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Mitral and Tricuspid Annular Velocities Before and After Pericardiectomy in Patients With Constrictive Pericarditis Gabriella Veress, MD; Lieng H. Ling, MD; Kye-Hun Kim, MD, PhD; Jacob P. Dal-Bianco, MD; Hartzell V. Schaff, MD; Raul E. Espinosa, MD; Rowlens M. Melduni, MD; Jamil A. Tajik, MD; Thoralf M. Sundt, III, MD; Jae K. Oh, MD Background—Previous studies have demonstrated that mitral annulus early diastolic (e) velocity is increased in constrictive pericarditis (CP) and reduced in restrictive cardiomyopathy. However, those studies did not comprehen- sively evaluate mitral and tricuspid annular velocities before and after pericardiectomy. Methods and Results—We performed comprehensive echocardiography before and after pericardiectomy in 99 patients with CP, 52 with primary (idiopathic or postpericarditis etiology) and 47 with secondary CP (due to surgery or radiation). Overall, meanSD mitral medial, mitral lateral, and tricuspid lateral e velocities were 12.24.2, 10.05.4, and 11.63.5 cm/s, respectively; annular late diastolic velocities were 10.34.3, 12.24.9, and 11.75.4 cm/s, respectively; and annular systolic (s) velocities were 7.82.8, 8.22.1, and 11.23.8 cm/s, respectively. Medial e was equal to or greater than mitral lateral e in 74% of analyzable cases. With the exception of tricuspid s, there were significant differences in all s and evelocities between primary
Circulation: Cardiovascular Imaging – Wolters Kluwer Health
Published: Jul 1, 2011
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