title: Successful surgical management for severe mitral regurgitation unmasked after pericardiectomy for chronic constrictive pericarditis.
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.
authors.affiliation: Division of Cardiovascular Surgery, Sakurabashi-Watanabe Hospital, Osaka, Japan.
authors.forename: Teruya
authors.initials: T
authors.lastname: Nakamura
authors.forename: Takafumi
authors.initials: T
authors.lastname: Masai
authors.forename: Takashi
authors.initials: T
authors.lastname: Yamauchi
authors.forename: Takahiro
authors.initials: T
authors.lastname: Higuchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ito
authors.forename: Yuko
authors.initials: Y
authors.lastname: Toyoshima
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sawa
mesh_terms: D000208:Acute Disease; D000368:Aged; D006328:Cardiac Catheterization; D002908:Chronic Disease; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D010492:Pericardiectomy / Q000009:adverse effects* / Q000379:methods; D010494:Pericarditis, Constrictive / Q000175:diagnosis / Q000601:surgery*; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome