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Related Concept Videos

Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

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: Introduction01:22

Pericarditis I: Introduction

Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...

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Related Experiment Video

Updated: May 21, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

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Constrictive pericarditis treated by surgery.

Alireza A Ghavidel1, Maziar Gholampour, Majid Kyavar

  • 1Department of Cardiovascular Surgery, Rajaee Cardiovascular Medical Research Center, Tehran University of Medical Science, 1996911151 Tehran, Iran. aaghavidel@yahoo.com

Texas Heart Institute Journal
|June 29, 2012
PubMed
Summary
This summary is machine-generated.

Pericardiectomy effectively treats constrictive pericarditis, significantly improving patient functional class post-surgery. Tuberculosis remains a notable cause, even with preventative measures.

Keywords:
Calcinosisheart failurelow-output syndromepericardial effusionpericardiectomypericarditis, constrictive/complications/surgerypericarditis, tubercular/surgeryrecovery of functionretrospective studiestreatment outcome

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Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
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Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
08:42

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
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Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Published on: June 8, 2022

Area of Science:

  • Cardiology
  • Thoracic Surgery

Background:

  • Constrictive pericarditis significantly impairs cardiac function, often requiring surgical intervention.
  • Preoperative New York Heart Association (NYHA) functional classes ranged from I to IV, indicating severe disease in many patients.
  • Tuberculosis is a significant etiological factor in constrictive pericarditis, particularly in regions with high prevalence.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of pericardiectomy in patients with constrictive pericarditis.
  • To identify the causes and postoperative complications associated with this condition.
  • To assess the long-term functional status and survival rates following pericardiectomy.

Main Methods:

  • Retrospective review of 45 patients who underwent pericardiectomy for constrictive pericarditis between 1994 and 2006.
  • Analysis of preoperative and postoperative functional status (NYHA class), etiological factors, and complications.
  • Assessment of imaging findings, including pericardial calcification on chest radiographs.

Main Results:

  • Pericardiectomy led to significant functional improvement, with 83.7% of patients in NYHA class I and 14% in class II at 3 months post-surgery.
  • The most common causes included idiopathic (60%), tuberculosis (22.2%), chronic renal failure (8.9%), and prior sternotomy (4.4%).
  • Low-output state was the most frequent postoperative complication (22.2%), and overall mortality was 4.4%.

Conclusions:

  • Pericardiectomy is an effective treatment for constrictive pericarditis, yielding substantial improvements in patient outcomes.
  • Tuberculosis continues to be a relevant cause of constrictive pericarditis in Iran, underscoring the need for ongoing public health efforts.
  • Despite potential complications, pericardiectomy offers a valuable therapeutic option for managing this debilitating condition.