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KMID : 0368120150450040333
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Korean Circulation Journal
2015 Volume.45 No. 4 p.333 ~ p.336
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Constrictive Pericarditis Long after a Gunshot Wound
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Choi Jung-Ho
Uhm Jae-Sun
Lee Sang-Eun
Chun Kyung-Hyeon
Lee Hye-Jeong
Lee Seung-Hyun
Hong Geu-Ru
Lee Moon-Hyoung
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Abstract
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Constrictive pericarditis is an uncommon post-inflammatory disorder characterized by a variably thickened, fibrotic, and frequently calcified, pericardium. Etiology of the constriction can occur for many reasons. Although foreign bodies are not the common cause of constrictive pericarditis, the long-term presence of foreign bodies, like bullets, is presumed to cause chronic constrictive pericarditis even after a very long asymptomatic period. A 69-year-old patient with atrial flutter was admitted to the hospital. A cardiac computed tomography showed a bullet located adjacent to the right atrium. The transthoracic echocardiography showed a thickened pericardium and septal bouncing motion, which were compatible with constrictive pericarditis. The history of the patient revealed an injury by gunshot during the Korean War in 1950. Radiofrequency ablation of the atrial flutter was performed, and after ablation, the bullet was removed surgically. The patient was discharged home after surgery without complications.
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KEYWORD
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Foreign body reaction, Pericarditis, constrictive, Atrial flutter
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