Constrictive pericardial disease following mitral valve replacement.
Constrictive pericardial disease developing after open heart surgery is not a well-recognized complication of this procedure. It has been reported only a few times and usually not with good hemodynamic data before and after the subsequent pericardiectomy. We presently report a patient who developed constrictive pericardial disease five years after mitral valve replacement. This was documented with left- and right-sided heart catheterization. The patient underwent pericardiectomy with remarkable clinical improvement. Repeat right- and left-sided heart catheterization done three months postoperatively documented the resolution of the constrictive hemodynamic pattern present before pericardiectomy.
D001705:Bioprosthesis / Q000009:adverse effects*; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D010494:Pericarditis, Constrictive / Q000209:etiology* / Q000503:physiopathology; D010496:Pericardium / Q000601:surgery