Clinical Characteristics of Patients With Constrictive Pericarditis After Coronary Bypass Surgery
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概要
- 論文の詳細を見る
Constrictive pericarditis (CP) is an unusual sequela of cardiac surgery, so the present study evaluated the clinical characteristics of patients with CP after coronary artery bypass grafting (CABG). Four hundred and sixtythree patients who underwent isolated CABG between January 1989 and March 1999 were examined retrospectively.The first choice of treatment for postoperative pericardial effusion was nonsteroid antiinflammatory agents, and an increased dose of diuretics. The second treatment choice was corticosteroids or pericardial drainage. When CP was suspected during the followup period (mean, 54±31 months), cardiac catheterization was carried out to establish the diagnosis. Of the 463 patients undergoing CABG, there were 11 (2.4%) who developed CP after surgery. The median time to the onset of symptoms after CABG was 4 weeks (range, 3-96 weeks). On univariate and multivariate analysis, normal left ventricular ejection fraction, warfarin administration, and early postoperative pericardial effusion were significantly associated with a greater potential of postoperative CP. The effusion was bloody in all cases of pericardial drainage despite warfarin therapy. Not draining the postoperative effusive pericardial effusion was a risk factor for the development of CP. Pericardial drainage for patients with significant effusion after CABG is important for the prevention of subsequent CP, especially in those patients being treated with warfarin or with normal left ventricular function. (Jpn Circ J 2001; 65: 480-482)
- 社団法人日本循環器学会の論文
- 2001-05-20
著者
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MATSUMOTO Masahiko
Department of Biochemistry, School of Medicine, Tokai University
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Ueda Yuichi
Department of Cardiothoracic Surgery, Nagoya University School of Medicine
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Ueda Yuichi
Department Of Thoracic Surgery Nagoya University
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Tokuda Yoshiyuki
Departments of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital
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Matsuyama Katsuhiko
Departments Of Cardiovascular Surgery Tenri Hospital
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Sugita Takaaki
Department of Cardiovascular Surgery, Tenri Hospital
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Nishizawa Jyunichiro
Department of Cardiovascular Surgery, Tenri Hospital
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Yoshioka Tatsuya
Department of Cardiovascular Surgery, Tenri Hospital
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Ueda Yuichi
Department Of Cardiac Surgery Nagoya University Graduate School Of Medicine
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Ueda Yuichi
Tenri Yorozu Hospital Department Of Cardiovascular Surgery
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Matsumoto Masahiko
Departments Of Cardiovascular Surgery Tenri Hospital
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Matsumoto Masahiko
Department Of Biochemistry School Of Medicine Tokai University
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Sugita Takaaki
Department Of Cardiovascular Surgery Tenri Hospital
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Yoshioka Tatsuya
Department Of Cardiovascular Surgery Tenri Hospital
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Nishizawa Jyunichiro
Department Of Cardiovascular Surgery Tenri Hospital
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Matsuyama Katsuhiko
Department Of Cardiovascular Surgery Chubu Rosai Hospital
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Tokuda Yoshiyuki
Department Of Cardiac Surgery Nagoya University Graduate School Of Medicine
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