Successful Surgical Management for Severe Mitral Regurgitation Unmasked After Pericardiectomy for Chronic Constrictive Pericarditis

Teruya Nakamura, Takafumi Masai, Takashi Yamauchi, Takahiro Higuchi, Hiroshi Ito, Yuko Toyoshima, Yoshiki Sawa

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 78-year-old cachectic woman who previously had repair of atrial septal defect was admitted to the hospital for congestive heart failure. Cardiac workup revealed chronic constrictive pericarditis; no evidence of coronary or valvular disease was found. She underwent corrective surgery for pericardiectomy. Intraoperative transesophageal echocardiography after pericardiectomy demonstrated acute development of severe mitral regurgitation, which was not preoperatively observed. She eventually required mitral valve replacement and tricuspid valve repair after conservative management failed. She recovered from the operation and was discharged. We believe that this is the first report of successful surgical management of mitral regurgitation that developed acutely after pericardiectomy.

Original languageEnglish
Pages (from-to)1994-1996
Number of pages3
JournalAnnals of Thoracic Surgery
Volume86
Issue number6
DOIs
Publication statusPublished - Dec 2008
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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