Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Transient Right Ventricular Dysfunction After Pericardiectomy in Patients With Constrictive Pericarditis

  • Yu, Hee-Tae (Cardiology Division, Severence Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Ha, Jong-Won (Cardiology Division, Severence Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Lee, Sak (Division of Cardiovascular Surgery, Severence Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Shim, Chi-Young (Cardiology Division, Severence Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Moon, Jeong-Geun (Cardiology Division, Severence Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Cho, In-Jeong (Cardiology Division, Severence Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Kang, Min-Kyung (Cardiology Division, Severence Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Yang, Woo-In (Cardiology Division, Severence Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Choi, Dong-Hoon (Cardiology Division, Severence Cardiovascular Hospital, Yonsei University College of Medicine) ;
  • Chung, Nam-Sik (Cardiology Division, Severence Cardiovascular Hospital, Yonsei University College of Medicine)
  • Published : 2011.05.30
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Abstract

Pericardiectomy is the standard treatment in patients with chronic constrictive pericarditis who have persistent symptoms. However, myocardial atrophy with prolonged pericardial constriction and abrupt increase in venous return can lead to heart fail-ure with volume overload after pericardial decompression, especially in the right ventricle (RV). We experienced a 44 year old male patient who developed transient RV failure after pericardiectomy for constrictive pericarditis. Echocardiography revealed a markedly dilated RV with decreased peak systolic velocity of the tricuspid annulus, suggesting severe RV dysfunction. After treatment with inotropics and diuretics, a follow-up echocardiography revealed an improved systolic function with decreased RV chamber size. This case demonstrates the importance of volume overload and RV dysfunction in patients with constrictive pericarditis undergoing pericardiectomy.

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References

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  1. Biventricular Failure due to Stress Cardiomyopathy after Pericardiectomy for Constrictive Pericarditis vol.2013, pp.None, 2011, https://doi.org/10.1155/2013/106757
  2. Prevalence and Prognostic Value of Right Ventricular Systolic Dysfunction in Patients With Constrictive Pericarditis Who Underwent Pericardiectomy vol.116, pp.3, 2011, https://doi.org/10.1016/j.amjcard.2015.04.044
  3. Long-term results of radical pericardiectomy for constrictive pericarditis in Korean population vol.14, pp.None, 2011, https://doi.org/10.1186/s13019-019-0845-7