Korean J Thorac Cardiovasc Surg.
2002 Apr;35(4):307-310.
Waffle Procedure in Chronic Constrictive Epicarditis Patient with Pericardial Effusion: A Case Report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, InJe University, Pusan Paik Hospital, Korea. cs523@dreamwiz.com
Abstract
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The purpose of this presentation is to demonstrate a good results of a second operation, the Waffle procedure, in a patient who did not improve following pericardiectomy. Incomplete parietal pericardiectomy, myocardial fiber atrophy, and unexpected restrictive cardiomyopathy can be considered when the patient's symptom does not improve after pericardiectomy is carried out. Constrictive epicarditis is always ruled out. In our case, the patient having constrictive pericarditis combined with pericardial effusion received a pericardiectomy. However, hemodynamics and symptoms of the patient following the operation did not improve. However, we experienced a good result following a second operation, the Waffle procedure.