Mitral Valve Repair for Severe Mitral Regurgitation Masked by Constrictive Pericarditis Revealed After Pericardiectomy

A case of severe mitral regurgitation (MR) that was masked by constrictive pericarditis and revealed after pericardiectomy is presented. Diagnosis was made intraoperatively with transesophageal echocardiography. Mitral valve repair was performed using a mitral annuloplasty ring. In some cases, worse...

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Bibliographic Details
Published in:Journal of cardiothoracic and vascular anesthesia 2020-09, Vol.34 (9), p.2456-2459
Main Authors: Abdallha, Mohamed, Ahmed, Elnazeer O., Abdelatti, Mohammed, Ageel, Omar, Mokhtar, Mohammed, Farag, Ahmed M.G.
Format: Article
Language:English
Subjects:
constrictive pericarditis
Echocardiography, Transesophageal
Humans
intraoperative transesophageal echocardiography
Mitral Valve - diagnostic imaging
Mitral Valve - surgery
Mitral Valve Annuloplasty - adverse effects
Mitral Valve Insufficiency - diagnostic imaging
Mitral Valve Insufficiency - etiology
Mitral Valve Insufficiency - surgery
Pericardiectomy
Pericarditis, Constrictive - complications
Pericarditis, Constrictive - diagnostic imaging
Pericarditis, Constrictive - surgery
severe mitral regurgitation
Treatment Outcome
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Summary:A case of severe mitral regurgitation (MR) that was masked by constrictive pericarditis and revealed after pericardiectomy is presented. Diagnosis was made intraoperatively with transesophageal echocardiography. Mitral valve repair was performed using a mitral annuloplasty ring. In some cases, worsening MR after pericardiectomy has been demonstrated to return to baseline with time. In the patient described, MR was severe with secondary ischemic pathology; therefore the decision was made to repair the mitral valve. Intraoperative transesophageal echocardiography played a major role in the decision making.
ISSN:1053-0770
1532-8422
DOI:10.1053/j.jvca.2020.03.042