SUCCESSFUL SURGICAL TREATMENT OF CONSTRICTIVE PERICARDITIS AFTER HEART TRANSPLANTATION
https://doi.org/10.15825/1995-1191-2012-2-57-62
Abstract
Heart transplantation became a widespread and effective method of terminal heart failure treatment. Simultane- ously with accumulation of experience and knowledge, physicians face complications both specific and nonspe- cific for heart transplant patients – such as constrictive pericarditis. There are only several cases of constrictive pericarditis after heart transplantation described, and mortality among such patients is quite high. We present one case of constrictive pericaditis, that was diagnosed 11 months after the heart transplantation was performed. The subtotal pericardectomy was performed. Postoperatively, significant improvement in hemodynamic parame- ters – the decrease in CVP and LA pressure, the increase in end-diastollic LV size – indicated the effectiveness of procedure.
About the Authors
K. O. Barbukhatti
Krasnodar Regional Hospital No 1 prof. S.V. Ochapovskiy, Krasnodar
S. A. Belash
Krasnodar Regional Hospital No 1 prof. S.V. Ochapovskiy, Krasnodar
I. I. Yakuba
Krasnodar Regional Hospital No 1 prof. S.V. Ochapovskiy, Krasnodar
P. P. Yablonsky
Krasnodar Regional Hospital No 1 prof. S.V. Ochapovskiy, Krasnodar
A. A. Skopets
Krasnodar Regional Hospital No 1 prof. S.V. Ochapovskiy, Krasnodar
V. A. Porkhanov
Krasnodar Regional Hospital No 1 prof. S.V. Ochapovskiy, Krasnodar
References
1. Abdel-Samie S.A., Eberts P., Desouki M.M. Constrictive Pericarditis Complicating Orthotopic Heart Transplant: Case Report // The Internet Journal of Pathology. 2011. Vol. 11 (3).
2. Bansal R., Perez L. et al. Pericardial constriction after cardiac transplantation // J. Heart. Lung. Transplant. 2010. Vol. 29. P. 371–377.
3. Bertog S.C., Thambidorai S.K. et al. Constrictive pericar- ditis: etiology and cause-specific survival after pericardiec- tomy // J. Am. Coll. Cardiol. 2004. Vol. 43. P. 1445–1452.
4. Canver C.C., Patel A.K. et al. Fungal Purulent Const- rictive Pericarditis in a Heart Transplant Patient // Ann. Thorac. Surg. 1998. Vol. 65. P. 1792–1794.
5. Carrier M., Hudon G. et al. Mediastinal and pericardial complications after heart trans plantation. Not-so-unu- sual postoperative problems? // Cardiovasc. Surg. 1994. Vol. 2 (3). P. 395–397.
6. Copeland J.G., Riley J.E., Fuller J. Pericardiectomy for effusive constrictive pericarditis after heart transplantati- on // J. Heart. Transplant. 1986. Vol. 5 (2). P. 171–172.
7. Hinkamp T.J., Sullivan H. J. et al. Chronic Cardiac Re- jection Masking as Constrictive Pericarditis // Ann. Tho- rac. Surg. 1994. Vol. 57. P. 1579–1583.
8. Hoit B.D. Constrictive pericarditis. UpToDate, 2011.
9. Imazio M., Brucato A. et al. Risk of Constrictive Peri- carditis After Acute Pericarditis // Circulation. 2011.
10. Vol. 124. P. 1270–1275.
11. Pedrottil P., Vittori C. et al. Constrictive Pericarditis Post
12. Cardiac Transplant: Diagnostic Role of Cardiovascular
13. MRI. SCMR 2010. P. 10–25.
14. Roca J., Manito N. et al. Constrictive pericarditis after
15. heart transplantation: report of two cases // J. Heart. Lung. Transplant. 1995. Vol. 14 (5). P. 1006–1010.
Review
For citations:
Barbukhatti K.O., Belash S.A., Yakuba I.I., Yablonsky P.P., Skopets A.A., Porkhanov V.A. SUCCESSFUL SURGICAL TREATMENT OF CONSTRICTIVE PERICARDITIS AFTER HEART TRANSPLANTATION. Russian Journal of Transplantology and Artificial Organs. 2012;14(2):57-62. (In Russ.) https://doi.org/10.15825/1995-1191-2012-2-57-62
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