University, Korea.

The Korean Journal of Thoracic and Cardiovascular Surgery

|January 21, 2012

Summary

This summary is machine-generated.

Constrictive pericarditis after bypass surgery can be transient. This case study shows successful treatment of postcardiac injury syndrome-induced constrictive pericarditis with steroid therapy, avoiding surgery.

Keywords:

Coronary artery bypass Pericardium Pleural effusion

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Area of Science:

Cardiology
Thoracic Surgery

Background:

Constrictive pericarditis is a rare but serious complication following coronary artery bypass grafting (CABG).
While pericardiectomy is often the standard treatment, certain forms like transient cardiac constriction may respond to medical management.

Observation:

A 72-year-old female patient developed subacute transient constrictive pericarditis with a persistent left pleural effusion post-CABG.
This condition was attributed to postcardiac injury syndrome.

Findings:

The patient's constrictive pericarditis and associated pleural effusion were successfully managed with postoperative steroid therapy.
This medical approach proved effective, negating the need for surgical intervention.

Implications:

This case highlights the potential for non-surgical management of specific types of constrictive pericarditis post-CABG.
Steroid therapy may be a viable option for transient constrictive pericarditis secondary to postcardiac injury syndrome, offering an alternative to pericardiectomy.