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      Pericardial waffle for effusive‐constrictive pericarditis

      case-report

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          Abstract

          We present the case of a 55‐year‐old female marathon runner who presented with progressive exercise intolerance and was diagnosed with effusive‐constrictive pericarditis. Stereotypical findings of this challenging diagnosis are shown by transthoracic echocardiographic and right heart catheterization. We treated the patient with a parietal pericardiectomy and pericardial waffle procedure to relieve a thick and constrictive epicardium.

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          Validation of Waffle procedure for constrictive pericarditis with epicardial thickening.

          Manabu Shiraishi, Atsushi Yamaguchi, Kenichi Muramatsu … (2015)
          Waffle procedure, a small grid-like incision of epicardium, is a surgical technique for constrictive pericarditis with epicardial thickening. Yet evidences to endorse this approach for improved outcomes are lacking. The aim of this study is to elucidate better surgical treatment strategy for constrictive pericarditis with epicardial thickening.
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            For what type of constrictive pericarditis is the waffle procedure effective?

            Nobuyuki Yamamoto, Kuniyoshi Ohara, Masaki Nie … (2011)
            The waffle procedure is performed in patients with marked thickening and calcification of the epicardium and no substantial improvement in hemodynamic parameters after pericardiectomy. We retrospectively investigated the efficacy of the waffle procedure in 6 of 11 patients who underwent pericardiectomy. These 6 patients showed no improvement in central venous pressure, pulmonary arterial pressure, pulmonary capillary wedge pressure, or cardiac index after pericardiectomy. After the waffle procedure, all hemodynamic parameters improved, and there were no significant differences compared to those of the 5 patients who did not require the waffle procedure, despite higher pulmonary capillary wedge pressure and lower cardiac index values preoperatively in the waffle group. The waffle procedure was considered effective in patients with persistent epicardial constriction.
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              Validation of Waffle procedure for constrictive pericarditis with epicardial thickening

              Manabu Shiraishi, Atsushi Yamaguchi, Kenichi Muramatsu … (2015)
              Article 0 comments Cited 1 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Omid Kiamanesh:
                ORCID: https://orcid.org/0000-0001-9556-1350
                omid.kiamanesh@ucalgary.ca
                Journal
                Journal ID (nlm-ta): ESC Heart Fail
                Journal ID (iso-abbrev): ESC Heart Fail
                Journal ID (doi): 10.1002/(ISSN)2055-5822
                Journal ID (publisher-id): EHF2
                Title: ESC Heart Failure
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Electronic): 2055-5822
                Publication date (Electronic): 06 August 2020
                Publication date Collection: October 2020
                Volume: 7
                Issue: 5 ( doiID: 10.1002/ehf2.v7.5 )
                Pages: 3213-3214
                Affiliations
                [ 1 ] Division of Cardiology University of Toronto Toronto Ontario Canada
                [ 2 ] Department of Cardiac Sciences University of Calgary Calgary Alberta Canada
                [ 3 ] Department of Surgery University of Toronto Toronto Ontario Canada
                Author notes
                [*] [* ] Correspondence to: Omid Kiamanesh, Department of Cardiac Sciences, University of Calgary, 1403‐29th Street NW, Calgary, Alberta, T2N 2T9, Canada. Email: omid.kiamanesh@ 123456ucalgary.ca

                Author information
                https://orcid.org/0000-0001-9556-1350
                Article
                Publisher ID: EHF212926 Other ID: ESCHF-20-00535
                DOI: 10.1002/ehf2.12926
                PMC ID: 7524110
                PubMed ID: 32762001
                SO-VID: 06ab95a8-a0ac-4b9a-b5f1-12d575ee7885
                Copyright © © 2020 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                Date received : 11 June 2020
                Date accepted : 13 July 2020
                Page count
                Figures: 1, Tables: 0, Pages: 2, Words: 408
                Funding
                Funded by: Arthur J.E. Child Cardiology Fellowship
                Categories
                Subject: Case Report
                Subject: Case Report
                Custom metadata
                source-schema-version-number 2.0
                cover-date October 2020
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.1 mode:remove_FC converted:29.09.2020

                Keywords: constrictive pericarditis,pericardial effusion,pericardiectomy,pericardial waffle
                Data availability:
                Keywords: constrictive pericarditis, pericardial effusion, pericardiectomy, pericardial waffle

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