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Related Concept Videos

Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

66
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...
66
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

66
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...
66
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

77
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...
77
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

116
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.
116
Pneumothorax-II01:27

Pneumothorax-II

503
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
503
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

129
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...
129

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Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation
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Donor Posterior Atrial Flap Rotation for Left Atrial Cuff Reconstruction in Lung Transplantation

Published on: October 11, 2024

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Constrictive Pericarditis After Lung Transplantation.

Logan L Vincent1, Siu-Hin Wan2, Zachary L Steinberg1

  • 1Division of Cardiology, University of Washington, Seattle, Washington.

JACC. Case Reports
|July 28, 2021
PubMed
Summary

Cardiac constriction is a rare but serious complication following lung transplant. Early diagnosis through physical exam, echocardiography, and catheterization is crucial for prompt treatment and symptom resolution.

Keywords:
CT, computed tomographyIPF, idiopathic pulmonary fibrosisLAD, left anterior descending arteryLTx, lung transplantLV, left ventricleRCA, right coronary arteryRV, right ventricleconstrictivediastolic heart failurepericardial effusionright-sided catheterization

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Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Transplantation Medicine

Background:

  • Lung transplantation is a life-saving procedure for end-stage lung diseases.
  • Cardiac constriction is an uncommon but potentially severe complication post-lung transplant.
  • Identifying risk factors and diagnostic methods is vital for patient outcomes.

Observation:

  • A 65-year-old male with coronary artery disease and idiopathic pulmonary fibrosis developed progressive dyspnea and volume overload after bilateral lung transplant.
  • Clinical presentation suggested cardiac constriction.
  • Diagnostic workup included cardiac imaging and cardiac catheterization.

Findings:

  • Cardiac imaging and catheterization confirmed cardiac constriction.
  • Surgical intervention with complete pericardiectomy led to rapid resolution of heart failure symptoms.
  • The case highlights the importance of considering cardiac constriction in post-lung transplant patients.

Implications:

  • This case underscores the need for vigilance regarding cardiac constriction after lung transplantation.
  • Prompt diagnosis and surgical management can effectively restore cardiac function.
  • Further research into contributing factors may improve preventative strategies and patient care.