Pericardial Constriction After Lung Transplantation

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Presentation transcript:

Pericardial Constriction After Lung Transplantation Kamyar Afshar, DO, Mark J. Cunningham, MD, Richard G. Barbers, MD, Paul Michael McFadden, MD The Annals of Thoracic Surgery Volume 90, Issue 4, Pages 1361-1363 (October 2010) DOI: 10.1016/j.athoracsur.2010.03.027 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 A chest roentgenogram of the patient shows cardiomegaly and moderate right-sided pleural effusion. The Annals of Thoracic Surgery 2010 90, 1361-1363DOI: (10.1016/j.athoracsur.2010.03.027) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A computed tomographic chest scan of the patient shows pericardial thickening, pleural effusion, and pulmonary congestion. The Annals of Thoracic Surgery 2010 90, 1361-1363DOI: (10.1016/j.athoracsur.2010.03.027) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Simultaneous right and left heart catheter hemodynamic measurments compatible with pericardial constriction. The “w” pattern (deep “x” and “y” descents) are noted on the right atrium tracings. During the Valsalva maneuver, deep breathing, and volume challenges, the diastolic pressures of the right ventricle (RV) and left ventricle (LV) were equalized. The Annals of Thoracic Surgery 2010 90, 1361-1363DOI: (10.1016/j.athoracsur.2010.03.027) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions