[A case of constrictive pericarditis following graft replacement of the descending aorta under left ventricular bypass using a centrifugal pump].
We experienced a case of constrictive pericarditis following replacement of the descending aorta. It has been pointed out that constrictive pericarditis can be developed following LV bypass using centrifugal pump due to the cardiotomy. But no actual case has reported so far. The case was a 61-year-old man for whom graft replacement of the descending aorta through left thoracotomy was performed. Fever and heart failure was elicited 3 weeks after the operation, and he was diagnosed as constrictive pericarditis by chest CT and echocardiography. The reoperation was performed 39 days after the graft replacement. Anterior wall of the both ventricle and postero-lateral wall of the left ventricle were strongly adhered to the pericardium. The adhesion was entirely dissected and the thickened pericardium was resected. The post-operative course was uneventful and the patient was discharged 42 days after the reoperation.
Ishizaka
T
T
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.
Ando
M
M
Adachi
S
S
Nakaya
M
M
Kawashima
Y
Y
D001013:Aorta, Thoracic / Q000601:surgery*; D001243:Assisted Circulation; D001807:Blood Vessel Prosthesis; D002498:Centrifugation; D005112:Extracorporeal Circulation; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010494:Pericarditis, Constrictive / Q000209:etiology*; D011183:Postoperative Complications