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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

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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

Summary

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.

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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.