Complete resolution of constrictive pericarditis after coronary bypass surgery

S K M Paneer1, S R Christina2, M R Adli Azam2

  • 1National Heart Institute, Department of Cardiothoracic Surgery, 50400 Kuala Lumpur, Malaysia. paneer@ijn.com.my.

Insights

Constrictive pericarditis (CP) is a rare complication after coronary artery bypass grafting. A transient form, identified early, can be successfully treated with medical therapy, avoiding surgery.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Pericardial Diseases

Background:

  • Constrictive pericarditis (CP) is an uncommon complication following coronary artery bypass grafting (CABG).
  • CP can manifest in transient, progressive, or fixed forms, impacting cardiac function.
  • While progressive forms may necessitate pericardiectomy, a transient variant can be managed medically.

Observation:

  • A 65-year-old male patient developed early-onset constrictive pericarditis within two weeks post-CABG.
  • This presentation was attributed to post-cardiac injury syndrome.
  • The patient exhibited classical symptoms of constrictive pericarditis.

Findings:

  • The patient's transient constrictive pericarditis was diagnosed early.
  • Complete recovery was achieved through medical management.
  • This case highlights the potential for successful non-surgical treatment of early CP post-CABG.

Implications:

  • Early identification of transient constrictive pericarditis post-CABG is crucial.
  • Medical therapy can be effective for early-onset, transient CP.
  • This approach may help avoid invasive procedures like pericardiectomy.

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