Related Experiment Video
Updated: May 11, 2026
09:12
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery
Published on: March 27, 2018
Constrictive pericarditis following coronary artery bypass grafting
Anirban Kundu1, Om Prakash Yadava, Arvind Prakash
1Department of Cardiac Surgery, National Heart Institute, New Delhi, India.
Indian Heart Journal
|May 8, 2013
Summary
Constrictive pericarditis after Coronary Artery Bypass Grafting is rare. Surgical pericardiectomy offered a successful treatment for a patient unresponsive to medical management and pericardial tapping.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Cardiac Pathology
Background:
- Constrictive pericarditis is an uncommon but serious complication following cardiac surgery.
- Coronary Artery Bypass Grafting (CABG) can, in rare instances, lead to the development of constrictive pericarditis.
- Early recognition and management are crucial for patient outcomes.
Observation:
- A case report detailing a patient who developed constrictive pericarditis post-Coronary Artery Bypass Grafting (CABG).
- The patient's condition did not improve with initial medical management and pericardiocentesis (pericardial tapping).
Findings:
- Surgical intervention in the form of pericardiectomy was ultimately required.
- The pericardiectomy was performed via a left posterolateral thoracotomy approach.
- This case highlights a specific surgical technique for managing refractory constrictive pericarditis.
Implications:
- Pericardiectomy can be an effective treatment for constrictive pericarditis refractory to less invasive methods.
- Thoracic surgeons and cardiologists should consider pericardiectomy in select cases of post-CABG constrictive pericarditis.
- Further research may explore optimal timing and techniques for pericardiectomy in this patient population.
Related Concept Videos
01:17Pericarditis 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...
01:22Pericarditis 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...
01:19Pericarditis 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...
01:29Cardiomyopathy 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...
01:25Pericarditis 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.
01:23Rheumatic Heart Disease I: Introduction
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...