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Transient right ventricular dysfunction after pericardiectomy in patients with constrictive pericarditis

Authors
 Hee Tae Yu ; Jong-Won Ha ; Namsik Chung ; Donghoon Choi ; Woo-In Yang ; Min-Kyung Kang ; In-Jeong Cho ; Jeonggeun Moon ; Chi Young Shim ; Sak Lee 
Citation
 Korean Circulation Journal(순환기), Vol.41(5) : 283~286, 2011 
Journal Title
 Korean Circulation Journal(순환기) 
ISSN
 1738-5520 
Issue Date
2011
Abstract
Pericardiectomy is the standard treatment in patients with chronic constrictive pericarditis who have persistent symptoms. However, myocardial atrophy with prolonged pericardial constriction and abrupt increase in venous return can lead to heart failure with volume overload after pericardial decompression, especially in the right ventricle (RV). We experienced a 44 year old male patient who developed transient RV failure after pericardiectomy for constrictive pericarditis. Echocardiography revealed a markedly dilated RV with decreased peak systolic velocity of the tricuspid annulus, suggesting severe RV dysfunction. After treatment with inotropics and diuretics, a follow-up echocardiography revealed an improved systolic function with decreased RV chamber size. This case demonstrates the importance of volume overload and RV dysfunction in patients with constrictive pericarditis undergoing pericardiectomy.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/93845
DOI
10.4070/kcj.2011.41.5.283
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
1. 연구논문 > 1. College of Medicine > Dept. of Thoracic & Cardiovascular Surgery
Yonsei Authors
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