Off-pump complete pericardiectomy for an unusual case of annular constrictive pericarditis

Ann Thorac Surg. 2012 Aug;94(2):e45-7. doi: 10.1016/j.athoracsur.2012.01.080.


We describe a case of a 64-year-old man with constrictive pericarditis of unusual anatomy. Preoperative investigations revealed the thickened and calcified pericardial ring encircling the right and left ventricular cavity at the level of the atrioventricular (AV) groove and crossing the left anterior descending coronary artery, leading to strangulation of the heart. Off-pump complete pericardiectomy was performed successfully. The patient's postoperative course was uneventful.

Publication types

  • Case Reports

MeSH terms

  • Humans
  • Male
  • Middle Aged
  • Pericardiectomy / methods*
  • Pericarditis, Constrictive / surgery*