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

Conference · Sun Sep 01 00:00:00 EDT 1985 · Radiology; (United States)

OSTI ID:5245124

Rienmueller, R; Doppman, J L; Lissner, J; Kemkes, B M; Strauer, B E

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.

• Research Organization: Univ. of Munich, West Germany
• OSTI ID: 5245124
• Report Number(s): CONF-851152-; TRN: 85-023757
• Journal Information: Radiology; (United States), Vol. 156:3; Conference: 71. scientific assembly and annual meeting, Chicago, IL, USA, 17 Nov 1985
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ATROPHY
CARDIOVASCULAR DISEASES
DIAGNOSIS
HEART
COMPUTERIZED TOMOGRAPHY
DYNAMIC FUNCTION STUDIES
FIBROSIS
INFLAMMATION
MYOCARDIAL INFARCTION
MYOCARDIUM
PATIENTS
PERICARDIUM
SURGERY
BODY
CARDIOVASCULAR SYSTEM
DIAGNOSTIC TECHNIQUES
DISEASES
MEDICINE
MEMBRANES
MUSCLES
ORGANS
PATHOLOGICAL CHANGES
SEROUS MEMBRANES
SYMPTOMS
TOMOGRAPHY
550602* - Medicine- External Radiation in Diagnostics- (1980-)