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    Anti-inflammatory properties of amniotic membrane patch following pericardiectomy for constrictive pericarditis

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    art_3A10.1186_2Fs13019-017-056 ...
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    Author
    Marsh, Katherine M.
    Ferng, Alice S.
    Pilikian, Tia
    Desai, Ankit A.
    Avery, Ryan
    Friedman, Mark
    Oliva, Isabel
    Jokerst, Clint
    Schipper, David
    Khalpey, Zain
    Affiliation
    Univ Arizona, Coll Med, Dept Surg, Div Cardiothorac Surg
    Univ Arizona, Coll Med, Dept Internal Med, Div Cardiol
    Univ Arizona, Coll Med, Dept Med Imaging
    Univ Arizona, Coll Med, Dept Physiol Sci
    Univ Arizona, Coll Med
    Univ Arizona, Coll Med, Dept Translat & Regenerat Med
    Issue Date
    2017-01-26
    Keywords
    Constrictive pericarditis
    Amniotic membrane patch
    Orthotopic heart transplant
    
    Metadata
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    Publisher
    BIOMED CENTRAL LTD
    Citation
    Anti-inflammatory properties of amniotic membrane patch following pericardiectomy for constrictive pericarditis 2017, 12 (1) Journal of Cardiothoracic Surgery
    Journal
    Journal of Cardiothoracic Surgery
    Rights
    © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Background: Since constrictive pericarditis is most often idiopathic and the pathophysiology remains largely unknown, both the diagnosis and the treatment can be challenging. However, by definition, inflammatory processes are central to this disease process. Amniotic membrane patches have been shown to possess anti-inflammatory properties and are believed to be immune privileged. Due to these properties, amniotic membrane patches were applied intraoperatively in a complicated patient presenting with constrictive pericarditis. Case presentation: A patient with a history of multiple cardiac surgeries presented with marked fatigue, worsening dyspnea and sinus tachycardia. He was found to have constrictive physiology during cardiac catheterization, with cardiac MRI demonstrating hepatic vein dilatation, atrial enlargement and ventricular narrowing. After amniotic membrane patch treatment and pericardiectomy, post-operative cardiac MRI failed to demonstrate any appreciable pericardial effusion or inflammation, with no increased T2 signal that would suggest edema. Conclusions: Given the positive results seen in this complex patient, we suggest continued research into the beneficial properties of amniotic membrane patches in cardiac surgery.
    ISSN
    1749-8090
    PubMed ID
    28126025
    DOI
    10.1186/s13019-017-0567-7
    Version
    Final published version
    Additional Links
    http://cardiothoracicsurgery.biomedcentral.com/articles/10.1186/s13019-017-0567-7
    ae974a485f413a2113503eed53cd6c53
    10.1186/s13019-017-0567-7
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