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Updated: Apr 8, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Tuberculous constrictive pericarditis and atrial septal defect: Surgical challenge
Siddharth Lakhotia1, Mukesh Kumawat2, Sharad Kumar Mathur3
1Department of Cardiothoracic and Vascular Surgery, Institute of Medical Sciences and Associated SS Hospital BHU, Varanasi, India drslakhotia@gmail.com.
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.
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