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Updated: Dec 21, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Mitral Valve Repair for Severe Mitral Regurgitation Masked by Constrictive Pericarditis Revealed After
Mohamed Abdallha1, Elnazeer O Ahmed2, Mohammed Abdelatti1
1Cardiac Anesthesia Department, King Abdullah Medical City in Holy Capital Makkah, Saudi Arabia.
Abstract:
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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