Document Detail

Advanced effusive-constrictive pericarditis rescued by the aggressive waffl e procedure.
MedLine Citation:
PMID:  22453540     Owner:  NLM     Status:  In-Data-Review    
We report the case of a 68-year-old man with progressive heart failure due to effusive-constrictive pericarditis. During approximately 1 month, echocardiography revealed rapid progression from pericarditis with effusion without tamponade to pericardial thickening and diastolic dysfunction. Cardiac catheterization revealed that the pressure in the right heart chambers remained high after pericardiocentesis. The patient was rescued by aggressive pericardiectomy and sharp dissection of the epicardium into small fragments. This on-pump beating-heart surgery is known as the waffle procedure.
Kazuhiro Yamazaki; Akira Marui; Takahiro Nakahara; Yoshiaki Saji; Takeshi Nishina; Tadashi Ikeda; Satoshi Shizuta; Ryuzo Sakata
Publication Detail:
Type:  Journal Article     Date:  2012-03-28
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  60     ISSN:  1863-6713     ISO Abbreviation:  Gen Thorac Cardiovasc Surg     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-03-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  297-301     Citation Subset:  IM    
Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawahara-machi, Sakyo, Kyoto, 606-8507, Japan,
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