Tricuspid Regurgitation in Patients Undergoing Pericardiectomy for Constrictive Pericarditis

Constrictive Pericarditis

“…Concomitant pericardiectomy and tricuspid valve repair in patients with moderate to severe tricuspid regurgitation has not been shown to improve late mortality in CP. 46 …”

Transient Constrictive Pericarditis Following Cardiac Surgery

“…Furthermore, Gongora, et al, reported moderate or severe tricuspid regurgitation such as seen in the present Case 2 is associated with increased mortality. 10) On the other hand, few cases of transient CP have been reported. [1][2][3][4][5] Sagrista-Sauleda and colleagues reported that 16 of 177 patients with acute idiopathic constrictive pericarditis had a transient course.…”

“…[7][8][9][10][11] Although an early pericardiectomy procedure has been advocated to improve results, operative and late mortality rates are not low. 7) In our Case 1, the operative mortality related to a pericardiectomy procedure might have been higher than usual because of post-myocardial infarction.…”

Pericardiectomy for constrictive pericarditis with postoperative increase of tricuspid regurgitation

“…Gongora et al, [2] evaluated 261 cases of constrictive pericarditis. Among those with moderate/severe TR, operative mortality was similar whether or not repair was undertaken.…”

“…Longstanding disease may induce myocardial atrophy or fibrosis; mediastinalin flammation and fibrosis may produce recurrent cardiac compression, and inadequate or incomplete resection may result in no improvement [1]. Tricuspid regurgitation (TR) is another factor, which may complicate pericardial constriction [2]. Recently, we encountered a surgical case of pericardial constriction in which TR increased postoperatively.…”