{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T18:31:52Z","timestamp":1754159512485,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Effusive-constrictive pericarditis (ECP) is a condition where acute pericarditis causes a pericardial effusion and stiffening of the pericardium, which can result in haemodynamic instability due to compression of right-sided cardiac chambers. Here, we present a patient with cardiac tamponade followed by ECP complicating treatment of acute myocardial infarction\/cardiogenic shock supported with a percutaneous left ventricular assist device (PVAD).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 65-year-old male presented with an anterior ST-elevation myocardial infarction and cardiogenic shock. The left anterior descending artery was stented, and a PVAD was placed. The patient was haemodynamically unstable, and the PVAD had frequent suction alarms at higher flow rates. Pulsus paradoxus was noted on the arterial line tracing. Echocardiography showed a large pericardial effusion, which was drained with improvement in cardiac output. However, the patient soon worsened again with continued PVAD suction alarms, and this time echocardiography demonstrated constrictive physiology. The patient was treated with anti-inflammatory medications with improvement in haemodynamics. The PVAD was able to be weaned, and the patient was discharged in stable condition.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Effusive-constrictive pericarditis is a syndrome exhibiting the physiology of both cardiac tamponade and constrictive pericarditis. Effusive-constrictive pericarditis should be considered in patients whose haemodynamics do not improve after pericardiocentesis. This patient had a PVAD placed, which relies on left ventricular preload to increase cardiac output. The numerous suction alarms encountered during this patient\u2019s intensive care unit course were likely due to ECP decreasing preload.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf326","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T10:36:22Z","timestamp":1752143782000},"source":"Crossref","is-referenced-by-count":0,"title":["Post-infarct effusive-constrictive pericarditis with a percutaneous left ventricular assist device: a case report"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8243-3047","authenticated-orcid":false,"given":"Jonah","family":"Kan","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Mayo Clinic , 200 1st Street SW, Rochester, MN 55905 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5060-3438","authenticated-orcid":false,"given":"Louise","family":"Asleson","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Mayo Clinic , 200 1st Street SW, Rochester, MN 55905 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6156-3869","authenticated-orcid":false,"given":"Karla","family":"Inestroza","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic , 200 1st Street SW, Rochester, MN 55905 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9962-8855","authenticated-orcid":false,"given":"Dustin","family":"Hillerson","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic , 200 1st Street SW, Rochester, MN 55905 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6366-2859","authenticated-orcid":false,"given":"Jacob","family":"Jentzer","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Medicine, Mayo Clinic , 200 1st Street SW, Rochester, MN 55905 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,10]]},"reference":[{"key":"2025072509012025600_ytaf326-B1","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1093\/ehjci\/jey081","article-title":"Pre- and post-pericardiocentesis echo-Doppler features of effusive-constrictive pericarditis compared with cardiac tamponade and constrictive pericarditis","volume":"20","author":"Miranda","year":"2019","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"2025072509012025600_ytaf326-B2","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/j.jcmg.2017.06.017","article-title":"Effusive-constrictive pericarditis after pericardiocentesis: incidence, associated findings, and natural history","volume":"11","author":"Kim","year":"2018","journal-title":"JACC Cardiovasc Imaging"},{"key":"2025072509012025600_ytaf326-B3","doi-asserted-by":"crossref","first-page":"154512","DOI":"10.1016\/j.jcrc.2023.154512","article-title":"The physiology of cardiac tamponade and implications for patient management","volume":"80","author":"Yuriditsky","year":"2024","journal-title":"J Crit Care"},{"key":"2025072509012025600_ytaf326-B4","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1016\/j.echo.2015.05.008","article-title":"Echocardiography in the management of patients with left ventricular assist devices: recommendations from the American Society of Echocardiography","volume":"28","author":"Stainback","year":"2015","journal-title":"J Am Soc Echocardiogr"},{"key":"2025072509012025600_ytaf326-B5","doi-asserted-by":"crossref","first-page":"101936","DOI":"10.1016\/j.jaccas.2023.101936","article-title":"Cardiac tamponade with a transaortic percutaneous left ventricular assist device: when alarms caused no alarm","volume":"19","author":"Sande Mathias","year":"2023","journal-title":"JACC Case Rep"},{"key":"2025072509012025600_ytaf326-B6","doi-asserted-by":"crossref","first-page":"131610","DOI":"10.1016\/j.ijcard.2023.131610","article-title":"Impact of C-reactive protein levels and role of anakinra in patients with ST-elevation myocardial infarction","volume":"398","author":"Moroni","year":"2024","journal-title":"Int J Cardiol"}],"container-title":["European Heart Journal - 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