J Korean Med Sci.
1998 Dec;13(6):658-661. 10.3346/jkms.1998.13.6.658.
Constrictive pericarditis after surgical closure of atrial septal defect in a child
- Affiliations
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- 1Department of Pediatrics, Chonnam National University Medical School, Kwangju, Korea.
- KMID: 1038448
- DOI: http://doi.org/10.3346/jkms.1998.13.6.658
Abstract
- Constrictive pericarditis following an open cardiac surgery for congenital heart disease is very rarely encountered in children. We report a case of constrictive pericarditis, diagnosed at 22 months after surgical closure of an atrial septal defect, in a 14-year-old boy who presented postpericardiotomy syndrome. Cardiac catheterization revealed uniformity of elevated diastolic pressures in all chambers, prominent x and y descents in the right atrial pressure tracing, and typical "dip and plateau" contour of ventricular end-diastolic pressures. Pericardiectomy improved the hemodynamic status of the patient. He remains symptom-free during the follow-up period of 12 months.
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