Late Diagnosis of Pericardial Constriction Associated with Defibrillator Patches and Deformation of the Left Ventricle

Pericardial Constriction Associated with AICD Patches. We report a case of pericardial constriction associated with defibrillator patches developing 4.5 years after implantation. This constriction was related to the presence of a large pericardial mass that had developed above the defibrillator patc...

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Veröffentlicht in:Journal of cardiovascular electrophysiology 1996-06, Vol.7 (6), p.539-541
Hauptverfasser: TOURNEAU, THIERRY, KLUG, DIDIER, LACROIX, DOMINIQUE, KACET, SALEM, LEKIEFFRE, JEAN
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container_end_page 541
container_issue 6
container_start_page 539
container_title Journal of cardiovascular electrophysiology
container_volume 7
creator TOURNEAU, THIERRY
KLUG, DIDIER
LACROIX, DOMINIQUE
KACET, SALEM
LEKIEFFRE, JEAN
description Pericardial Constriction Associated with AICD Patches. We report a case of pericardial constriction associated with defibrillator patches developing 4.5 years after implantation. This constriction was related to the presence of a large pericardial mass that had developed above the defibrillator patch. This mass, which bad a calcified superior border, suggested former hematoma associated with pericardial fibrosis. It induced significant compression of the right ventricle and a dumb‐bell deformity of the left ventricle. The hemodynamic picture was of elastic‐form constrictive pericarditis. Because of previous cerebral stroke during cardiac surgery, the patient was discharged on pharmacologic treatment after improvement of his functional status. Since removal of epicardial patches is an effective treatment of constriction, constrictive pericarditis should be systematically considered in patients with epicardial patch electrodes and impairment of functional status.
doi_str_mv 10.1111/j.1540-8167.1996.tb00561.x
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We report a case of pericardial constriction associated with defibrillator patches developing 4.5 years after implantation. This constriction was related to the presence of a large pericardial mass that had developed above the defibrillator patch. This mass, which bad a calcified superior border, suggested former hematoma associated with pericardial fibrosis. It induced significant compression of the right ventricle and a dumb‐bell deformity of the left ventricle. The hemodynamic picture was of elastic‐form constrictive pericarditis. Because of previous cerebral stroke during cardiac surgery, the patient was discharged on pharmacologic treatment after improvement of his functional status. 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We report a case of pericardial constriction associated with defibrillator patches developing 4.5 years after implantation. This constriction was related to the presence of a large pericardial mass that had developed above the defibrillator patch. This mass, which bad a calcified superior border, suggested former hematoma associated with pericardial fibrosis. It induced significant compression of the right ventricle and a dumb‐bell deformity of the left ventricle. The hemodynamic picture was of elastic‐form constrictive pericarditis. Because of previous cerebral stroke during cardiac surgery, the patient was discharged on pharmacologic treatment after improvement of his functional status. Since removal of epicardial patches is an effective treatment of constriction, constrictive pericarditis should be systematically considered in patients with epicardial patch electrodes and impairment of functional status.</description><subject>automatic implantable cardioverter defibrillator</subject><subject>Cardiac Catheterization</subject><subject>constrictive pericarditis</subject><subject>Defibrillators, Implantable - adverse effects</subject><subject>Echocardiography</subject><subject>Electrodes, Implanted - adverse effects</subject><subject>epicardial patches</subject><subject>Heart Ventricles - pathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pericarditis, Constrictive - diagnosis</subject><subject>Pericarditis, Constrictive - etiology</subject><subject>Pericarditis, Constrictive - physiopathology</subject><subject>Pericardium - pathology</subject><subject>Tomography, X-Ray Computed</subject><subject>Ventriculography, First-Pass</subject><issn>1045-3873</issn><issn>1540-8167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkElr3DAUx0VpyNqPUBA99GZHGq3uoRAmOwPJIeQqZPspo8FjpZImy7eP3Blyjy5P4r_o8UPoFyU1Led0VVPBSaWpVDVtGlnnlhAhaf32DR1-St_LnXBRMa3YATpKaUUIZZKIfbSvFWdKkkP0srAZ8Lm3T2NIPuHg8D1E39nYezvgeRhTLs_sw4jPUgqdL_4ev_q8xOfgfBv9MNgcIr63uVtCwnbsJyXEtf2fKo15CXgBLuNHGKe2AU7QnrNDgh-7eYweLi8e5tfV4u7qZn62qDomm6bqGadE6hljqtEt6RungEuuOWMMQDvdOqeaGS0ac05q3rbcdVJQsI4KYMfo97b2OYZ_G0jZrH3qoGw8Qtgko_RMKMJEMf7ZGrsYUorgzHP0axvfDSVmYm5WZgJrJrBmYm52zM1bCf_c_bJp19B_RneQi_53q7_6Ad6_0Gxu5xeCNewDjTyS3g</recordid><startdate>199606</startdate><enddate>199606</enddate><creator>TOURNEAU, THIERRY</creator><creator>KLUG, DIDIER</creator><creator>LACROIX, DOMINIQUE</creator><creator>KACET, SALEM</creator><creator>LEKIEFFRE, JEAN</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199606</creationdate><title>Late Diagnosis of Pericardial Constriction Associated with Defibrillator Patches and Deformation of the Left Ventricle</title><author>TOURNEAU, THIERRY ; KLUG, DIDIER ; LACROIX, DOMINIQUE ; KACET, SALEM ; LEKIEFFRE, JEAN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3699-d341068233798b0d9f7e46484333ee8f8bff79218b03ff684bb4fc651eaf15e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>automatic implantable cardioverter defibrillator</topic><topic>Cardiac Catheterization</topic><topic>constrictive pericarditis</topic><topic>Defibrillators, Implantable - adverse effects</topic><topic>Echocardiography</topic><topic>Electrodes, Implanted - adverse effects</topic><topic>epicardial patches</topic><topic>Heart Ventricles - pathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pericarditis, Constrictive - diagnosis</topic><topic>Pericarditis, Constrictive - etiology</topic><topic>Pericarditis, Constrictive - physiopathology</topic><topic>Pericardium - pathology</topic><topic>Tomography, X-Ray Computed</topic><topic>Ventriculography, First-Pass</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TOURNEAU, THIERRY</creatorcontrib><creatorcontrib>KLUG, DIDIER</creatorcontrib><creatorcontrib>LACROIX, DOMINIQUE</creatorcontrib><creatorcontrib>KACET, SALEM</creatorcontrib><creatorcontrib>LEKIEFFRE, JEAN</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiovascular electrophysiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TOURNEAU, THIERRY</au><au>KLUG, DIDIER</au><au>LACROIX, DOMINIQUE</au><au>KACET, SALEM</au><au>LEKIEFFRE, JEAN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Late Diagnosis of Pericardial Constriction Associated with Defibrillator Patches and Deformation of the Left Ventricle</atitle><jtitle>Journal of cardiovascular electrophysiology</jtitle><addtitle>J Cardiovasc Electrophysiol</addtitle><date>1996-06</date><risdate>1996</risdate><volume>7</volume><issue>6</issue><spage>539</spage><epage>541</epage><pages>539-541</pages><issn>1045-3873</issn><eissn>1540-8167</eissn><abstract>Pericardial Constriction Associated with AICD Patches. We report a case of pericardial constriction associated with defibrillator patches developing 4.5 years after implantation. This constriction was related to the presence of a large pericardial mass that had developed above the defibrillator patch. This mass, which bad a calcified superior border, suggested former hematoma associated with pericardial fibrosis. It induced significant compression of the right ventricle and a dumb‐bell deformity of the left ventricle. The hemodynamic picture was of elastic‐form constrictive pericarditis. Because of previous cerebral stroke during cardiac surgery, the patient was discharged on pharmacologic treatment after improvement of his functional status. Since removal of epicardial patches is an effective treatment of constriction, constrictive pericarditis should be systematically considered in patients with epicardial patch electrodes and impairment of functional status.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>8743760</pmid><doi>10.1111/j.1540-8167.1996.tb00561.x</doi><tpages>3</tpages></addata></record>
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1540-8167
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects automatic implantable cardioverter defibrillator
Cardiac Catheterization
constrictive pericarditis
Defibrillators, Implantable - adverse effects
Echocardiography
Electrodes, Implanted - adverse effects
epicardial patches
Heart Ventricles - pathology
Humans
Male
Middle Aged
Pericarditis, Constrictive - diagnosis
Pericarditis, Constrictive - etiology
Pericarditis, Constrictive - physiopathology
Pericardium - pathology
Tomography, X-Ray Computed
Ventriculography, First-Pass
title Late Diagnosis of Pericardial Constriction Associated with Defibrillator Patches and Deformation of the Left Ventricle
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