Constrictive pericarditis causes

Template:Pericardial constriction Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Causes

Common Causes

Constrictive pericarditis is most commonly caused by conditions or events that cause inflammation to develop around the heart, including:

• Coronary artery bypass graft surgery: In patients who have undergone coronary artery bypass surgery with pericardial sparing, there is danger of tearing a bypass graft while removing the pericardium. If any pericardium is not removed, it is possible for bands of pericardium to cause localized constriction which may cause symptoms and signs consistent with constriction.
• Radiation therapy to the chest
• Tuberculosis. This is the most frequent cause of constriction in Africa and Asia.
• Post Viral Pericarditis
• Postsurgical
• Prior mediastinal radiation therapy
• Chronic Renal Failure
• Connective Tissue Disorders
• Neoplastic pericardial infiltration
• Incomplete drainage of purulent pericarditis
• Fungal and Parasitic Infections
• Following pericarditis associated with ST elevation myocardial infarction (Dressler's syndrome)
• In Association with pulmonary asbestosis
• Mesothelioma
• Bacterial, viral, or surgical infections that cause abnormal buildup in the covering of the heart

Causes by Organ System

Cardiovascular	Chylopericardium, Rheumatic pericarditis, Coronary artery bypass graft surgery, Post mediatinal surgery, Post viral pericarditis, Neoplastic pericardial infiltration, Dressler's syndrome
Chemical / poisoning	No underlying causes
Dermatologic	No underlying causes
Drug Side Effect	Hydralazine, Methysergide, Procainamide
Ear Nose Throat	No underlying causes
Endocrine	No underlying causes
Environmental	No underlying causes
Gastroenterologic	No underlying causes
Genetic	Mulibrey nanism
Hematologic	No underlying causes
Iatrogenic	Coronary artery bypass graft surgery, Implantation of an automated implantable cardiac defibrillator, Implantation of an epicardial pacemaker, Incomplete drainage of purulent pericarditis, Orthopedic heart transplant, Post mediatinal surgery, Prior mediastinal radiation therapy, Radiation therapy, Sclerotherapy for esophageal varices.
Infectious Disease	Adenovirus, Bacterial infections, Coxsackievirus, Echovirus, Fungal infections, Hepatitis viruses, Pneumococcal pneumonia, Post viral pericarditis, Tuberculosis
Musculoskeletal / Ortho	No underlying causes
Neurologic	No underlying causes
Nutritional / Metabolic	No underlying causes
Obstetric/Gynecologic	No underlying causes
Oncologic	Mesothelioma, Neoplastic pericardial infiltration
Opthalmologic	No underlying causes
Overdose / Toxicity	No underlying causes
Psychiatric	No underlying causes
Pulmonary	In association with pulmonary asbestosis,Pneumococcal pneumonia, Mesothelioma
Renal / Electrolyte	Chronic renal failure, Uremia
Rheum / Immune / Allergy	Connective tissue disorders, Dressler's syndrome, Rheumatoid arthritis, Sarcoidosis, Systemic sclerosis
Sexual	No underlying causes
Trauma	No underlying causes
Urologic	No underlying causes
Dental	No underlying causes
Miscellaneous	No underlying causes

Causes in Alphabetical Order

• Adenovirus
• Bacterial infections
• Chronic renal failure
• Chylopericardium
• Connective tissue disorders
• Coronary artery bypass graft surgery
• Coxsackievirus
• Dressler's syndrome
• Echovirus
• Fungal infections
• Hepatitis viruses
• Hydralazine
• Implantation of an automated implantable cardiac defibrillator
• Implantation of an epicardial pacemaker
• In association with pulmonary asbestosis
• Incomplete drainage of purulent pericarditis
• Mesothelioma
• Methysergide
• Mulibrey nanism
• Neoplastic pericardial infiltration
• Orthopedic heart transplant
• Pneumococcal pneumonia
• Post mediatinal surgery
• Post viral pericarditis
• Prior mediastinal radiation therapy
• Procainamide
• Radiation therapy
• Rheumatic pericarditis
• Rheumatoid arthritis
• Sarcoidosis
• Sclerotherapy for esophageal varices.
• Systemic sclerosis
• Tuberculosis
• Uremia

Sources

http://www.nlm.nih.gov/medlineplus/ency/article/001103.htm