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Pericardial Calcification: An Uncommon Case with Intraventricular Extension.
Tomography
June 2024
Subdirección de Enseñanza e Investigación, Hospital Regional de Alta Especialidad de la Peninsula de Yucatan IMSS-BIENESTAR, Merida 97130, Mexico.
Article Synopsis
- An 80-year-old man with a history of heart issues presented with shortness of breath, revealing decreased heart sounds and irregular rhythms during the exam.
- Advanced imaging techniques showed pericardial calcification, leading to a diagnosis of constrictive pericarditis, likely idiopathic but possibly related to his previous heart conditions.
- While surgery (pericardiectomy) is an option for severe symptoms, doctors should also consider the patient's preferences for less invasive treatments, including rehabilitation strategies for managing symptoms.
The Effect of Posterior Pericardiotomy on the Incidence of Atrial Fibrillation After Cardiac Surgery-Extended Follow-Up study (PALACS-EF): rationale and design.
Eur Heart J Open
November 2023
Department of Cardiothoracic Surgery, Weill Cornell Medicine, 525 E 68th St, New York, NY 10065, USA.
Aims: Postoperative atrial fibrillation (POAF) is the most common complication of cardiac surgery and has been associated with increased postoperative morbidity and hospital costs. The Posterior left pericardiotomy for the prevention of AtriaL fibrillation After Cardiac Surgery (PALACS) trial found that posterior pericardiotomy significantly reduced the incidence of POAF (17% vs. 32%, < 0.
View Article and Find Full Text PDFIntrapericardial neuroendocrine tumour in a dog.
J Vet Cardiol
February 2022
Department of Clinical Studies, Ontario Veterinary College, University of Guelph, 50 Stone Road E., Guelph, Ontario, N1G 2W1, Canada. Electronic address:
An 11-year-old neutered male Border Terrier presented for pericardiectomy after a nine-month history of tricavitary effusion, dyspnoea and lethargy. Transthoracic echocardiography revealed a fluid-filled structure at the heart base, starting at the mid-right ventricle and extending to the middle of the right atrium. Almost complete compression of the right atrium and the cranial vena cava was noted.
View Article and Find Full Text PDFPosterior left pericardiotomy for the prevention of atrial fibrillation after cardiac surgery.
Multimed Man Cardiothorac Surg
December 2021
Weill Cornell Medicine Department of Cardiothoracic Surgery New York, NY USA.
The posterior left pericardiotomy is a surgical procedure for the prevention of postoperative atrial fibrillation after cardiac surgery. It comprises a 4- to 5-cm longitudinal incision parallel and posterior to the phrenic nerve, extending from the left inferior pulmonary vein to the diaphragm. The pericardiotomy allows for prolonged drainage of dependent blood and pericardial fluid into the left pleural space, which is thought to be irritating to the left atrium, leading to postoperative atrial fibrillation.
View Article and Find Full Text PDFPosterior left pericardiotomy for the prevention of atrial fibrillation after cardiac surgery: an adaptive, single-centre, single-blind, randomised, controlled trial.
Lancet
December 2021
Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY, USA.
Background: Atrial fibrillation is the most common complication after cardiac surgery and is associated with extended in-hospital stay and increased adverse outcomes, including death and stroke. Pericardial effusion is common after cardiac surgery and can trigger atrial fibrillation. We tested the hypothesis that posterior left pericardiotomy, a surgical manoeuvre that drains the pericardial space into the left pleural cavity, might reduce the incidence of atrial fibrillation after cardiac surgery.
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