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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...

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Updated: May 13, 2026

Ascending Aortic Constriction in Rats for Creation of Pressure Overload Cardiac Hypertrophy Model
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Published on: June 29, 2014

Constrictive epicarditis: turtle cage or waffle operation?

Carlo Barzaghi1, Massimo Lombardi, Stefano Giaconi

  • 1aCardiac Thoracic and Vascular Department, University Hospital, Pisa bInstitute of Clinical Physiology, Pisa cDivision of Cardiology, Pontedera, Italy.

Journal of Cardiovascular Medicine (Hagerstown, Md.)
|February 28, 2013
PubMed
Summary
This summary is machine-generated.

Constrictive epicarditis, a rare condition, was diagnosed in a 72-year-old man presenting with pericarditis symptoms. Surgical intervention involved pericardiectomy and epicardial incisions.

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Last Updated: May 13, 2026

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Published on: October 9, 2017

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Thoracic Surgery

Background:

  • Pericarditis can lead to constrictive pericarditis, affecting cardiac function.
  • Constrictive epicarditis is a less common manifestation involving the epicardium.

Observation:

  • A 72-year-old male presented with clinical signs suggestive of pericarditis.
  • Intraoperative findings revealed constrictive epicarditis.

Findings:

  • Surgical treatment included pericardiectomy, a procedure to remove the pericardium.
  • Multiple longitudinal and transverse incisions were made in the epicardium to relieve constriction.

Implications:

  • This case highlights the importance of considering epicardial involvement in pericarditis.
  • Surgical management of constrictive epicarditis may involve both pericardial stripping and epicardial fenestration.
  • Further research into the specific outcomes of epicardial incisions in constrictive disease is warranted.