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KMID : 0390620090170030102
Journal of Cardiovascular Ultrasound
2009 Volume.17 No. 3 p.102 ~ p.105
Recurrent Postoperative Effusive-Constrictive Pericarditis Associated with Steroid Discontinuation
Park Gyung-Min

Song Jong-Min
Kang Duk-Hyun
Song Jae-Kwan
Kim Yong-Giun
Boo Sun-Jin
Lee Jong-Young
Abstract
Transient effusive-constrictive pericarditis is a rare complication of open-heart surgery, but is increasingly recognized. For patients with both pericardial effusion and constrictive physiology soon after uneventful open-heart surgery, proper treatment remains to be established. We experienced a case of transient effusive-constrictive pericarditis in a 50-year-old woman who underwent aortic valve replacement due to infective endocarditis. Initially, she was treated with both prednisolone and ibuprofen, which resulted in dramatic relief of symptom. However, she suffered from a relapse of pericaridis after rapid steroid discontinuation and was stabilized by re-treatment with steroid.
KEYWORD
Postpericardiotomy syndrome, Constrictive pericarditis, Steroid
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