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Presentation pattern and management of effusive-constrictive pericarditis in Ibadan
M A Salami1, P O Adeoye, V O Adegboye
1Department of Surgery, Cardiovascular and Thoracic Surgery Division, University College Hospital and College of Medicine, University of Ibadan, Ibadan, Nigeria. drmudathirsalami@yahoo.com
Cardiovascular Journal of Africa
|May 23, 2012
Summary
Effusive-constrictive pericarditis, a rare condition, presents diagnostic and treatment challenges. Surgical pericardiectomy offers an effective solution for patients with non-resolving cardiac impairment.
Area of Science:
- Cardiothoracic Surgery
- Pericardial Diseases
- Clinical Medicine
Background:
- Effusive-constrictive pericarditis is a complex syndrome involving pericardial effusion and constriction.
- Current treatments are often problematic, with pericardiocentesis failing to resolve impaired cardiac filling and surgical visceral pericardium removal being technically demanding.
Observation:
- A prospective review of five patients with effusive-constrictive pericarditis was conducted over a year, alongside a seven-year overview and literature review, with a focus on African cases.
- Diagnosis was confirmed by clinical features, echocardiography showing constrictive physiology, and non-resolving cardiac impairment despite drainage.
Findings:
- Effusive-constrictive pericarditis represented 13% of all pericardial disease cases over seven years.
- All five patients in the series demonstrated improvement following pericardiectomy, indicating its efficacy.
Implications:
- This condition warrants further investigation and individualized treatment strategies.
- Integrating clinical findings, non-invasive tests, and surgical outcomes can optimize patient management.
- Further collaborative studies are needed to establish evidence-based guidelines, particularly with an African perspective.
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