Early Constrictive Epicarditis After Coronary Artery Bypass Surgery

Anderson, Curtis A.; Rodríguez, Evelio; Shammas, Ronny L.; Kypson, Alan P.

doi:10.1016/j.athoracsur.2008.07.028

Cited by 12 publications

(5 citation statements)

References 7 publications

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“…Specifically, constrictive pericarditis after coronary artery bypass graft (CABG) has been reported in a few studies where symptoms developed from myocardial ischemia because of graft occlusion derived from diastolic dysfunction of constrictive pericarditis. These cases had required repeat CABG including extensive decortication of the left ventricle, right atrium, and right ventricle [7,8]. Constrictive pericarditis following coronary bypass surgery is an unusual complication with an occurrence rate of 0.2% to 0.3% [9], but as mentioned earlier, serious negative results can develop.…”

Section: Discussionmentioning

confidence: 99%

Effect of Postoperative Constrictive Physiology on Early Outcomes after Off-Pump Coronary Artery Bypass Grafting

Kim

Hwang

Youn

et al. 2013

Korean J Thorac Cardiovasc Surg

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BackgroundConstrictive pericarditis after coronary artery bypass surgery has been known to affect cardiac output by limiting diastolic ventricular filling. We aimed to assess the influence of postoperative constrictive physiology on the early outcomes of patients undergoing off-pump coronary artery bypass grafting (OPCAB).Materials and MethodsBetween January 2008 and July 2011, 903 patients underwent an isolated OPCAB and postoperative transthoracic-echocardiography. The patient cohort was classified into two groups: group A, constrictive physiology and group B, control group without constrictive physiology. Early outcomes were analyzed between the two groups.ResultsOf the total 903 patients, group A consisted of 153 patients (16.9%). The amount of blood loss in group A during the postoperative 24 hours was greater than that of group B, but this was not statistically significant (p=0.20). No significant differences were found in the mortality rates (group A, 0.6%; group B, 1.4%; p=0.40) and 30-day major adverse cardiac and cerebrovascular events (MACCEs; group A, 3.3%; group B, 6.1%; p=0.42).ConclusionPostoperative constrictive physiology does not affect 30-day MACCEs or other major complications after OPCAB. The results of this study suggest that patients with early postoperative constrictive physiology do not need medical or surgical treatment, and that conservative care is sufficient.

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Section: Discussionmentioning

confidence: 99%

Effect of Postoperative Constrictive Physiology on Early Outcomes after Off-Pump Coronary Artery Bypass Grafting

Kim

Hwang

Youn

et al. 2013

Korean J Thorac Cardiovasc Surg

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“…[7][8][9][10][11] Although an early pericardiectomy procedure has been advocated to improve results, operative and late mortality rates are not low. 7) In our Case 1, the operative mortality related to a pericardiectomy procedure might have been higher than usual because of post-myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%

Transient Constrictive Pericarditis Following Cardiac Surgery

Maeda

Saito

Toda

et al. 2014

ATCS

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Transient constrictive pericarditis (CP) is quite rare, with only a few reports presented. Herein, we report 2 cases of transient CP following cardiac surgery. Case 1 was an 80-year-old man who underwent repair of a left ventricular free wall rupture, while Case 2 was a 69-year-old woman who underwent a conventional aortic valve implantation procedure. In both cases, constrictive features developed about 2 weeks after surgery, which were treated successfully by administrations of non-steroidal anti-inflammatory drugs (NSAIDs). Prior to performing a pericardiectomy, NSAID administration should be considered for affected patients who are hemodynamically stable.

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“…43-45 3. 48 1. If there is minimal symptomatic relief, a 1-week course of an NSAID, such as ibuprofen 400 mg qid, is 90% effective.…”

Section: Treatmentmentioning

confidence: 99%