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Successful Visceral and Parietal Pericardiectomy for Refractory Effusive-Constrictive Pericarditis: A Challenging
Jessica Cox1, Khaled Chatila2, Scott D Lick3
1School of Medicine, University of Texas Medical Branch, Galveston, TX, USA.
The American Journal of Case Reports
|June 5, 2024
Summary
Effusive-constrictive pericarditis (ECP) is a rare condition combining pericardial effusion and constriction. Surgical pericardiectomy can effectively treat refractory ECP cases unresponsive to other interventions, improving patient outcomes.
Area of Science:
- Cardiology
- Thoracic Surgery
Background:
- Effusive-constrictive pericarditis (ECP) is a rare syndrome with both pericardial effusion and constriction.
- Distinguished from constrictive pericarditis by the presence of effusions and specific hemodynamic criteria.
Observation:
- A case of a 32-year-old obese male with comorbidities presenting with flu-like symptoms and pleural effusion, progressing to constrictive symptoms.
- Despite pericardiocentesis and medical management, the patient's condition persisted, with E. faecium identified in pericardial fluid.
Findings:
- The patient was diagnosed with effusive-constrictive pericarditis (ECP) despite an unknown etiology.
- Pericardiectomy, involving both visceral and parietal pericardium, led to hemodynamic stability and symptom resolution.
Implications:
- This case underscores diagnostic and management challenges in ECP.
- Highlights the critical role of considering surgical intervention, specifically pericardiectomy, for refractory ECP cases.
- Successful pericardiectomy suggests its potential efficacy in improving outcomes for ECP patients.
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