Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1984 Feb;51(2):205–210. doi: 10.1136/hrt.51.2.205

Constrictive pericarditis as a complication of coronary artery bypass surgery.

P Ribeiro, R Sapsford, T Evans, G Parcharidis, C Oakley
PMCID: PMC481485  PMID: 6607061

Abstract

Although it is now recognised as a rare complication of cardiac surgery, constrictive pericarditis was diagnosed in three patients after coronary artery bypass surgery. The time interval between cardiac surgery and the development of constrictive features varied from two to six weeks. All three patients presented with severe congestive heart failure. Haemodynamic findings were characteristic of constrictive pericarditis. Pericardial thickening detected by computed tomography in one patient was useful in establishing a definite diagnosis. One of the patients had a serous constrictive effusive pericarditis, and surgical pericardial drainage was needed. The other patient underwent pericardiectomy with preservation of the grafts. The diagnosis of constrictive pericarditis should be considered in patients presenting with unexplained right sided heart failure after cardiac surgery.

Full text

PDF
205

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beger H. G., Bücherl E. S. Perikardektomie nach akuter postoperativer Perikarditis. Kasuistischer Beitrag. Thoraxchir Vask Chir. 1969 Feb;17(1):83–87. doi: 10.1055/s-0028-1099287. [DOI] [PubMed] [Google Scholar]
  2. Brown D. F., Older T. Pericardial constriction as a late complication of coronary bypass surgery. J Thorac Cardiovasc Surg. 1977 Jul;74(1):61–64. [PubMed] [Google Scholar]
  3. Cliff W. J., Grobéty J., Ryan G. B. Postoperative pericardial adhesions. The role of mild serosal injury and spilled blood. J Thorac Cardiovasc Surg. 1973 May;65(5):744–750. [PubMed] [Google Scholar]
  4. Cohen M. V., Greenberg M. A. Constrictive pericarditis: early and late complication of cardiac surgery. Am J Cardiol. 1979 Mar;43(3):657–661. doi: 10.1016/0002-9149(79)90028-6. [DOI] [PubMed] [Google Scholar]
  5. Cunningham J. N., Jr, Spencer F. C., Zeff R., Williams C. D., Cukingnan R., Mullin M. Influence of primary closure of the pericardium after open-heart surgery on the frequency of tamponade, postcardiotomy syndrome, and pulmonary complications. J Thorac Cardiovasc Surg. 1975 Jul;70(1):119–125. [PubMed] [Google Scholar]
  6. EFFLER D. B. Chronic constrictive pericarditis treated with pericardiectomy. Am J Cardiol. 1961 Jan;7:62–68. doi: 10.1016/0002-9149(61)90423-4. [DOI] [PubMed] [Google Scholar]
  7. ENGLE M. A., ITO T. The postpericardiotomy syndrome. Am J Cardiol. 1961 Jan;7:73–82. doi: 10.1016/0002-9149(61)90425-8. [DOI] [PubMed] [Google Scholar]
  8. Fowler N. O. Constrictive pericarditis: new aspects. Am J Cardiol. 1982 Nov;50(5):1014–1017. doi: 10.1016/0002-9149(82)90410-6. [DOI] [PubMed] [Google Scholar]
  9. GOLDSTEIN S., YU P. N. CONSTRICTIVE PERICARDITIS AFTER BLUNT CHEST TRAUMA. Am Heart J. 1965 Apr;69:544–550. [PubMed] [Google Scholar]
  10. Hancock E. W. On the elastic and rigid forms of constrictive pericarditis. Am Heart J. 1980 Dec;100(6 Pt 1):917–923. doi: 10.1016/0002-8703(80)90074-5. [DOI] [PubMed] [Google Scholar]
  11. Hirschmann J. V. Pericardial constriction. Am Heart J. 1978 Jul;96(1):110–122. doi: 10.1016/0002-8703(78)90133-3. [DOI] [PubMed] [Google Scholar]
  12. Kutcher M. A., King S. B., 3rd, Alimurung B. N., Craver J. M., Logue R. B. Constrictive pericarditis as a complication of cardiac surgery: recognition of an entity. Am J Cardiol. 1982 Oct;50(4):742–748. doi: 10.1016/0002-9149(82)91228-0. [DOI] [PubMed] [Google Scholar]
  13. Lange R. L. Compressive cardiac and circulatory disorders: clinical and laboratory correlation. Am Heart J. 1967 Sep;74(3):419–430. doi: 10.1016/0002-8703(67)90084-1. [DOI] [PubMed] [Google Scholar]
  14. Marsa R., Mehta S., Willis W., Bailey L. Constrictive pericarditis after myocardial revascularization: report of three cases. Am J Cardiol. 1979 Jul;44(1):177–183. doi: 10.1016/0002-9149(79)90268-6. [DOI] [PubMed] [Google Scholar]
  15. Porter J. M., Ball A. P., Silver D. Mesothelial fibrinolysis. J Thorac Cardiovasc Surg. 1971 Nov;62(5):725–730. [PubMed] [Google Scholar]
  16. Rotman M., Ratliff N. B., Hawley J. Right ventricular infarction: a haemodynamic diagnosis. Br Heart J. 1974 Sep;36(9):941–944. doi: 10.1136/hrt.36.9.941. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Rubio P. A., Farrell E. M., Goens R. W. Severe adhesive constrictive pericarditis after coronary artery bypass. South Med J. 1980 Jan;73(1):90–90. doi: 10.1097/00007611-198001000-00035. [DOI] [PubMed] [Google Scholar]
  18. Sbokos C. G., Karayannacos P. E., Kontaxis A., Kambylafkas J., Skalkeas G. D. Traumatic hemopericardium and chronic constrictive pericarditis. Ann Thorac Surg. 1977 Mar;23(3):225–229. doi: 10.1016/s0003-4975(10)64113-6. [DOI] [PubMed] [Google Scholar]
  19. Shabetai R., Fowler N. O., Guntheroth W. G. The hemodynamics of cardiac tamponade and constrictive pericarditis. Am J Cardiol. 1970 Nov;26(5):480–489. doi: 10.1016/0002-9149(70)90706-x. [DOI] [PubMed] [Google Scholar]
  20. Simon J. S., Pluth J. R. Constrictive pericarditis. Ann Thorac Surg. 1976 May;21(5):440–441. doi: 10.1016/s0003-4975(10)63895-7. [DOI] [PubMed] [Google Scholar]
  21. Somerville W. Constrictive pericarditis. With special reference to the change in natural history brought about by surgical intervention. Circulation. 1968 Jul;38(1 Suppl):102–110. doi: 10.1161/01.cir.38.1s5.v-102. [DOI] [PubMed] [Google Scholar]
  22. WARBURG E. Traumatic armour heart. Am Heart J. 1955 Apr;49(4):633–636. doi: 10.1016/0002-8703(55)90082-x. [DOI] [PubMed] [Google Scholar]
  23. WOOD P. Chronic constrictive pericarditis. Am J Cardiol. 1961 Jan;7:48–61. doi: 10.1016/0002-9149(61)90422-2. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES