KMID : 0390620090170030102
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Journal of Cardiovascular Ultrasound 2009 Volume.17 No. 3 p.102 ~ p.105
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Recurrent Postoperative Effusive-Constrictive Pericarditis Associated with Steroid Discontinuation
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Park Gyung-Min
Song Jong-Min Kang Duk-Hyun Song Jae-Kwan Kim Yong-Giun Boo Sun-Jin Lee Jong-Young
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Abstract
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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.
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KEYWORD
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Postpericardiotomy syndrome, Constrictive pericarditis, Steroid
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