S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) The Seoul Journal of Medicine The Seoul Journal of Medicine Vol. 16 No.3 (1975)
만성교적성심낭염에 대한 임상적 고찰
Clinical Observation of Chronic Constrictive Pericarditis.
- 이정호; 서경필
- Issue Date
- 서울대학교 의과대학
- Seoul J Med 1975;16(3):201-206
- authors encouutered 58 cases of chronic constrictive
pericarditis, of which 45 cases were treated surgically
at the Department of Thoracic & Cardiovascular
Surgery, the National Medical Center.
Among the 45 cases operated on , the authors
included 41 cases in this report whose records
contained rather accurate informa tion on its
preoperative status including laboratory findings,
operative findings, operative procedures and postoperative
There were 33 males among the 41 cases. The
age ranged from 7 to 65 years with the average
age of 23.2 years.
Important clinical manifestations were exertional
dyspnea in 38 cases, ascites in 30 cases, distant
heart sound in 34 cases and hepatomegaly in all
El ect rocardiogram showed low voltage of QRS
wave. T wave abnormalities, auricular fibrillation,
conduction defect and others, in that order.
Calcification in thickened pericardium was detected
in 13 cases on chest roen tgenograms.
Pericardiectomies were performed through sternal
splitting in 37 cases and by left thoracotomy in
the remaining 4 cases. Rather radical excision was
made in 37 cases and partial excision of pericardium
Over left ventircle was performed on 4 cases because
of patient’s poor condition and technical problems.
Two patients died On the operating table of
massive hemorrhage due to right atrial laceration.
There were 2 postoperative deaths due to acute
cardiac dilatation and respiratory insufficiency with
heart failure in both cases.
The 37 cases that survived showed good postoperative
cOurse with diminution or complete disappearance
of symptoms and signs.
Histopathological examination of the excised pericardia
showed chronic non-specific pericarditis in
27 cases, tuberculous pericardi tis in 13 cases, and
staphylococcal pericarditis in one case.