Key result
Surgery for constrictive pericarditis with RV obstruction requires preoperative coronary imaging given potentially irreversible RV changes.
Why the study?
Constrictive pericarditis associated with an anomalous left anterior descending artery is very rare and complex, presenting diagnostic challenges and surgical management difficulties.
This case highlights the diagnostic and surgical complexities of managing constrictive pericarditis with concurrent RVOT obstruction and anomalous coronary anatomy, noting that chronic right ventricular changes may not be fully reversible.
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Preoperative coronary imaging is crucial for surgical planning; leaves open reversibility of chronic RV changes after pericardiectomy.
Maleki et al. (2026) studied this question. Surgical correction of constrictive pericarditis with right ventricular obstruction requires preoperative coronary imaging, as chronic right ventricular changes may be irreversible.
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