ABSTRACT
Constrictive pericardial disease developing after open heart surgery is not a well-recognized complication of this procedure. It has been reported only a few times and usually not with good hemodynamic data before and after the subsequent pericardiectomy. We presently report a patient who developed constrictive pericardial disease five years after mitral valve replacement. This was documented with left- and right-sided heart catheterization. The patient underwent pericardiectomy with remarkable clinical improvement. Repeat right- and left-sided heart catheterization done three months postoperatively documented the resolution of the constrictive hemodynamic pattern present before pericardiectomy.
Subject(s)
Bioprosthesis/adverse effects , Heart Valve Prosthesis/adverse effects , Mitral Valve Insufficiency/surgery , Mitral Valve , Pericarditis, Constrictive/etiology , Female , Hemodynamics , Humans , Middle Aged , Pericarditis, Constrictive/physiopathology , Pericardium/surgerySubject(s)
Tachycardia, Paroxysmal/diagnosis , Echocardiography , Heart Ventricles , Humans , Male , Middle Aged , Mitral Valve/physiopathologyABSTRACT
A case of right atrial visualization on Tl-201 imaging in a patient with marked right atrial enlargement secondary to atrial septal defect is described. The misinterpretation of Tl-201 an gated cardiac studies on initial inspection, due to this unusual finding, and the importance of obtaining special lateral and oblique view for correct identification of cardiac chambers are discussed.
