A Case of Effusive-Constrictive Pericarditis After Cardiac Surgery

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A Case of Effusive-Constrictive Pericarditis After Cardiac Surgery Masahiro Ito, MD, Yasuhiko Tanabe, MD, Kaoru Suzuki, MD, Makoto Kumakura, MD, Kenji Nakayama, MD, Hiroshi Kanazawa, MD, Yoshihiko Yamazaki, MD, Yoshifusa Aizawa, MD Mayo Clinic Proceedings Volume 76, Issue 5, Pages 555-558 (May 2001) DOI: 10.4065/76.5.555 Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Right atrial (RA), right ventricular (RV), and left ventricular (LV) pressure pulses. A and B, The early diastolic dip became more prominent after pericardiocentesis in both the ventricular and atrial pressure waveforms compared with waveforms before pericardiocentesis. C, The dip-and-plateau pattern improved after visceral pericardiectomy. Mayo Clinic Proceedings 2001 76, 555-558DOI: (10.4065/76.5.555) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Simultaneous pressure tracing of the aorta (Ao) and right atrium (RA) during normal respiration after pericardiocentesis (A) and after total visceral and parietal pericardiectomy (B). Neither the Kussmaul sign nor the paradoxical pulse changed after pericardiocentesis, but both improved after total pericardiectomy. Exp = expiration; Insp = inspiration. Mayo Clinic Proceedings 2001 76, 555-558DOI: (10.4065/76.5.555) Copyright © 2001 Mayo Foundation for Medical Education and Research Terms and Conditions