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Pericardial Constriction After Lung Transplantation

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Presentation on theme: "Pericardial Constriction After Lung Transplantation"— Presentation transcript:

1 Pericardial Constriction After Lung Transplantation
Kamyar Afshar, DO, Mark J. Cunningham, MD, Richard G. Barbers, MD, Paul Michael McFadden, MD  The Annals of Thoracic Surgery  Volume 90, Issue 4, Pages (October 2010) DOI: /j.athoracsur Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 A chest roentgenogram of the patient shows cardiomegaly and moderate right-sided pleural effusion. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 A computed tomographic chest scan of the patient shows pericardial thickening, pleural effusion, and pulmonary congestion. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Simultaneous right and left heart catheter hemodynamic measurments compatible with pericardial constriction. The “w” pattern (deep “x” and “y” descents) are noted on the right atrium tracings. During the Valsalva maneuver, deep breathing, and volume challenges, the diastolic pressures of the right ventricle (RV) and left ventricle (LV) were equalized. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions


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