Journal of cardiothoracic and vascular anesthesia · 2020
Mitral Valve Repair for Severe Mitral Regurgitation Masked by Constrictive Pericarditis Revealed After Pericardiectomy.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Abdallha Mohamed, Ahmed Elnazeer O, Abdelatti Mohammed, Ageel Omar, Mokhtar Mohammed, Farag Ahmed M G
Аннотация
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.