Reversible left ventricular dysfunction simulating a myocardial infarction after pericardiectomy

A 39 year old man with postoperative constrictive pericarditis after pericardiectomy developed major left ventricular systolic dysfunction with an anterior wall infarct pattern on ECG but no regional wall motion abnormalities by echocardiography or serum enzymatic evidence of a myocardial infarction...

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Bibliographic Details
Published in:British heart journal 2002-08, Vol.88 (2), p.183-184
Main Authors: Wood, D E, Crumbley, A J, Pereira, N L
Format: Article
Language:English
Subjects:
acute myocardial infarction
Adult
Angina pectoris
Biological and medical sciences
Cardiovascular disease
Complications
congestive heart failure
Coronary Artery Bypass - methods
Coronary vessels
Diagnosis, Differential
Edema - etiology
electrocardiogram
Electrocardiography
Electrocardiography - methods
Electrocardiography. Vectocardiography
Electrodiagnosis. Electric activity recording
Heart attacks
Heart surgery
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Myocardial Infarction - diagnosis
Myocardial Infarction - surgery
pericardiectomy
Pericardiectomy - adverse effects
Pericarditis
Pericarditis, Constrictive - etiology
Pericardium
Postoperative period
Pulmonary arteries
Recurrence
Surgery
Ventricular Dysfunction, Left - diagnosis
Ventricular Dysfunction, Left - etiology
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Description
Summary:A 39 year old man with postoperative constrictive pericarditis after pericardiectomy developed major left ventricular systolic dysfunction with an anterior wall infarct pattern on ECG but no regional wall motion abnormalities by echocardiography or serum enzymatic evidence of a myocardial infarction. The left ventricular dysfunction resolved over two weeks with supportive treatment. It is postulated that this patient's transient left ventricular dysfunction and ECG changes were caused by myocardial inflammation and oedema induced by operative trauma during pericardiectomy.
ISSN:1355-6037
0007-0769
1468-201X
DOI:10.1136/heart.88.2.183