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Constrictive pericarditis with atrial septal defect

Yoshihisa Tanoue1, Yukihiro Tomita, Takashi Kajiwara

  • 1Department of Cardiovascular Surgery, Kyushu University, Fukuoka, Japan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|November 11, 2006
PubMed

Insights

This case study details a rare diagnosis of constrictive pericarditis with an atrial septal defect. Surgical intervention led to successful symptom improvement in a 50-year-old male patient.

Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Constrictive pericarditis (CP) and atrial septal defect (ASD) are distinct cardiac conditions.
  • The co-occurrence of CP with ASD is uncommon and presents diagnostic challenges.

Observation:

  • A 50-year-old male presented with symptoms suggestive of cardiac compromise.
  • Transthoracic echocardiography identified an atrial septal defect but provided limited visualization of pericardial thickening.
  • Cardiac catheterization was essential for confirming the diagnosis of constrictive pericarditis.

Findings:

  • The patient underwent successful pericardiectomy and direct closure of the atrial septal defect.
  • The surgical procedure was performed under cardiopulmonary bypass during cardioplegic arrest.
  • Postoperative recovery was uneventful, with significant symptomatic improvement.

Implications:

  • This case highlights the importance of comprehensive diagnostic approaches for rare cardiac conditions.
  • Successful surgical management of combined CP and ASD can lead to excellent patient outcomes.
  • Further research into the diagnostic nuances of co-existing CP and ASD may be warranted.

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