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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

207
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
207
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

261
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
261
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

236
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
236
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

154
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
154
Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

149
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
149
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

253
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
253

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Updated: Dec 4, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Constrictive pericarditis decades after aortic valve repair.

Sean Byrnes1, Kunal Gada1

  • 1Department of Medicine, State University of New York Upstate Medical University, Syracuse, New York.

Proceedings (Baylor University. Medical Center)
|October 26, 2020
PubMed
Summary

Constrictive pericarditis is a rare complication following cardiac surgery. This case highlights a patient who developed symptoms 21 years after aortic valve replacement, successfully treated with pericardiectomy.

Keywords:
Aortic valve surgerychronic pericarditisconstrictive pericarditis

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Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Pericardial Diseases

Background:

  • Constrictive pericarditis is an uncommon complication after cardiac surgery.
  • The latency period for developing constrictive pericarditis can range significantly, from 82 days to over 200 months.

Observation:

  • A 75-year-old male patient presented with symptoms of constrictive pericarditis.
  • The patient had previously undergone aortic valve replacement surgery.

Findings:

  • Constrictive pericarditis was diagnosed 21 years post-aortic valve replacement.
  • Pericardiectomy with pericardial stripping was performed.
  • The surgical intervention confirmed constrictive pericarditis and led to symptom improvement.

Implications:

  • This case underscores the possibility of late-onset constrictive pericarditis following cardiac procedures.
  • Surgical pericardiectomy remains an effective treatment for symptomatic constrictive pericarditis.
  • Long-term surveillance for pericardial complications after cardiac surgery may be warranted.