PMID: 8463008Mar 1, 1993Paper

Atrio-ventricular regurgitations in constrictive pericarditis: incidence and post-operative outcome

International Journal of Cardiology
R R MantriP S Bidwai

Abstract

We studied 33 surgically proven cases of constrictive pericarditis during the period 1989-1991 by color Doppler echocardiography and angiography to look for incidence and postoperative outcome of atrioventricular regurgitation. The mean age was 27.2 + 16.5 years (21 males, 12 females). There was a very high incidence of mitral (79%, trivial in 13, mild in 11 and moderate in 2) and tricuspid (73%, trivial in 7, mild and moderate in 6 each and severe in 5) regurgitation. There was good correlation between 'color Doppler' and angiography for detection and quantification of these regurgitations (r = 0.89 for mitral and 0.76 for tricuspid regurgitation, respectively). There were no preoperative clinical or hemodynamic predictors for the incidence or severity of these regurgitations. Immediate postoperative (7-10 days) evaluation by color Doppler did not show any change in these regurgitations. A follow-up study (by color Doppler and angiography) in 18 patients at a mean period of 229 + 105 days revealed regression of these regurgitations by at least 1 grade in 50% of patients. Patients with persisting regurgitations had persisting hemodynamic abnormality and relatively longer duration of symptoms. The presence of atrio-ventricular r...Continue Reading

References

Jan 1, 1979·Catheterization and Cardiovascular Diagnosis·R LingamneniH Goldberg
Sep 1, 1990·Clinical Cardiology·D MasselJ A Cairns
Jul 1, 1982·British Heart Journal·J F Goodwin
Jan 1, 1983·Catheterization and Cardiovascular Diagnosis·M A RobbinsS J Gulotta
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Citations

Dec 25, 2007·The Annals of Thoracic Surgery·Enrique GóngoraThoralf M Sundt
Feb 8, 2019·Journal of Cardiothoracic Surgery·Min Suk ChoiSuryeun Chung

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