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Japanese

Constrictive Pericarditis with Intractable Ascites after Aortic Valve Replacement;Report of a Case Rie Kageyama 1 , Kyouhei Ueno 1 , Masatoshi Sunada 1 , Hirofumi Midorikawa 1 , Megumu Kanno 1 , Takashi Takano 2 , Kouichi Satou 2 1Department of Cardiovascular Surgery, Southern Tohoku General Hospital Keyword: constrictive pericarditis , post open heart surgery , ascites , pericardiectomy pp.218-221
Published Date 2018/3/1
DOI https://doi.org/10.15106/j_kyobu71_218
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We report a 68-year-old man, who developed refractory ascites of unknown cause after aortic valve replacement. He was diagnosed with constrictive pericarditis because of “dip-and-plateau” waveform findings via cardiac catheterization and operated with cardiopulmonary bypass. Following waffle procedure, we incised pericardium for decompression, so that pericardial mobility and diastolic dysfunction was improved. Postoperative computed tomography (CT) image also showed decrease of ascites fluid. We concluded that pericardiotomy is an established surgical procedure and is excellent indication to constrictive pericarditis.


© Nankodo Co., Ltd., 2018

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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