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[PMID]: 29390286 [Au] Autor: Kuo CC; Yu WL; Lee CH; Wu NC [Ad] Endereço: Division of Cardiovascular Surgery, Department of Surgery. [Ti] Título: Purulent constrictive pericarditis caused by Salmonella enteritidis in a patient with adult-onset Still's disease: A case report. [So] Source: Medicine (Baltimore);96(50):e8949, 2017 Dec. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: RATIONALE: Purulent pericarditis is a rare and usually fatal disease. Immunodeficiency state and preexisting pericardial effusion can predispose patients to infections. However, we are not aware of similar cases in patients with adult-onset Still's disease (AOSD). In addition, it is seldom caused by Salmonella bacteria. PATIENT CONCERNS: We report a 30-year-old woman with dyspnea on exertion and epigastric fullness. She was newly diagnosed with AOSD 4 months previously and medicated with prednisolone. DIAGNOSES: Transthoracic echocardiography (TTE) and computed tomography revealed a thickened pericardium with loculations in the pericardial space, consistent with purulent constrictive pericarditis. Subsequent cultures of blood and pericardial fluid yielded S enteritidis. INTERVENTIONS: She underwent subtotal pericardiectomy through a limited median sternotomy, and antibiotic therapy (ceftriaxone) for 1 month. OUTCOMES: The New York Heart Association functional classification downgraded from class III to class I. There was no recurrence during the 1-year follow-up. LESSONS: This case presents an opportunity to highlight the importance of considering purulent pericarditis in patients previously diagnosed with AOSD. High clinical suspicion, early diagnosis, and prompt management can result in a better outcome in purulent pericarditis. [Mh] Termos MeSH primário: Pericardite Constritiva/microbiologia Salmonella enteritidis/isolamento & purificação Doença de Still de Início Tardio/complicações Doença de Still de Início Tardio/diagnóstico [Mh] Termos MeSH secundário: Adulto Antibacterianos/uso terapêutico Terapia Combinada Ecocardiografia Feminino Seres Humanos Pericardite Constritiva/diagnóstico por imagem Pericardite Constritiva/terapia Esternotomia [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Nm] Nome de substância: 0 (Anti-Bacterial Agents) [Em] Mês de entrada: 1802 [Cu] Atualização por classe: 180301 [Lr] Data última revisão: 180301 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 180203 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000008949

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[PMID]: 28763826 [Au] Autor: Reimann G; Reinbold WD; Hosp A; Ewald N [Ad] Endereço: Universitätsinstitut für Diagnostische Radiologie, Neuroradiologie und Nuklearmedizin, Johannes Wesling Klinikum Minden, Mühlenkreiskliniken. [Ti] Título: [25-Year-Old Male with Fatigue, Shortness of Breath and Abdominal Distension]. [Ti] Título: 25-jähriger Mann mit Leistungsknick, Belastungsdyspnoe und Bauchumfangszunahme.. [So] Source: Dtsch Med Wochenschr;142(15):1153-1154, 2017 Aug. [Is] ISSN: 1439-4413 [Cp] País de publicação: Germany [La] Idioma: ger [Mh] Termos MeSH primário: Calcinose Dispneia/etiologia Fadiga/etiologia Pericardite Constritiva [Mh] Termos MeSH secundário: Adulto Seres Humanos Masculino Radiografia Torácica [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170914 [Lr] Data última revisão: 170914 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170802 [St] Status: MEDLINE [do] DOI: 10.1055/s-0043-104670

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[PMID]: 28760468 [Au] Autor: Murashita T; Schaff HV; Daly RC; Oh JK; Dearani JA; Stulak JM; King KS; Greason KL [Ad] Endereço: Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota. [Ti] Título: Experience With Pericardiectomy for Constrictive Pericarditis Over Eight Decades. [So] Source: Ann Thorac Surg;104(3):742-750, 2017 Sep. [Is] ISSN: 1552-6259 [Cp] País de publicação: Netherlands [La] Idioma: eng [Ab] Resumo: BACKGROUND: The purpose of this study was to review the surgical outcomes of pericardiectomy for constrictive pericarditis and to examine risk factors for overall mortality in a contemporary period. METHODS: We reviewed all patients who underwent pericardiectomy for constriction from 1936 through 2013. The investigation included constrictive pericarditis cases confirmed intraoperatively, all other types of pericarditis were excluded; 1,071 pericardiectomies were performed in 1,066 individual patients. Patients were divided into two intervals: a historical (pre-1990) group (n = 259) and a contemporary (1990-2013) group (n = 807). RESULTS: Patients in the contemporary group were older (61 versus 49 years; p < 0.001), more symptomatic (NYHA class III or IV in 79.6% versus 71.2%; p < 0.001), and more frequently underwent concomitant procedures (21.4% versus 5.4%; p < 0.001) compared with those in the historical group. In contrast to the historical cases in which the etiologies of constriction were mostly idiopathic (81.1%), nearly half of contemporary cases had a nonidiopathic etiology (postoperative 32.3%, radiation 11.4%). Although 30-day mortality decreased from 13.5% in the historical era to 5.2% in the contemporary era (p < 0.001), overall survival was similar after adjusting for patient characteristics. Risk factors of overall mortality in the contemporary group included NYHA class III or IV (HR 2.17, p < 0.001), etiology of radiation (HR 3.93, p < 0.001) or postcardiac surgery (HR 1.47, p < 0.001), and need for cardiopulmonary bypass (HR 1.35, p = 0.014). CONCLUSIONS: There was a significant change in disease etiology over the study period. Long-term survival after pericardiectomy is affected by patient characteristics including etiology of constriction and severity of symptoms. [Mh] Termos MeSH primário: Previsões Pericardiectomia/métodos Pericardite Constritiva/cirurgia [Mh] Termos MeSH secundário: Feminino Seguimentos Seres Humanos Masculino Meia-Idade Minnesota/epidemiologia Pericardite Constritiva/mortalidade Estudos Retrospectivos Fatores de Risco Taxa de Sobrevida/tendências Resultado do Tratamento [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1709 [Cu] Atualização por classe: 170914 [Lr] Data última revisão: 170914 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170802 [St] Status: MEDLINE

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[PMID]: 28609246 [Au] Autor: Papageorgiou K; Schmithausen J; Kahr P; Ruschitzka F; Maisano F; Benussi S; Müggler SA [Ad] Endereço: 1 Universitäres Herzzentrum, Klinik für Kardiologie, Universitätsspital Zürich. [Ti] Título: CME: Die konstriktive Perikarditis ­ eine ungewöhnliche Form der schweren diastolischen Herzinsuffizienz.. [So] Source: Praxis (Bern 1994);106(12):617-628, 2017 Jun. [Is] ISSN: 1661-8157 [Cp] País de publicação: Switzerland [La] Idioma: ger [Mh] Termos MeSH primário: Cateterismo Cardíaco Diagnóstico por Imagem Insuficiência Cardíaca Diastólica/diagnóstico Pericardite Constritiva/diagnóstico [Mh] Termos MeSH secundário: Adulto Algoritmos Angiografia Coronária Ecocardiografia Insuficiência Cardíaca Diastólica/fisiopatologia Insuficiência Cardíaca Diastólica/cirurgia Hemodinâmica/fisiologia Seres Humanos Imagem por Ressonância Magnética Masculino Pericardiectomia Pericardite Constritiva/fisiopatologia Pericardite Constritiva/cirurgia Prognóstico Tomografia Computadorizada por Raios X [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1708 [Cu] Atualização por classe: 170828 [Lr] Data última revisão: 170828 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170614 [St] Status: MEDLINE [do] DOI: 10.1024/1661-8157/a002720

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[PMID]: 28572226 [Au] Autor: Lee DZJ; Amin R; Baksi J; Gerber R [Ad] Endereço: East Sussex Healthcare NHS Trust, St Leonards-on-sea, UK; deacon.lee.04@aberdeen.ac.uk. [Ti] Título: A clinical enigma of ongoing constrictive pericarditis. [So] Source: Clin Med (Lond);17(3):248-250, 2017 Jun. [Is] ISSN: 1473-4893 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: A 59-year-old lady presented with a 1-week history of orthopnoea, paroxysmal nocturnal dyspnoea, night sweats and a productive cough. She had no recent history of travel. Transthoracic echocardiogram revealed preserved left ventricular systolic function with abnormal pericardial thickening and restrictive left ventricular filling consistent with pericardial constriction. Cardiac magnetic resonance imaging confirmed a globally thickened pericardium and showed evidence of pericardial inflammation and constrictive physiology. She did not respond to diuresis, pulsed intravenous steroids or broad spectrum antibiotics and multiple investigations were negative, including autoimmune screen and tuberculosis cultures. Eventually a serum sample was found to be positive for and it emerged that this lady had travelled to Egypt 8 years previously, where it is thought that she contracted leading to her developing constrictive pericarditis. This case report summarises the presentation and progression of this case and rare diagnosis. [Mh] Termos MeSH primário: Pericardite Constritiva Strongyloides stercoralis Estrongiloidíase [Mh] Termos MeSH secundário: Animais Feminino Seres Humanos Meia-Idade Pericardite Constritiva/diagnóstico Pericardite Constritiva/parasitologia Estrongiloidíase/complicações Estrongiloidíase/diagnóstico [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1706 [Cu] Atualização por classe: 170629 [Lr] Data última revisão: 170629 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170603 [St] Status: MEDLINE [do] DOI: 10.7861/clinmedicine.17-3-248

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[PMID]: 28393776 [Au] Autor: Chowdhury UK; Kapoor PM; Rizvi A; Malik V; Seth S; Narang R; Kalaivani M; Singh SP; Selvam S [Ad] Endereço: Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India. [Ti] Título: Serial semi-invasive hemodynamic assessment following pericardiectomy for chronic constrictive pericarditis. [So] Source: Ann Card Anaesth;20(2):169-177, 2017 Apr-Jun. [Is] ISSN: 0974-5181 [Cp] País de publicação: India [La] Idioma: eng [Ab] Resumo: OBJECTIVES: This study was designed to prospectively investigate the effects of pericardiectomy via median sternotomy on intra- and postoperative hemodynamics by a new semi-invasive device (Flotrac/VigileoTM monitor) using arterial pressure waveform analysis. PATIENTS AND METHODS: Thirty consecutive patients aged 15 to 55 years (mean+SD, 31.73 + 13.53 years), who had undergone total pericardiectomy via median sternotomy underwent serial hemodynamic evaluation. FlotracTM Sensor - derived stroke volume, stroke volume variation, systemic vascular resistance index (SVRI), cardiac index and right atrial pressure were measured just before and after pericardiectomy, at 12 hours, 24 hours, 48 hours, 72 hours and at discharge postoperatively. RESULTS: Majority of patients (73.33%) exhibited statistically significant reduction of right atrial pressure and SVRI along with improvement in cardiac index and oxygen delivery in the immediate and late postoperative period. However, the stroke volume and stroke volume variation did not increase proportionately on completion of surgery. Patients with low cardiac output syndrome exhibited persistently high central venous pressure with reduced cardiac index and echocardiographically abnormal diastolic filling characteristics. CONCLUSIONS: We conclude that there is early normalization of hemodynamics following pericardiectomy via median sternotomy and the adequacy of pericardiectomy can be accurately assessed by the new semi-invasive arterial pressure waveform analysis device. Stroke volume variation is a non-predictor of fluid requirement during and after pericardiectomy. [Mh] Termos MeSH primário: Hemodinâmica/fisiologia Monitorização Fisiológica/métodos Pericardiectomia Pericardite Constritiva/cirurgia [Mh] Termos MeSH secundário: Adolescente Adulto Pressão Atrial/fisiologia Doença Crônica Feminino Seguimentos Seres Humanos Período Intraoperatório Masculino Meia-Idade Período Pós-Operatório Estudos Prospectivos Reprodutibilidade dos Testes Volume Sistólico/fisiologia Resultado do Tratamento Resistência Vascular/fisiologia Adulto Jovem [Pt] Tipo de publicação: JOURNAL ARTICLE [Em] Mês de entrada: 1711 [Cu] Atualização por classe: 171102 [Lr] Data última revisão: 171102 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170411 [St] Status: MEDLINE [do] DOI: 10.4103/aca.ACA_98_16

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[PMID]: 28228308 [Au] Autor: Ardhanari S; Yarlagadda B; Parikh V; Dellsperger KC; Chockalingam A; Balla S; Kumar S [Ad] Endereço: Department of Medicine, Division of Cardiology, University of Missouri School of Medicine, Columbia, MO, United States. [Ti] Título: Systematic review of non-invasive cardiovascular imaging in the diagnosis of constrictive pericarditis. [So] Source: Indian Heart J;69(1):57-67, 2017 Jan - Feb. [Is] ISSN: 0019-4832 [Cp] País de publicação: India [La] Idioma: eng [Ab] Resumo: BACKGROUND: Diagnosis of constrictive pericarditis (CP) can be challenging. It can be nearly impossible to distinguish CP from other causes of right heart failure. Although various imaging modalities help in the diagnosis, no test is definitive. Several reviews have addressed the role of various imaging techniques in the diagnosis of CP but a systematic review has not yet been published. OBJECTIVE: Our intention was to study the ability of various non-invasive imaging modalities to diagnose CP in patients with surgically confirmed disease and to apply our findings to develop a clinically useful diagnostic algorithm. METHODS: A PubMed (NLM) search was performed with MeSH term "constrictive pericarditis". Original articles that investigated the ability of various cardiovascular imaging modalities to noninvasively diagnose surgically confirmed CP were included in our review. Investigations that included any cases without surgical confirmation were excluded. RESULTS: The PubMed search yielded 3001 results with MeSH term "constrictive pericarditis" (January 8, 2016). We identified (40) studies on CP that matched our inclusion criteria. We summarized our results sorted by individual non-invasive CV imaging modalities - echocardiography, cardiac computed tomography (CT), and magnetic resonance imaging (MRI). Under each imaging modality, we grouped our discussion based on different parameters useful in CP diagnosis. CONCLUSIONS: In conclusion, contemporary diagnosis of CP is based on clinical features and echocardiography. Cardiac MRI is recommended in patients where echocardiography is not diagnostic. Both cardiac MRI and CT can guide surgical planning but we prefer MRI as it provides both structural and functional information. [Mh] Termos MeSH primário: Ecocardiografia/métodos Imagem Cinética por Ressonância Magnética/métodos Pericardite Constritiva/diagnóstico Tomografia Computadorizada por Raios X/métodos [Mh] Termos MeSH secundário: Diagnóstico Diferencial Seres Humanos [Pt] Tipo de publicação: JOURNAL ARTICLE; REVIEW [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171018 [Lr] Data última revisão: 171018 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170224 [St] Status: MEDLINE

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[PMID]: 28213948 [Au] Autor: Karakus A; Ari H; Camci S; Ari S; Tutuncu A; Melek M [Ad] Endereço: Department of Cardiology, Bursa Postgraduate Hospital, Bursa, Turkey. [Ti] Título: Hourglass-shaped right ventricle and localized constrictive pericarditis. [So] Source: Echocardiography;34(2):320-321, 2017 Feb. [Is] ISSN: 1540-8175 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: Constrictive pericarditis is characterized by thick pericardial fibrosis and frequent calcification that progressively impairs diastolic filling of the heart. The diagnosis of constrictive pericarditis has been challenging even though multiple diagnostic modalities have been developed. The diagnosis of constructive pericarditis is especially difficult in localized constrictive pericarditis which is extremely rare. We report a case of localized constrictive pericarditis with a 3D multislice cardiac computed tomography (CT) finding of the constrictive band causing strangulation and hourglass shaping of the right ventricle. [Mh] Termos MeSH primário: Calcinose/diagnóstico por imagem Cardiomiopatias/diagnóstico por imagem Ventrículos do Coração/diagnóstico por imagem Imagem Tridimensional/métodos Tomografia Computadorizada Multidetectores Pericardite Constritiva/diagnóstico por imagem [Mh] Termos MeSH secundário: Adulto Calcinose/complicações Calcinose/cirurgia Cateterismo Cardíaco/métodos Cardiomiopatias/complicações Cardiomiopatias/cirurgia Diagnóstico Diferencial Feminino Ventrículos do Coração/cirurgia Seres Humanos Pericardite Constritiva/complicações [Pt] Tipo de publicação: CASE REPORTS [Em] Mês de entrada: 1710 [Cu] Atualização por classe: 171004 [Lr] Data última revisão: 171004 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170219 [St] Status: MEDLINE [do] DOI: 10.1111/echo.13424

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[PMID]: 28151876 [Au] Autor: Zhuang XF; Yang YM; Sun XL; Liao ZK; Huang J [Ad] Endereço: aDepartment of Cardiology bDepartment of Cardiac Surgery, State Key Laboratory of Cardiovascular Disease, FuWai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China. [Ti] Título: Late onset radiation-induced constrictive pericarditis and cardiomyopathy after radiotherapy: A case report. [So] Source: Medicine (Baltimore);96(5):e5932, 2017 Feb. [Is] ISSN: 1536-5964 [Cp] País de publicação: United States [La] Idioma: eng [Ab] Resumo: INTRODUCTION: Radiation-induced heart disease (RIHD) is a serious side effect of cancer treatment, including coronary artery disease, valvular cardiac dysfunction, cardiomyopathy, aortopathy, and chronic constrictive pericarditis. Herein, this case we present was diagnosed as radiation-induced constrictive pericarditis and cardiomyopathy by means of cardiac magnetic resonance (CMR) and transthoracic echocardiogram, finally confirmed by pathology after performing heart transplant operation. CONCLUSIONS: This case supports a notion that RIHD often causes multiple heart impairment and CMR is helpful to diagnose cardiomyopathy after radiation. [Mh] Termos MeSH primário: Cardiomiopatias/etiologia Pericardite Constritiva/etiologia Lesões por Radiação [Mh] Termos MeSH secundário: Neoplasias da Mama/radioterapia Cardiomiopatias/diagnóstico por imagem Ecocardiografia Feminino Seres Humanos Imagem por Ressonância Magnética Meia-Idade Pericardite Constritiva/diagnóstico por imagem [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1702 [Cu] Atualização por classe: 170227 [Lr] Data última revisão: 170227 [Sb] Subgrupo de revista: AIM; IM [Da] Data de entrada para processamento: 170203 [St] Status: MEDLINE [do] DOI: 10.1097/MD.0000000000005932

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[PMID]: 28126025 [Au] Autor: Marsh KM; Ferng AS; Pilikian T; Desai AA; Avery R; Friedman M; Oliva I; Jokerst C; Schipper D; Khalpey Z [Ad] Endereço: Department of Surgery, Division of Cardiothoracic Surgery, University of Arizona College of Medicine, 1501 North Campbell Avenue, Room 4302, Tucson, AZ, 85724, USA. [Ti] Título: Anti-inflammatory properties of amniotic membrane patch following pericardiectomy for constrictive pericarditis. [So] Source: J Cardiothorac Surg;12(1):6, 2017 Jan 26. [Is] ISSN: 1749-8090 [Cp] País de publicação: England [La] Idioma: eng [Ab] Resumo: BACKGROUND: Since constrictive pericarditis is most often idiopathic and the pathophysiology remains largely unknown, both the diagnosis and the treatment can be challenging. However, by definition, inflammatory processes are central to this disease process. Amniotic membrane patches have been shown to possess anti-inflammatory properties and are believed to be immune privileged. Due to these properties, amniotic membrane patches were applied intraoperatively in a complicated patient presenting with constrictive pericarditis. CASE PRESENTATION: A patient with a history of multiple cardiac surgeries presented with marked fatigue, worsening dyspnea and sinus tachycardia. He was found to have constrictive physiology during cardiac catheterization, with cardiac MRI demonstrating hepatic vein dilatation, atrial enlargement and ventricular narrowing. After amniotic membrane patch treatment and pericardiectomy, post-operative cardiac MRI failed to demonstrate any appreciable pericardial effusion or inflammation, with no increased T2 signal that would suggest edema. CONCLUSIONS: Given the positive results seen in this complex patient, we suggest continued research into the beneficial properties of amniotic membrane patches in cardiac surgery. [Mh] Termos MeSH primário: Âmnio/transplante Inflamação/terapia Pericardiectomia Pericardite Constritiva/cirurgia [Mh] Termos MeSH secundário: Adulto Âmnio/fisiologia Seres Humanos Imagem por Ressonância Magnética Masculino Derrame Pericárdico/cirurgia Pericardite Constritiva/fisiopatologia [Pt] Tipo de publicação: CASE REPORTS; JOURNAL ARTICLE [Em] Mês de entrada: 1702 [Cu] Atualização por classe: 170817 [Lr] Data última revisão: 170817 [Sb] Subgrupo de revista: IM [Da] Data de entrada para processamento: 170128 [St] Status: MEDLINE [do] DOI: 10.1186/s13019-017-0567-7

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