Constrictive Pericarditis in the Presence of Remaining Remnants of a Left Ventricular Assist Device in a Heart Transplanted Patient
Joint Authors
Ehlermann, Philipp
Doesch, Andreas O.
Schmack, Bastian
Rivinius, R.
Helmschrott, M.
Koch, V.
Sedaghat-Hamedani, F.
Fortner, P.
Darche, F. F.
Thomas, D.
Ruhparwar, A.
Karck, M.
Akhavanpoor, M.
Erbel, C.
Gleissner, C. A.
Buss, S. J.
Mereles, Derliz
Katus, Hugo A.
Source
Case Reports in Transplantation
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-05-21
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Constrictive pericarditis (CP) is a severe subform of pericarditis with various causes and clinical findings.
Here, we present the unique case of CP in the presence of remaining remnants of a left ventricular assist device (LVAD) in a heart transplanted patient.
A 63-year-old man presented at the Heidelberg Heart Center outpatient clinic with progressive dyspnea, fatigue, and loss of physical capacity.
Heart transplantation (HTX) was performed at another heart center four years ago and postoperative clinical course was unremarkable so far.
Pharmacological cardiac magnetic resonance imaging (MRI) stress test was performed to exclude coronary ischemia.
The test was negative but, accidentally, a foreign body located in the epicardial adipose tissue was found.
The foreign body was identified as the inflow pump connection of an LVAD which was left behind after HTX.
Echocardiography and cardiac catheterization confirmed the diagnosis of CP.
Surgical removal was performed and the epicardial tubular structure with a diameter of 30 mm was carefully removed accompanied by pericardiectomy.
No postoperative complications occurred and the patient recovered uneventfully with a rapid improvement of symptoms.
On follow-up 3 and 6 months later, the patient reported about a stable clinical course with improved physical capacity and absence of dyspnea.
American Psychological Association (APA)
Rivinius, R.& Helmschrott, M.& Koch, V.& Sedaghat-Hamedani, F.& Fortner, P.& Darche, F. F.…[et al.]. 2015. Constrictive Pericarditis in the Presence of Remaining Remnants of a Left Ventricular Assist Device in a Heart Transplanted Patient. Case Reports in Transplantation،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1060185
Modern Language Association (MLA)
Rivinius, R.…[et al.]. Constrictive Pericarditis in the Presence of Remaining Remnants of a Left Ventricular Assist Device in a Heart Transplanted Patient. Case Reports in Transplantation No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1060185
American Medical Association (AMA)
Rivinius, R.& Helmschrott, M.& Koch, V.& Sedaghat-Hamedani, F.& Fortner, P.& Darche, F. F.…[et al.]. Constrictive Pericarditis in the Presence of Remaining Remnants of a Left Ventricular Assist Device in a Heart Transplanted Patient. Case Reports in Transplantation. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1060185
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060185