Mitral Valve Repair for Severe Mitral Regurgitation Masked by Constrictive Pericarditis Revealed After Pericardiectomy.
作者信息
Abdallha Mohamed, Ahmed Elnazeer O, Abdelatti Mohammed, Ageel Omar, Mokhtar Mohammed, Farag Ahmed M G
机构信息
Cardiac Anesthesia Department, King Abdullah Medical City in Holy Capital Makkah, Saudi Arabia.
Cardiac Surgery Department, King Abdullah Medical City in Holy Capital Makkah, Saudi Arabia.
出版信息
J Cardiothorac Vasc Anesth. 2020 Sep;34(9):2456-2459. doi: 10.1053/j.jvca.2020.03.042. Epub 2020 Apr 19.
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.
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