Tuberculous constrictive pericarditis and atrial septal defect: Surgical challenge.
Tuberculous constrictive pericarditis with atrial septal defect is very rare. A 23-year-old man required pericardiectomy and atrial septal defect closure under cardiopulmonary bypass by cannulating the aorta and right atrium because femoral cannulation was not possible and the venae cavae could not be visualized. He was discharged in a satisfactory condition on the 15th postoperative day, but returned one month later with swelling all over his body and dyspnea on exertion. Echocardiography showed atrial septal defect patch dehiscence and a bidirectional shunt with a collection or mass compressing the right ventricle. Subxiphoid exploration was carried out, and the swelling subsided.
['Lakhotia|Siddharth|S|', 'Kumawat|Mukesh|M|', 'Mathur|Sharad Kumar|SK|', 'Kinge|Bhushan Kumar|BK|']
D000995:Antitubercular Agents D001706:Biopsy D002315:Cardiopulmonary Bypass D004452:Echocardiography D006344:Heart Septal Defects, Atrial D006801:Humans D008297:Male D010492:Pericardiectomy D010494:Pericarditis, Constrictive D010495:Pericarditis, Tuberculous D011183:Postoperative Complications D013997:Time Factors D014057:Tomography, X-Ray Computed D016896:Treatment Outcome D055815:Young Adult
constrictive Pericarditis atrial Heart septal defects Pericardium Tuberculosis