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July 1975, Vol 129, No. 7 >
Article | July 1975

Constrictive Pericarditis in Children FREE

Arnold W. Strauss, MD; Maria Santa-Maria, MD; David Goldring, MD
[+] Author Affiliations

Received for publication May 6,1974; accepted Nov 9.

Reprint requests to St. Louis Children's Hospital, 500 S Kingshighway Blvd, St. Louis, MO 63110 (Dr. Goldring).


Am J Dis Child. 1975;129(7):822-826. doi:10.1001/archpedi.1975.02120440048010.
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Comments

We observed five cases of constrictive pericarditis (CP) during a 12-year period, and studied the clinical findings, usual causes, and hemodynamic findings. There are two variants of CP: a chronic form, which is usually of unknown cause, and a rapidly developing form, which follows an attack of effusive pericarditis. A high index of suspicion is necessary to establish the diagnosis of CP both in children with a prolonged course of ascites and failure to thrive and in children with effusive, usually purulent, pericarditis. Although CP is rare in childhood, it should be easily recognized and curative surgical therapy should be rapidly initiated.

REFERENCES

1 +
Shea DW, Kirklin JW, DuShane JW:  Chronic constrictive pericarditis in children: Report of a case and observations in seven others . Am J Dis Child 93:430-435, 1957;.
2 +
Simcha A, Taylor JFN:  Constrictive pericarditis in childhood . Arch Dis Child 46:515-519, 1971;.
3 +
Gibbons JE, Goldbloom RB, Dobell ARC:  Rapidly developing pericardial constriction in childhood following acute nonspecific pericarditis . Am J Cardiol 15:863-867, 1965;.
4 +
Boyle JD, Pearce ML, Guze LB:  Purulent pericarditis: Review of literature and report of 11 cases . Medicine 40:119-144, 1961;.
5 +
Weis EI, Silber EN:  Acute constrictive pericarditis . J Pediatr 58:548-553, 1961;.
6 +
Van Reken D, Strauss AW, Hernandez A, et al:  Infectious pericarditis in children . J Pediatr 85:165-169, 1974;.
7 +
Hancock EW:  Subacute effusive-constrictive pericarditis . Circulation 43:183-192, 1971;.
8 +
Wooley CF, Hosier DM:  Constrictive pericarditis due to Histoplasma capsulatum . N Engl J Med 264:1230-1232, 1961;.
9 +
Scott LP, Knox D, Perry LW, et al:  Meningococcal pericarditis . Am J Cardiol 29:104-108, 1972;.
10 +
Thomas GI, Gregores BJ, Perry DM, et al:  Pericardiectomy for acute constrictive staphylococcal pericarditis . N Engl J Med 267:440-442, 1962;.
11 +
Rubenstein JJ, Goldblatt A, Daggett WM:  Acute constriction complicating purulent pericarditis in infancy . Am J Dis Child 124:591-594, 1972;.
12 +
Caddell JL, Friedman S, Johnson J:  Constrictive pericarditis: Occurrence in a child one month following acute pericarditis with effusion . Am J Dis Child 100:850-856, 1960;.
13 +
Noonan JA, Walters LR, Bryant LR, et al:  "Acute" constrictive pericarditis following Hemophilus influenza infection , abstracted. Circulation 40( (suppl 3) ):155, 1969;.
14 +
Caird R, Conway N, McMillan IKR:  Purulent pericarditis followed by early constriction in young children . Br Heart J 35:201-203, 1973;.
15 +
Abinader EG, Friedman A, Montag J:  Acute constrictive Hemophilus influenzae pericarditis . Helv Paediatr Acta 28:73-78, 1973;.
16 +
Jager BV, Ransmeier JC:  Constrictive pericarditis due to Bacterium tularense: Report of a case and review of reported cases of pericarditis occurring with tularemia . Bull Johns Hopkins Hosp 72:166-178, 1943;.
17 +
Meredith HC Jr:  Tularemic pericarditis: A report of two cases including one of constrictive pericarditis . Ann Intern Med 32:688-699, 1950;.
18 +
Blalock A, Burwell CS:  Chronic pericardial disease . Surg Gynecol Obstet 73:433-461, 1941;.
19 +
Perera NV:  Decortication of the heart for staphylococcal pericarditis . Thorax 26:133-136, 1971;.
20 +
Schlesinger Z, Kahana D, Kraus Y, et al:  Rapidly developing constrictive pericarditis in an infant simulating mitral valve obstruction . Acta Paediatr Scand 58:87-90, 1969;.
21 +
al-Omari NM, Samarrai AAR, Kassub AK:  Pericardiectomy for acute constrictive pericarditis . J Cardiovasc Surg 14:139-145, 1973;.
22 +
Morgan J:  Pericardial tamponade: A complication of staphylococcal pericarditis . Can Med Assoc J 90:1082-1084, 1964;.
23 +
Shabetai R, Fowler NO, Guntheroth WG:  The hemodynamics of cardiac tamponade and constrictive pericarditis . Am J Cardiol 26:480-489, 1970;.
24 +
Deterling RA Jr, Humphreys GH II:  Factors in the etiology of constrictive pericarditis . Circulation 12:30-43, 1955;.
25 +
Keith JD, Rowe RD, Vlad P: Pericarditis Heart Disease in Infancy and Childhood , ed 2. New York, Macmillan Co, 1967;, pp 970-975.
26 +
Roshe J, Shumacker HB Jr:  Pericardiectomy for chronic cardiac tamponade in children . Surgery 46:1152-1161, 1959;.
27 +
Gwinn JL, Lee FA, Laird RH, et al:  Radiological case of the month . Am J Dis Child 127:89-90, 1974;.
28 +
Lewis BS, Gotsman MS:  Left ventricular function in systole and diastole in constrictive pericarditis . Am Heart J 86:23-41, 1973;.

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References

1 +
Shea DW, Kirklin JW, DuShane JW:  Chronic constrictive pericarditis in children: Report of a case and observations in seven others . Am J Dis Child 93:430-435, 1957;.
2 +
Simcha A, Taylor JFN:  Constrictive pericarditis in childhood . Arch Dis Child 46:515-519, 1971;.
3 +
Gibbons JE, Goldbloom RB, Dobell ARC:  Rapidly developing pericardial constriction in childhood following acute nonspecific pericarditis . Am J Cardiol 15:863-867, 1965;.
4 +
Boyle JD, Pearce ML, Guze LB:  Purulent pericarditis: Review of literature and report of 11 cases . Medicine 40:119-144, 1961;.
5 +
Weis EI, Silber EN:  Acute constrictive pericarditis . J Pediatr 58:548-553, 1961;.
6 +
Van Reken D, Strauss AW, Hernandez A, et al:  Infectious pericarditis in children . J Pediatr 85:165-169, 1974;.
7 +
Hancock EW:  Subacute effusive-constrictive pericarditis . Circulation 43:183-192, 1971;.
8 +
Wooley CF, Hosier DM:  Constrictive pericarditis due to Histoplasma capsulatum . N Engl J Med 264:1230-1232, 1961;.
9 +
Scott LP, Knox D, Perry LW, et al:  Meningococcal pericarditis . Am J Cardiol 29:104-108, 1972;.
10 +
Thomas GI, Gregores BJ, Perry DM, et al:  Pericardiectomy for acute constrictive staphylococcal pericarditis . N Engl J Med 267:440-442, 1962;.
11 +
Rubenstein JJ, Goldblatt A, Daggett WM:  Acute constriction complicating purulent pericarditis in infancy . Am J Dis Child 124:591-594, 1972;.
12 +
Caddell JL, Friedman S, Johnson J:  Constrictive pericarditis: Occurrence in a child one month following acute pericarditis with effusion . Am J Dis Child 100:850-856, 1960;.
13 +
Noonan JA, Walters LR, Bryant LR, et al:  "Acute" constrictive pericarditis following Hemophilus influenza infection , abstracted. Circulation 40( (suppl 3) ):155, 1969;.
14 +
Caird R, Conway N, McMillan IKR:  Purulent pericarditis followed by early constriction in young children . Br Heart J 35:201-203, 1973;.
15 +
Abinader EG, Friedman A, Montag J:  Acute constrictive Hemophilus influenzae pericarditis . Helv Paediatr Acta 28:73-78, 1973;.
16 +
Jager BV, Ransmeier JC:  Constrictive pericarditis due to Bacterium tularense: Report of a case and review of reported cases of pericarditis occurring with tularemia . Bull Johns Hopkins Hosp 72:166-178, 1943;.
17 +
Meredith HC Jr:  Tularemic pericarditis: A report of two cases including one of constrictive pericarditis . Ann Intern Med 32:688-699, 1950;.
18 +
Blalock A, Burwell CS:  Chronic pericardial disease . Surg Gynecol Obstet 73:433-461, 1941;.
19 +
Perera NV:  Decortication of the heart for staphylococcal pericarditis . Thorax 26:133-136, 1971;.
20 +
Schlesinger Z, Kahana D, Kraus Y, et al:  Rapidly developing constrictive pericarditis in an infant simulating mitral valve obstruction . Acta Paediatr Scand 58:87-90, 1969;.
21 +
al-Omari NM, Samarrai AAR, Kassub AK:  Pericardiectomy for acute constrictive pericarditis . J Cardiovasc Surg 14:139-145, 1973;.
22 +
Morgan J:  Pericardial tamponade: A complication of staphylococcal pericarditis . Can Med Assoc J 90:1082-1084, 1964;.
23 +
Shabetai R, Fowler NO, Guntheroth WG:  The hemodynamics of cardiac tamponade and constrictive pericarditis . Am J Cardiol 26:480-489, 1970;.
24 +
Deterling RA Jr, Humphreys GH II:  Factors in the etiology of constrictive pericarditis . Circulation 12:30-43, 1955;.
25 +
Keith JD, Rowe RD, Vlad P: Pericarditis Heart Disease in Infancy and Childhood , ed 2. New York, Macmillan Co, 1967;, pp 970-975.
26 +
Roshe J, Shumacker HB Jr:  Pericardiectomy for chronic cardiac tamponade in children . Surgery 46:1152-1161, 1959;.
27 +
Gwinn JL, Lee FA, Laird RH, et al:  Radiological case of the month . Am J Dis Child 127:89-90, 1974;.
28 +
Lewis BS, Gotsman MS:  Left ventricular function in systole and diastole in constrictive pericarditis . Am Heart J 86:23-41, 1973;.

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