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Ann Thorac Surg 1995;60:1112-1115
© 1995 The Society of Thoracic Surgeons

Case Reports

Defibrillator Patch Electrode Constriction: An Underrecognized Entity

William W. Barrington, MD, Ubeydullah Deligonul, MD, Arthur R. Easley, MD, John R. Windle, MD

Section of Cardiology, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska

Accepted for publication April 12, 1995.

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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Invited Commentary
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Ann. Thorac. Surg. 1995 60: 1115-1116. [Extract] [Full Text]



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