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Volume 350:2310-2312 May 27, 2004 Number 22
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Effusive–Constrictive Pericarditis

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by Hancock, E. W.
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by Sagristà-Sauleda, J.
-PubMed Citation
To the Editor: In their article on pericardial constriction, Sagristà-Sauleda et al. (Jan. 29 issue)1 note the critical contribution of the visceral layer of the pericardium to the pathogenesis of constrictive pericarditis. We fully agree with this point and would like to emphasize that constrictive cardiac physiology can develop even in the absence of a parietal pericardial layer. For example, a therapeutic option for the treatment of patients with mesothelioma is extrapleural pneumonectomy. If the disease is present in the left side of the chest, the lung, parietal pleura, parietal pericardium, and diaphragm are removed. Therefore, constrictive cardiac physiology due . . . [Full Text of this Article]



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