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Published on: February 11, 2022
[Effectiveness of the Waffle Procedure for Constrictive Pericarditis]
Naoki Hashiyama1, Hiroko Nemoto, Aya Kato
1Department of Cardiovascular Surgery, Yokohama Minami Kyousai Hospital, Yokohama, Japan.
Constrictive pericarditis treatment was challenging due to severe adhesions and thickened epicardium. The waffle procedure, combined with pericardiectomy, showed delayed but effective hemodynamic improvement in a patient with refractory constrictive pericarditis.
Area of Science:
- Cardiology
- Cardiac Surgery
- Thoracic Surgery
Background:
- Constrictive pericarditis presents with dyspnea and right-sided congestive pleural effusion.
- Severe adhesions and thickened epicardium can complicate surgical management.
- Standard pericardiectomy may not always restore optimal hemodynamics.
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