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Radiology, Vol 156, 753-755, Copyright © 1985 by Radiological Society of North America

ARTICLES

Constrictive pericardial disease: prognostic significance of a nonvisualized left ventricular wall

R Rienmuller, JL Doppman, J Lissner, BM Kemkes and BE Strauer

Twenty-six patients with pericardial constriction confirmed by catheterization were studied by dynamic computed tomography (CT). The posterolateral wall of the left ventricular myocardium was not detected in five patients (19.2%). None had evidence of previous myocardial infarction on electrocardiogram or levocardiogram. In 16 patients, a pericardiectomy was performed to remove pericardial constriction. All five patients with nondetectable posterolateral walls of the left ventricle died at or immediately following surgery because of acute myocardial failure. Nonvisualization of the posterolateral wall of the left ventricle in patients with constrictive pericarditis suggests the presence of myocardial fibrosis or atrophy. Surgery is an extremely high risk in these patients.


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 Asian Cardiovasc. Thorac. Ann.Home page
A. Oto, D. Akinci, M. Eryilmaz, A. Besim, A. Oto, D. Akinci, M. Eryilmaz, and A. Besim
Constrictive Pericarditis: Computed Tomography Findings
Asian Cardiovasc Thorac Ann, September 1, 2000; 8(3): 287 - 289.
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