Tuberculous constrictive pericarditis and atrial septal defect: Surgical challenge

Tuberculous constrictive pericarditis with atrial septal defect is very rare. A 23-year-old man required pericardiectomy and atrial septal defect closure under cardiopulmonary bypass by cannulating the aorta and right atrium because femoral cannulation was not possible and the venae cavae could not...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2016-11, Vol.24 (9), p.888-892
Main Authors: Lakhotia, Siddharth, Kumawat, Mukesh, Mathur, Sharad Kumar, Kinge, Bhushan Kumar
Format: Article
Language:English
Subjects:
Antitubercular Agents - therapeutic use
Biopsy
Cardiopulmonary Bypass
Echocardiography
Heart Septal Defects, Atrial - complications
Heart Septal Defects, Atrial - diagnostic imaging
Heart Septal Defects, Atrial - surgery
Humans
Male
Pericardiectomy
Pericarditis, Constrictive - complications
Pericarditis, Constrictive - diagnostic imaging
Pericarditis, Constrictive - microbiology
Pericarditis, Constrictive - surgery
Pericarditis, Tuberculous - complications
Pericarditis, Tuberculous - diagnostic imaging
Pericarditis, Tuberculous - microbiology
Pericarditis, Tuberculous - surgery
Postoperative Complications - etiology
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
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Summary:Tuberculous constrictive pericarditis with atrial septal defect is very rare. A 23-year-old man required pericardiectomy and atrial septal defect closure under cardiopulmonary bypass by cannulating the aorta and right atrium because femoral cannulation was not possible and the venae cavae could not be visualized. He was discharged in a satisfactory condition on the 15th postoperative day, but returned one month later with swelling all over his body and dyspnea on exertion. Echocardiography showed atrial septal defect patch dehiscence and a bidirectional shunt with a collection or mass compressing the right ventricle. Subxiphoid exploration was carried out, and the swelling subsided.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492315593226