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Follow-Up at 2 years After Emergency Surgery for Constrictive Pericarditis Complicated With Gastrointestinal Bleeding

Xu Zhao1,2,3, Chuntian Li1,2,3, Yue Zhong1,2,3

  • 1Department of Cardiothoracic Surgery, 66367The Second Affiliated Hospital of Zunyi Medical University, Zunyi, China.

Inquiry : a Journal of Medical Care Organization, Provision and Financing
|January 19, 2022
PubMed

Insights

Chronic constrictive pericarditis can lead to cardiogenic cirrhosis and gastrointestinal bleeding. Surgical intervention improved cardiac and gastrointestinal functions in a patient with this rare condition.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Hepatology

Background:

  • Chronic constrictive pericarditis (CCP) is a known cause of cardiogenic cirrhosis.
  • Gastrointestinal bleeding, particularly recurrent black stool, is an uncommon presentation of CCP.

Observation:

  • A 40-year-old Chinese woman presented with CCP and upper gastrointestinal bleeding.
  • The patient required emergency surgery due to the severity of the bleeding.

Findings:

  • The patient underwent surgery for CCP-induced cardiogenic cirrhosis and gastrointestinal bleeding.
  • Post-surgery, significant improvements were observed in cardiac function, hemoglobin, and white blood cell (WBC) counts.
  • Gastrointestinal function also showed marked improvement two years after the intervention.

Implications:

  • This case highlights the potential for CCP to cause significant gastrointestinal complications through cardiogenic cirrhosis and portal hypertension.
  • Surgical management can effectively address these complications, leading to improved patient outcomes.
  • Further research may elucidate the precise mechanisms linking CCP to gastrointestinal bleeding and inform treatment strategies.

Keywords:
cardiogenic cirrhosischronic constrictive pericardiumgastrointestinal bleedingpericardiectomy

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