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Constrictive Pericarditis Long after a Gunshot Wound

 Jung-Ho Choi  ;  Jae-Sun Uhm  ;  Sang-Eun Lee  ;  Kyung-Hyeon Chun  ;  Hye-Jeong Lee  ;  Seung Hyun Lee  ;  Geu-Ru Hong  ;  Moon-Hyoung Lee 
 Korean Circulation Journal, Vol.45(4) : 333-336, 2015 
Journal Title
 Korean Circulation Journal 
Issue Date
Atrial flutter ; Foreign body reaction ; Pericarditis, constrictive
Constrictive pericarditis is an uncommon post-inflammatory disorder characterized by a variably thickened, fibrotic, and frequently calcified, pericardium. Etiology of the constriction can occur for many reasons. Although foreign bodies are not the common cause of constrictive pericarditis, the long-term presence of foreign bodies, like bullets, is presumed to cause chronic constrictive pericarditis even after a very long asymptomatic period. A 69-year-old patient with atrial flutter was admitted to the hospital. A cardiac computed tomography showed a bullet located adjacent to the right atrium. The transthoracic echocardiography showed a thickened pericardium and septal bouncing motion, which were compatible with constrictive pericarditis. The history of the patient revealed an injury by gunshot during the Korean War in 1950. Radiofrequency ablation of the atrial flutter was performed, and after ablation, the bullet was removed surgically. The patient was discharged home after surgery without complications.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
엄재선(Uhm, Jae Sun) ORCID logo https://orcid.org/0000-0002-1611-8172
이문형(Lee, Moon Hyoung) ORCID logo https://orcid.org/0000-0002-7268-0741
이상은(Lee, Sang Eun) ORCID logo https://orcid.org/0000-0001-6645-4038
이승현(Lee, Seung Hyun) ORCID logo https://orcid.org/0000-0002-0311-6565
이혜정(Lee, Hye Jeong) ORCID logo https://orcid.org/0000-0003-4349-9174
전경현(Chun, Kyeong Hyeon) ORCID logo https://orcid.org/0000-0002-7798-658X
최정호(Choi, Jung Ho)
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