The Journal of Thoracic and Cardiovascular Surgery, Vol 81, 793-796, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Constrictive pericarditis: a case requiring pericardiectomy following Dressler's postmyocardial infarction syndrome
SZ Goldhaber, BH Lorell and LH Green
Exertional neck tightness developed 6 months following a myocardial
infarction that was complicated by Dressler's syndrome. The patient's
symptoms were initially interpreted as angina pectoris but did not respond
to antianginal therapy. Findings at cardiac catheterization were indicative
of constructive pericarditis. The diagnosis was confirmed at
pericardiectomy and the symptoms resolved completely postoperatively.
Constrictive pericarditis should be considered as an unusual but important
sequel of Dressler's postmyocardial infarction syndrome.