Key result
Surgical removal of right atrial thrombus under cardiopulmonary bypass should be considered in patients with chronic constrictive pericarditis complicated by intracardiac thrombus.
Why the study?
Chronic constrictive pericarditis complicated with intracardiac thrombus is a rare condition requiring preoperative detection to prevent pulmonary thromboembolism risk during pericardiectomy.
Case Report (n=1)
Highlights the importance of preoperative transesophageal echocardiography to detect life-threatening intracardiac thrombus in patients with chronic constrictive pericarditis.
Preoperative TEE may detect intracardiac thrombus in CCP and avert embolization risk during pericardiectomy; leaves open standardized management for this rare entity.
Chronic constrictive pericarditis (CCP) is the most common pericardial pathology. CCP complicating with intracardiac thrombus is a rare entity, the detection of thrombus preoperatively is life-saving in avoiding the risk of pulmonary thromboembolism during anterior pericardiectomy. Transesophageal echocardiography has been shown to have better sensitivity in detecting atrial thrombus than transthoracic echocardiography. Surgical removal of right atrial thrombus under cardiopulmonary bypass should be considered.
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Kumar et al. (2019) conducted a case report in Chronic constrictive pericarditis complicated with right atrial thrombus and abdominal tuberculosis (n=1). Surgical removal of right atrial thrombus under cardiopulmonary bypass was evaluated. Surgical removal of right atrial thrombus under cardiopulmonary bypass should be considered in patients with chronic constrictive pericarditis complicated by intracardiac thrombus.
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