Please use this identifier to cite or link to this item:
https://hdl.handle.net/1/2261
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DC Field | Value | Language |
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dc.contributor.author | Mikhail, Philopatir | - |
dc.contributor.author | Meere, William | - |
dc.contributor.author | Howden, Nicklas | - |
dc.contributor.author | Spina, Roberto | - |
dc.date.accessioned | 2022-09-19T05:37:56Z | - |
dc.date.available | 2022-09-19T05:37:56Z | - |
dc.date.issued | 2022-08-16 | - |
dc.identifier.citation | 6(9): ytac342. | en |
dc.identifier.uri | https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/2261 | - |
dc.description.abstract | Constrictive pericarditis (CP) can be one of the most challenging conditions to diagnose within cardiovascular medicine. Iatrogenic causes of CP are increasingly recognized in higher income countries. This case provides insight into the need for clinical suspicion when diagnosing this relatively under recognized clinical entity as well as the need for multimodality imaging combined with invasive haemodynamic assessment. A 68-year-old man presented with decompensated heart failure 4 weeks after open-heart surgery. A diagnosis of early-onset post-cardiotomy CP was made using multimodality imaging and invasive haemodynamic assessment, which demonstrated the cardinal features of constrictive physiology. Surgical intervention with two pericardiectomy procedures was pursued given the aggressive and recalcitrant nature of his presentation. Our patient died shortly after his second surgery due to progressive multi-organ dysfunction. Constrictive pericarditis is a challenging but important clinical entity to diagnose. Differentiating CP from restrictive cardiomyopathy is important as there are key differences in management and prognosis. Our case supports the clinical utility of multimodality imaging combined with invasive haemodynamic assessment in patients with suspected CP. | en |
dc.description.sponsorship | Cardiology | en |
dc.subject | Cardiology | en |
dc.subject | Heart Disease | en |
dc.title | Early-onset post-cardiotomy severe constrictive pericarditis: a case report | en |
dc.type | Journal Article | en |
dc.identifier.doi | 10.1093/ehjcr/ytac342 | en |
dc.description.pubmeduri | https://pubmed.ncbi.nlm.nih.gov/36072421/ | en |
dc.description.affiliates | Central Coast Local Health District | en |
dc.description.affiliates | Gosford Hospital | en |
dc.identifier.journaltitle | European heart journal. Case reports | en |
dc.type.studyortrial | Case Series and Case Reports | en |
item.grantfulltext | none | - |
item.openairetype | Journal Article | - |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
Appears in Collections: | Cardiology |
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