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KMID : 0191119980130060658
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Journal of Korean Medical Science
1998 Volume.13 No. 6 p.658 ~ p.661
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Constrictive pericarditis after surgical closure of atrial septal defect in a child
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Kim BJ
Ma JS
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Abstract
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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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