Dammalapati Pavan Kumar, Kar Sandeep Kumar, Mahapatra Subhendu Sekhar
Department of Cardio Thoracic Vascular Anaesthesiology, Institute of Post Graduate Medical Education and Research (IPGME&R), Kolkata, 700020 India.
Department of Cardio Thoracic Vascular Surgery, Institute of Post Graduate Medical Education and Research (IPGME&R), Kolkata, India.
Indian J Thorac Cardiovasc Surg. 2023 Jul;39(4):402-406. doi: 10.1007/s12055-023-01503-w. Epub 2023 Apr 15.
Mitral valve prolapse in the young is the most common cause of mitral regurgitation (MR). Constrictive pericarditis (CP) is a chronic and end-stage manifestation of the inflammatory process of the pericardium. Apart from equalization of diastolic pressure of the chambers as well as increased ventricular interdependence, the thickened pericardial sheath in end-stage pericarditis fails to accommodate the intrathoracic venous return due to restricted cardiac chamber filling. Intracardiac valvular pathologies might co-exist in CP. This report presents a case in which effusive CP was associated with MR and highlights the pivotal role of intraoperative transesophageal echocardiography (TEE) in the decision-making of such co-existent lesions.
年轻人二尖瓣脱垂是二尖瓣反流（MR）最常见的原因。缩窄性心包炎（CP）是心包炎症过程的慢性终末期表现。除了心腔舒张压均衡以及心室相互依赖性增加外，终末期心包炎中增厚的心包鞘由于心腔充盈受限，无法容纳胸腔内静脉回流。心内瓣膜病变可能与CP并存。本报告介绍了一例渗出性CP合并MR的病例，并强调了术中经食管超声心动图（TEE）在此类并存病变决策中的关键作用。
