Why the study?
Does surgery (pericardiectomy and ASD closure) improve outcomes in children with constrictive pericarditis associated with atrial septal defect?
Does surgery (pericardiectomy and ASD closure) improve outcomes in children with constrictive pericarditis associated with atrial septal defect?
The unusual combination of constrictive pericarditis and ASD in children requires cardiac catheterization for diagnosis and can be treated surgically, though it carries a risk of postoperative mortality due to low cardiac output.
Two cases (1-year-old and 13-year-old) of constrictive pericarditis (CP) associated with atrial septal defect (ASD) are presented. The correct diagnosis was made preoperatively in both cases. Both patients underwent surgery (pericardiectomy and ASD closure). One patient died soon after the surgery because of low caridac output. The other patient was associated with protein-losing enteropathy and it improved dramatically after the operation. Cardiac catheterization is necessary for the diagnosis of this unusual combination. The cause of this unusual combination is obscure.
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Harada et al. (1978) studied this question.
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