Skip to main content

Advertisement

Log in

Combined surgical management of tuberculous constrictive pericarditis and coronary artery disease

  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Topaz O, Nair R, Mackall JA. Observations of angina and Myocardial infarction in constrictive pericarditis. Int J Cardiol 1993; 39: 121–129.

    Article  PubMed  CAS  Google Scholar 

  2. Mukhopadhyay S, Yusuf J, Girish MP, Gupta MD, Trehan V. Coronary constriction in constrictive pericarditis. Int J Cardiol 2006; 106: 135–136.

    Article  PubMed  Google Scholar 

  3. Raheb JG, Tripp HF. Constrictive pericarditis after bypass reading to internal mammary graft failure. Ann Thorac Surg 2000; 69: 951–953.

    Article  PubMed  CAS  Google Scholar 

  4. 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.

    Article  PubMed  CAS  Google Scholar 

  5. 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.

    Article  Google Scholar 

  6. Myers RB, Spodick DH. Constrictive pericarditis clinical and pathophysiological characteristics. Am Heart J 1999; 138: 219–232.

    Article  PubMed  CAS  Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. 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

  9. 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.

    Article  PubMed  CAS  Google Scholar 

  10. 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.

    Article  PubMed  CAS  Google Scholar 

  11. Lorell BH. Pericardial disease. In: Braunwald, E eds. Heart disease: a textbook of Careliovescular medicine 5th ed, 1997; 1478–1534 WB Saunders Philadelphia, PA

    Google Scholar 

  12. 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.

    PubMed  Google Scholar 

  13. 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.

    PubMed  CAS  Google Scholar 

  14. Somerville W. Constrictive pericarditis. With special reference to the change in natural history brought about by surgical intervention. Circulation 1968; 38: 102–110.

    PubMed  CAS  Google Scholar 

  15. 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.

    PubMed  CAS  Google Scholar 

  16. 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.

    Article  Google Scholar 

  17. 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.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ahmad Khaled Darwazah.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-007-0055-0

Key words

Navigation