Atrial septal defect and constrictive Pericarditis

Yahini, Joseph H.; Goor, Daniel A.; Kraus, Y; Pauzner, Yehuda; Neufeld, Henry N.

doi:10.1016/0002-9149(66)90411-5

Cited by 10 publications

(2 citation statements)

References 8 publications

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“…The second patient had signs of pericarditis and atrial septal defect of the secundum variety. This strange combination has been described thrice before (Semler et al, 1960;Yahini et al, 1966;Albers et al, 1969) but the pericarditis was not identified as tuberculous as in the above case . In this patient, the pericarditis was part of a pleuropericardial involvement without any constrictive element.…”

Section: Commentsupporting

confidence: 62%

Tuberculosis ‐ Masked Cardiac Disorders

Kounis¹

1978

Int J Clinical Practice

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Section: Commentsupporting

confidence: 62%

Tuberculosis ‐ Masked Cardiac Disorders

Kounis¹

1978

Int J Clinical Practice

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“…The combination of constrictive pericarditis (CP) and atrial septal defect (ASD) is a rare occurrence. While there have been reports on the etiology, diagnosis, and treatment of this condition, little attention has been given to the surgical and anesthetic challenges associated with it [1][2][3][4][5][6][7][8][9][10][11]. The long-term confinement of the pericardium leads to myocardium disuse atrophy, fibrosis, decreased compliance, diastolic dysfunction, and poor tolerance to hemodynamic fluctuations.…”

Section: Introductionmentioning

confidence: 99%

Anaesthetic Management of a Large Atrial Septal Defect with Severe Tuberculous Constrictive Pericarditis: A Case Report

Ye,

Li,

Yang

2024

HSF

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The combination of constrictive pericarditis (CP) and atrial septal defect (ASD) is a rare medical condition. Surgical intervention is typically considered the superior treatment option for patients with this condition. In this report, we present a rare case where a patient presented both a large ASD and severe tuberculous CP. The role of anesthesia is crucial in surgical procedures involving this complex cardiac conditions. Factors such as hemodynamic stability, fluid management, and preservation of cardiac function must be carefully considered. The utilization of transesophageal echocardiography (TEE) proved highly advantageous in this case, as it guided the medical team through various phases of treatment. By closely monitoring cardiac function with TEE, changes and improvements be accurately evaluated over time. This case report discusses the anesthetic management issues of this complex disease.

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