Abstract
The combination of constrictive pericarditis and coronary artery disease is rarely reported in medical literature. Constrictive pericarditis occurs after cardiac operations in 0.2–0.3 % of cases. Normal coronary vessels can be involved in the inflammatory process of constrictive pericarditis by scar tissue. The association between tuberculosis and coronary artery disease is rare. Obliteration of coronary vessels may occur in rare cases of tuberculous aortitis. We present a case of coronary artery disease associated with tuberculous constrictive pericarditis. Combined treatment by total pericardiectomy and coronary artery bypass surgery was successful.
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Topaz O, Nair R, Mackall JA. Observations of angina and Myocardial infarction in constrictive pericarditis. Int J Cardiol 1993; 39: 121–129.
Mukhopadhyay S, Yusuf J, Girish MP, Gupta MD, Trehan V. Coronary constriction in constrictive pericarditis. Int J Cardiol 2006; 106: 135–136.
Raheb JG, Tripp HF. Constrictive pericarditis after bypass reading to internal mammary graft failure. Ann Thorac Surg 2000; 69: 951–953.
Cimino JJ, Kogan AD. Constrictive pericarditis after cardiac surgery: report of three cases and review of the literature. Am Heart J 1989; 118: 1292–1301.
Chow L.T.C., W.H.C. Lee JCK, J.T.L. Tuberculous Aortitis with coronary ostial and left ventricular outflow obstruction: Unusual cause of sudden unexpected Death. Cardiovasc Pathology 1996; 5: 133–138.
Myers RB, Spodick DH. Constrictive pericarditis clinical and pathophysiological characteristics. Am Heart J 1999; 138: 219–232.
Bertog SC, Thambidorai SK, Parakh K, et al. Constrictive pericarditis: Etiology and cause-specific survival after pericardiectomy. J Am Coll Cardiol 2004; 43: 1445–1452.
Hoit BD, Faulx MD. Diseases of the pericardium. In V Fuster et al., eds., Hurst’s The Heart, 11th ed., pp. 1977–2000. New York: MCGraw Hill
Long R, Younes M, Patton N, Hershfield E. Tuberculous pericarditis: Long-term outcome in patients who received medical therapy alone. Am Heart J 1989; 117: 1133–1339.
Sagrista-Sauleda J, Permanyer-Miralde G, Soler-Soler J. Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment. J Am Coll Cardiol 1988; 11: 724–728.
Lorell BH. Pericardial disease. In: Braunwald, E eds. Heart disease: a textbook of Careliovescular medicine 5th ed, 1997; 1478–1534 WB Saunders Philadelphia, PA
Marshall A, Ring N, Lewis T. Constrictive pericarditis: Lessons from the past five years experience in the south west cardiothoracic centre. Clin Med 2006; 6: 592–597.
Kudaka M, Kojak K, Kuniyoshi Y, Akasaki M, Miyagi K, Kusaba A. A case report of surgical treatment of constrictive pericarditis with coronary artery disease. Nippon Kyobu Geka Gakkai Zasshi 1997; 45: 1880–1883.
Somerville W. Constrictive pericarditis. With special reference to the change in natural history brought about by surgical intervention. Circulation 1968; 38: 102–110.
McCaughan BC, Schaff HV, Piehler JM, et al. Early and late results of pericardiectomy for constrictive pericarditis. J Thorac Cardiovasc Surg 1985; 89: 340–350.
Tiruvoipati R, Naik RD, Loubani M, Billa GN. Surgical approach for pericardiectomy: a comparative study between median sternotomy and left antero-lateral thoracotomy. Interactive Cardiovas Thoracic Surg 2003; 2: 322–326.
Chowdhury UK, Subramaniam GK, Kumar AS, et al. Pericardiectomy for constrictive pericarditis: a clinical, echocardiographic, and hemodynamic evaluation of two surgical techniques. Ann Thorac Surg 2006; 81: 522–529.
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Darwazah, A.K., Sham’a, R.A.R.H.A., Aloul, J. et al. Combined surgical management of tuberculous constrictive pericarditis and coronary artery disease. Indian J Thorac Cardiovasc Surg 23, 263–266 (2007). https://doi.org/10.1007/s12055-007-0055-0
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DOI: https://doi.org/10.1007/s12055-007-0055-0