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- W1972570407 abstract "An 81-year-old woman was hospitalized because of dyspnea and edema. At age 59 years (in 1961), she underwent pericardial abrasion for relief of chest pain. When the surgeon passed a ligature around the coronary sinus, this structure was torn and temporary bleeding occurred. The coronary sinus was narrowed to 3 mm in diameter. Powdered asbestos was sprinkled over the epicardium. Fat was brought into contact with the heart as a graft. The patient recovered from the operation and had relief of chest pain. Ten years later, at age 69 years, she noted exertional dyspnea and edema. By age 80 she was completely incapacitated because of dyspnea and edema. At hospital admission, at age 81 years, she was dyspneic, cyanotic and had anasarca. The precordium was quiet. Marked jugular venous distention and Kussmaul's sign were present. The first heart sound varied in intensity (due to atrial fibrillation). There was a grade 3/6 holosystolic murmur and an $3 gallop at the cardiac apex. There were no rubs. At cardiac catheterization, she had characteristic features of pericardial constriction. Right atrial mean and right ventricular diastolic pressures were 24 mm Hg. A V wave of 51 mm Hg was present in the pulmonary-capillary wedge tracing. Left ventriculography revealed calcium in the mitral anulus, mild hypokinesia of the left ventricle, mitral valve" @default.
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- W1972570407 date "1984-10-01" @default.
- W1972570407 modified "2023-09-25" @default.
- W1972570407 title "Constrictive pericarditis late after the beck operation" @default.
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- W1972570407 doi "https://doi.org/10.1016/s0002-9149(84)80242-8" @default.
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