title: Tuberculous constrictive pericarditis and atrial septal defect: Surgical challenge.
abstract: 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.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Institute of Medical Sciences and Associated SS Hospital BHU, Varanasi, India drslakhotia@gmail.com.
authors.forename: Siddharth
authors.initials: S
authors.lastname: Lakhotia
authors.affiliation: Department of Vascular Surgery, Institute of Medical Sciences and Associated SS Hospital BHU, Varanasi, India.
authors.forename: Mukesh
authors.initials: M
authors.lastname: Kumawat
authors.affiliation: Department of Anesthesia, Institute of Medical Sciences and Associated SS Hospital BHU, Varanasi, India.
authors.forename: Sharad Kumar
authors.initials: SK
authors.lastname: Mathur
authors.affiliation: Department of Anesthesia, Institute of Medical Sciences and Associated SS Hospital BHU, Varanasi, India.
authors.forename: Bhushan Kumar
authors.initials: BK
authors.lastname: Kinge
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D001706:Biopsy; D002315:Cardiopulmonary Bypass; D004452:Echocardiography; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D010495:Pericarditis, Tuberculous / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000995:Antitubercular Agents
keywords: Heart septal defects; Pericarditis; Pericardium; Tuberculosis; atrial; constrictive