TY - JOUR
T1 - Defibrillator patch electrode constriction
T2 - An underrecognized entity
AU - Barrington, William W.
AU - Deligonul, Ubeydullah
AU - Easley, Arthur R.
AU - Windle, John R.
PY - 1995/10
Y1 - 1995/10
N2 - Pericardial constriction associated with the placement of intrapericardial defibrillator patches is a rare occurrence that is reported only one tenth as often in defibrillator patients as in patients undergoing other types of cardiac operations. Although this discrepancy may be attributable to a lower incidence of constriction with the defibrillator patch electrode procedure, it may also indicate a failure to recognize that progressive right heart failure and signs of low cardiac output that could be due to pericardial constriction and not progressive systolic dysfunction. Because surgical removal of the patches and decortication of the epicardial surface is the only effective therapy, it is important to recognize this uncommon, but profoundly debilitating entity.
AB - Pericardial constriction associated with the placement of intrapericardial defibrillator patches is a rare occurrence that is reported only one tenth as often in defibrillator patients as in patients undergoing other types of cardiac operations. Although this discrepancy may be attributable to a lower incidence of constriction with the defibrillator patch electrode procedure, it may also indicate a failure to recognize that progressive right heart failure and signs of low cardiac output that could be due to pericardial constriction and not progressive systolic dysfunction. Because surgical removal of the patches and decortication of the epicardial surface is the only effective therapy, it is important to recognize this uncommon, but profoundly debilitating entity.
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U2 - 10.1016/0003-4975(95)00549-Z
DO - 10.1016/0003-4975(95)00549-Z
M3 - Article
C2 - 7574964
AN - SCOPUS:0028874840
VL - 60
SP - 1112
EP - 1116
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
SN - 0003-4975
IS - 4
ER -