Waffle Procedure via Left Anterolateral Thoracotomy for a Tuberculous Constrictive Pericarditis Patient
- VernacularTitle:左前側方開胸による心拍動下心膜切開術が有効であった結核性収縮性心膜炎の1治験例
- Author:
Chikao TERAMOTO
1
;
Yoshimori ARAKI
1
;
Takafumi TERADA
1
;
Yasunobu KONISHI
1
;
Osamu KAWAGUCHI
1
Author Information
- Keywords: tuberculous pericarditis; constrictive pericarditis; waffle procedure; left anterior thoracotomy
- From:Japanese Journal of Cardiovascular Surgery 2019;48(1):60-64
- CountryJapan
- Language:Japanese
- Abstract: We present the case of a 72-year-old man with constrictive pericarditis due to tuberculous pericarditis, who was treated with the waffle procedure via left anterolateral thoracotomy. The preoperative catheterization study showed the dip-and-plateau pattern, and the echocardiographic study shown the thickened pericardium and dilatation impairment. The surgery was able to be performed without cardiopulmonary bypass. The thickened pericardium was abraded with a Harmonic Scalpel. The waffle procedure was effective in this patient. The postoperative course was good, with improvement of NYHA status and cardiac pressure study results. We suggest that this procedure is useful for the patients with constrictive pericarditis.
