{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T09:25:58Z","timestamp":1775208358665,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2009,2,3]],"date-time":"2009-02-03T00:00:00Z","timestamp":1233619200000},"content-version":"vor","delay-in-days":3808,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[1998,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Constrictive pericarditis after coronary artery bypass grafting (CABG) is rare and can present as unexplained dyspnea. We report five consecutive cases of post\u2010CABG constrictive pericarditis seen within a period of 17 months at our institution. All patients presented with heart failure of unknown etiology within a period of 8\u201084 months after surgery. During the initial post\u2010CABG period, two patients had developed postcardiotomy syndrome that was successfully treated with steroids. They were all assessed noninvasively and invasively. In all patients, the diagnosis of constriction was initially suspected clinically (symptoms, high jugular venous pressure with deep \u201cX\u201d and \u201cY\u201d descents, pericardial knock). Echocardiography showed transmural flow typical of constriction in all patients and hepatic venous flow in two. Two patients showed rapid left ventricular relaxation. In all patients, hemodynamic assessment showed diastolic equalization of pressures in all chambers, \u201cW\u201d shape waveform in right atrial pressure, and \u201cdip and plateau\u201d configuration in right and left ventricular pressure waveforms. Diagnosis was confirmed surgically in four patients who were subjected to pericardiectomy\u2010pericardial stripping (three survived, one died). One patient refused surgery. We conclude that constrictive pericarditis, although rare, should be suspected in every case of unexplained dyspnea post CABG. It can appear early or late after surgery, and clinical examination plays an important role in its early recognition. It requires a full noninvasive and invasive assessment in case of clinical suspicion.<\/jats:p>","DOI":"10.1002\/clc.4960210917","type":"journal-article","created":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T01:15:53Z","timestamp":1233710153000},"page":"691-694","source":"Crossref","is-referenced-by-count":8,"title":["Constrictive pericarditis after coronary artery bypass surgery as a cause of unexplained dyspnea: A report of five cases"],"prefix":"10.1002","volume":"21","author":[{"given":"Petros","family":"Dardas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitris","family":"Tsikaderis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Efstathios","family":"Ioannides","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apostolos","family":"Bisbos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitris","family":"Smirlis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iakovos","family":"Arditis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Spanos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,2,3]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/S0022-5223(19)41803-5","article-title":"Cardiac constriction following aorta to coronary bypass surgery","volume":"64","author":"Kendall ME","year":"1972","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(89)90273-1"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(89)90021-5"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.51.1.39"},{"key":"e_1_2_1_6_2","first-page":"522","article-title":"Constrictive calcific pericarditis following coronary arterial bypass surgery","volume":"16","author":"Chandra B","year":"1985","journal-title":"Pathology"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(80)90547-0"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.51.2.205"},{"key":"e_1_2_1_9_2","first-page":"205","article-title":"Chronic constrictive pericarditis after heart surgery. Apropos of a case","volume":"42","author":"Ouzan J","year":"1993","journal-title":"Ann Cardiol Angeiol(Paris)"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/clc.4960180610"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)40710-1"},{"key":"e_1_2_1_12_2","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/S0022-5223(19)40388-7","article-title":"Influence of primary closure of the pericardium after open\u2010heart surgery on the frequency of tamponade, postcardiotomy syndrome and pulmonary complications","volume":"50","author":"Cunningham JN","year":"1975","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(61)90423-4"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(82)91228-0"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196503252721201"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)63895-7"},{"key":"e_1_2_1_17_2","first-page":"153","article-title":"Pericardial constriction after open\u2010heart surgery","volume":"31","author":"Denbow C","year":"1982","journal-title":"West Indian Med J"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(79)90268-6"},{"key":"e_1_2_1_19_2","first-page":"727","article-title":"PUP\u2010iodine: History, toxicity and therapeutic uses","volume":"25","author":"Shelanshi HA","year":"1956","journal-title":"J Int Coll Surg"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(70)90706-X"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(83)90382-X"},{"key":"e_1_2_1_22_2","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/S0022-5223(19)38783-5","article-title":"Early and late results of pericardiectomy for constrictive pericarditis","volume":"89","author":"McGaugham BC","year":"1985","journal-title":"J Thorac Cardiovasc Surg"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)61653-0"},{"key":"e_1_2_1_24_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.38.1S5.V-102"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(85)90179-6"}],"container-title":["Clinical Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fclc.4960210917","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.4960210917","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,28]],"date-time":"2023-10-28T20:09:35Z","timestamp":1698523775000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/clc.4960210917"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1998,9]]},"references-count":24,"journal-issue":{"issue":"9","published-print":{"date-parts":[[1998,9]]}},"alternative-id":["10.1002\/clc.4960210917"],"URL":"https:\/\/doi.org\/10.1002\/clc.4960210917","archive":["Portico"],"relation":{},"ISSN":["0160-9289","1932-8737"],"issn-type":[{"value":"0160-9289","type":"print"},{"value":"1932-8737","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,9]]}}}