Browsing by Author "Tuncer, Mustafa"

Now showing 1 - 20 of 91

Acute Mesenteric Ischemia Due To Left Atrial Movable Thrombi in a Patient With Mitral Valve Replacement
(int Scientific Literature, inc, 2008) Ekim, Hasan; Tuncer, Mustafa
Background: Mesenteric ischemia associated with left atrial thrombosis is a serious complication that can occur after a mechanical mitral valve replacement. We performed an operation to remove the atrial thrombi leading to acute mesenteric ischemia. Possible cause of this thrombi formation is discussed. Case Report: A 47-year-old woman was transferred to our hospital for investigation of mesenteric ischemia thought to be cardiogenic in origin, 3 years after mitral valve replacement. She was initially admitted to Department of General Surgery after sudden abdominal pain and a diagnosis of mesenteric ischemia was made. The transesophageal echocardiogram showed a mechanical mitral valve and oscillating thrombi on the left atrium. The patient subsequently underwent an urgent open heart operation. The left atrial thrombi were removed without valve re-replacement. Histopathological study results of the operative specimen were consistent with thrombus. She had an uneventful postoperative recovery and was discharged from hospital 16 days after operation in good condition. Conclusions: We believe that the mesenteric thromboembolism was most likely caused by oscillating atrial thrombi due to inappropriate warfarin use and atrial fibrillation. Therefore, life-time follow-up and appropriate anticoagulant therapy is recommended to prevent thromboembolic events after the mechanical mitral valve replacement.
Acute Rupture of a Congenital Sinus of Valsalva Aneurysm After Severe Exercise
(Turkish Soc Cardiology, 2009) Tuncer, Mustafa; Eryonucu, Beyhan; Guntekin, Unal; Gumrukcuoglu, Hasan Ali
Ruptured aneurysms of the sinus of Valsalva may cause manifestations of prompt onset. A 22-year-old man with no previous cardiac complaints presented with dyspnea, palpitation, fatigue, and shortness of breath, all of which occurred after a football match. Transthoracic echocardiography showed an aneurysmal dilatation of the right sinus of Valsalva to the direction of the right ventricle. Color Doppler imaging showed a marked left-to-right turbulent flow from the aortic root to the right ventricle. Continuous Doppler imaging also revealed a continuous left-to-right systolodiastolic shunting. The patient was submitted to cardiovascular surgery for surgical repair.
Age at Death in the Turkish Adult Risk Factor Study: Temporal Trend and Regional Distribution at 56.700 Person-years' Follow-Up
(Turkish Soc Cardiology, 2009) Onat, Altan; Ugur, Murat; Tuncer, Mustafa; Ayhan, Erkan; Kaya, Zekeriya; Kucukdurmaz, Zekeriya; Kaya, Hasan
Objectives: We analyzed the temporal trend and regional distribution of age at death due to all-causes and the sex-specific and age range defined by coronary mortality in the 18-year follow-up of the Turkish Adult Risk Factor Study. Study Design: The participants of the Turkish Adult Risk Factor Study who have been examined in even years were last surveyed in August 2008. A total of 1,582 individuals were surveyed, which constituted half of the surviving participants of the overall cohort. Information on death was obtained from first-degree relatives and/or health personnel of local health offices. Survivors were evaluated by history, physical examination, and 12-lead electrocardiography. The cumulative follow-up was 56,700 person-years. Results: Of 1582 participants, 868 (431 men, 437 women) were examined, in 604 subjects information was gathered, and 47 participants (26 men, 21 women) were ascertained to have died. Twenty-two deaths were classified as being of coronary origin. Cumulative assessment of the entire cohort in the age range of 45-74 years disclosed coronary mortality to be 7.64 per 1000 person-years in men and 3.84 in women and persisted to be the highest among 30 European countries, whereas overall mortality declined at a greater proportion. Overall mean ages at death were deferred within a 12-year period by 7.4 years in men and 6 years in women, to 71.9 and 74.8 years, respectively. The extension of this mean survival was similar among urban-rural areas and geographic regions. Conclusion: Coronary mortality declined modestly, but life expectancy of Turkish adults rose by a mean of nearly seven years in the 12 years to 2003-08 without showing major differences in sex, urban-rural dwelling or geographic regions.
Aort Darlığı Olan Hastalarda Aort Kapak Replasmanının Klinik Sonuçları
(2005) Kutay, Veysel; Tuncer, Mustafa; Ekim, Hasan; Mustafaoğlu, Faik; Yakut, Cevat
Amaç: Çalışmamızın amacı aort kapak replasmam sonrası sol ventrikül sistol ve diyastol sonrası çaplarında olan değişiklikleri değerlendirmektir. Metot: Ocak 2000 ile Aralık 2003 tarihleri arasında Anabilim Dalımızda aort darlığı nedeniyle aort kapak replasmam yapılan hastalardan 20'si çalışma kapsamına alınmıştır. Hastalardan 16'sı erkek, 4'ü kadın olup yaşları 18 ile 70 arasında değişmekte ve ortalama yaş ta 36,51±18,10 yıl idi. Tüm hastalarda ameliyat öncesi ve sonrası ekokardiyografik değerlendirmeler yapıldı. Bulgular: Aort kapak replasmam sonrası tüm hastalarda hemodinami anlamlı olarak düzeldi. Sol ventrikül sistol ve diyastol sonrası çapları ile interventriküler septum kalınlığı azaldı. Ayrıca ameliyat sonrası sol ventrikül ejeksiyon fraksiyonu ameliyat öncesine göre anlamlı olarak yükseldi. Sonuç: Aort kapak replasmanı sol ventrikül ejeksiyon fraksiyonunu artırır ve miyokardiyal hipertrofinin gerilemesini sağlar.
Aortic Valve Involvement and Premature Coronary Artery Disease in Heterozygous Familial Hypercholesterolemia
(2011) Eryonucu, Beyhan; Gümrükçüoğlu, Ali Hasan; Şahin, Musa; Tuncer, Mustafa; Şimşek, Hakkı
Ailesel hiperkolesterolemi (AH) arterlerde, ciltte ve tendonlarda aşırı kolesterol birikimine yol açan plazma kolesterol yüksekliği ile karakterize otozomal dominant bir hastalıktır. Multipl ksantomlar nedeniyle cildiye polikliniğine başvuran 34 yaşında bayan hasta için aterosklerotik hastalık açısından kardiyoloji konsültasyonu istendi. Hastanın herhangi bir kardiyak şikayeti yoktu. Koroner arter hastalığı (KAH) açısından risk faktörü olarak ailede erken KAH öyküsü mevcuttu. Fizik muayenede aort odakta 3/6 sistolik üfürüm saptandı. Yapılan ekokardiyografide ciddi aort darlığı saptandı. Yapılan koroner anjiografide 3 koroner damarın etkilendiği yaygın KAH saptandı. Biz bu yazıda aort kapak tututulumu ve erken yaşta KAH nın eşlik ettiği heterozigos AH vakasını sunduk. Klin Deney Ar Derg 2011; 2 (3): 308-311.
Approach To Patients With Postoperative Atrial Fibrillation
(2009) Doğan, Sait Mesut; Tuncer, Mustafa; Güneş, Yulmaz
Atriyal fibrillasyon (AF) kardiyotorasik cerrahi sonrası en sık görülen aritmilerden olup hemodinamik bozulmaya, hastanede yatış süresinin uzamasına ve hastane giderlerinin artmasına yol açabilir ve serebrovasküler olaylara zemin hazırlar. Postoperatif AF'na (POAF) yaklaşım konusunda fikir birliği bulunmamaktadır. POAF'a yönelik yaklaşımlar perioperatif dönemde AF oluşmasını önleyici ve ventrikül hızını kontrol edici ilaçları ve spontan konversiyonun gerçekleşmemesi durumunda antikoagülan tedavinin eşlik ettiği veya etmediği farmakolojik ya da elektriki kardiyoversiyonu içerir. Biz bu yazıda POAF'a güncel yaklaşım metodlarını gözden geçirdik.
Association of Coronary Sinus Diameter With Pulmonary Hypertension
(Blackwell Publishing, 2008) Gunes, Yilmaz; Guntekin, Unal; Tuncer, Mustafa; Kaya, Yuksel; Akyol, Aytac
Background: Impaired venous drainage secondary to increased right atrial pressure (RAP) may result in coronary sinus (CS) dilatation. Methods: Two hundred fifteen patients referred for transthoracic echocardiography were included in the study. CS diameters were measured from apical four-chamber view with the transducer being slightly tilted posteriorly to the level of the dorsum of the heart. Pulmonary artery systolic pressure (PASP) is estimated by measurement of tricuspid regurgitation velocity (v) and estimate RAP based on size and collapsibility of inferior vena cava (VCI) with the formula PASP: 4v(2)+ RAP. Patients with PASP > 35 mmHg were considered to have pulmonary hypertension (PH). Results: CS diameter was measured in 80.3% of the patients with normal PASP (8.1 +/- 2.4 mm) and 93.1% of the patients having PH (12.3 +/- 2.5 mm). PASP was significantly correlated with CS diameter (r = 0.647, P < 0.001), RA volume index ( r = 0.631, P < 0.001), RV volume index (r = 0.475, P < 0.001), VCI diameter (r = 0.365, P < 0.001), and left ventricular ejection fraction (LVEF) (r = - 0.270, P < 0.001). CS diameter was also correlated significantly with estimated RAP (r = 0.557, P < 0.001), RA volume index (r = 0.520, P < 0.001), RV volume index (r = 0.386, P < 0.001), LVEF (r = - 0.327, P < 0.001), and VCI diameter (r = 0.313, P < 0.001). Multivariate analyses, testing for independent predictive information of CS size, VCI diameter, RA and RV volume indexes, and estimated RAP for the presence of PH revealed that estimated RAP (beta = 0.465, P < 0.001) and CS size (beta = 0.402, P = 0.003) were the significant predictors. Conclusions: Coronary sinus is dilated in patients with pulmonary hypertension. Coronary sinus diameter significantly correlates with PASP, RAP, right heart chamber volumes, LVEF, and VCI diameter.
Association of Increased Qtc Dispersion and Right Ventricular Hypertrophy
(int Scientific information, inc, 2008) Tuncer, Mustafa; Gunes, Yilmaz; Guntekin, Unal; Aslan, Sukru; Gumrukcuoglu, Hasan Ali; Eryonucu, Beyhan; Ermis, Cengiz
Background: There have been reports demonstrating an association between increased QT dispersion and ventricular arrhythmia in a variety of pathological cardiac conditions, including left ventricular hypertrophy. However, there are limited data about an association of right ventricular hypertrophy (RVH) and corrected QT (QTc) dispersion. Material/Methods: Eighty-five persons who emigrated from a high-altitude region (2800-4200 in) of Afghanistan to Van, Turkey, (altitude: 1700-1800 in) 25 years ago were referred to our hospital for transthoracic examination between April 2003 and May 2007. RVH was detected in 37 of the persons, 12 of whom were not included in the study due to coexisting systemic hypertension, COPD, or pulmonary hypertension. Twenty-five individuals of the same population with normal echocardiographic findings were enrolled as the control group. Symptoms that may be consequent to arrhythmia (such as palpitation, dizziness, and syncope) were not reported by the study population. Twelve-lead electrography was performed to measure the heart rate, QTc intervals, and QTc dispersion values. Results: The age and gender of both the patient and control groups were similar. There was no significant difference between patients and controls with respect to QTinax, QTinin, and heart rate. However, mean QTc dispersion values were significantly increased in patients with RVH compared with the control group (59.0 +/- 14.7 vs. 35.9 +/- 11.4 ms, p < 0.001). Conclusions: Right ventricular hypertrophy is associated with an increase in QTc dispersion.
Atrial Septal Defect Presenting With Brucella Endocarditis
(Japanese Circulation Soc, 2008) Tuncer, Mustafa; Ekim, Hasan; Gunes, Yilmaz; Guntekin, Unal
Brucellosis is a zoonosis that behaves as a systemic infection with various clinical signs and symptoms. Brucella endocarditis, although a rare complication of Brucella infection, is nevertheless responsible for the majority of deaths related to this illness. Brucella endocarditis was associated with an atrial septal defect (ASD) in a 45-year-old woman. Echocardiography showed a secundum ASD with vegetations of 0.5x8cm arising from the border of the defect, and serologic analysis was positive for Brucella agglutinin, thus confirming the diagnosis. She was initially treated with a 1-month preoperative course of antibiotics. At Surgery, the vegetations were excised and the defect was closed with polypropylene. Postoperative recovery was uneventful and she was discharged on the 10(th) postoperative day. (Circ J 2008; 72: 2096-2097)
Bicuspit Aorta, Aneurysm of Ascendan Aorta, Significant Aort and Mitral Insufficiency in Patient With Marfan Syndrome
(Elsevier Ireland Ltd, 2010) Tuncer, Mustafa; Akdag, Serkan; Gumrukcuoglu, Hasan Ali; Akyol, Aytac; Gunes, Yilmaz
A Case of Complete Heart Block Induced by Octreotide
(Aves, 2010) Tuncer, Mustafa; Gumrukcuoglu, Hasan Ali; Mete, Rafet; Gunes, Yilmaz; Guntekin, Unal
A Case With Repeated Recurrent Acute Coronary Syndrome Due To Pseudoephedrine Use: Kounis Syndrome
(Hindawi Ltd, 2014) Celiker, Metin; Tuncer, Mustafa; Sekeralmaz, Ali
Allergic reaction-associated acute coronary syndrome picture is defined as Kounis syndrome. Although drug use is the most common cause of allergic reaction, foods and environmental factors may also play a role in the etiology. Herein, a case with acute coronary syndrome that developed two times at 8-month interval due to pseudoephedrine use for upper respiratory tract infection is presented.
Cesarean Delivery in Patient With Thromsosis on Prosthetic Mitral Valve and Postoperative Thrombolytic Treatment
(Galenos Yayincilik, 2011) Gusler, Ayse; Kurdoglu, Zehra; Tuncer, Mustafa; Fiahin, Hanim Guler; Gunes, Yilmaz
On echocardiographic examination of G8 P4 pregnant patient at 35th gestational week, a 2.0x0.7 cm mobile thrombosis moving in and out the left ventricle was determined. The patient was thirthy four years old and was operated for mitral and aortic valve replacement three years ago because of rheumatic heart disease. According to the New York Heart Association (NYHA) functional classification, the patient was Class II. Since the risk of embolization was quite high, termination of the pregnancy without any delay was recommended. Elective cesarean delivery and tubal ligation were performed in order to provide permanent contraception. After the control of vaginal bleeding was provided, thrombolytic therapy with streptokinase was administered at postoperative twelfth hour. Following thrombolytic therapy, treatment was continued with warfarin. Control echocardiography revealed that the thrombosis was completely resolved. The case that thrombolytic therapy was successfully applied in early postpartum period after cesarean was presented with discussion of literature.
Clinic and Laboratory Conditions of Patients Who Were Diagnosed as Pericarditis and Pericardial Effusion in Our Clinic
(2009) Akyol, Aytaç; Tuncer, Mustafa
Giriş: Kalp ve büyük damarların başlangıcını saran perikart, visseral (seröz) ve pariyetal (fibröz) katmanlardan oluşmaktadır. Perikardiyal boşlukta miyokardiyal interstisyel sıvı ve lenf drenajından oluşan, bir plazma ultrafiltratı olan 15-50 ml kadar seröz sıvı bulunmaktadır.Perikart yapraklarının, çeşitli infeksiyoz ajanlar ile istila edilmesi, inflamatuar hastalıkların seyrine katılması ve komşu organların hastalıklarına katılması sonucu perikart hastalıkları meydana gelmektedir. Perikardı etkileyen hastalıklarda inflamasyon ve enfeksiyon hakim ise perikardit genel ismi kullanılmaktadır. Perikardiyal boşluk içerisinde fazla miktarda sıvının birikmesinde perikardiyal sıvının üretiminde ve/veya drenajında oluşan patolojiler rol oynamaktadır. Perikardiyal efüzyonların çoğunluğu inflamasyonlu perikardın geçirgenliğinin bozulması ve visseral perikarttan aşırı miktarda mayi salınışından kaynaklanır.Amaç: Yüzüncü Yıl Üniversitesi Tıp Fakültesi kardiyoloji kliniğinde ocak 2006 ile temmuz 2009 tarihleri arasında perikardit ve perikardiyal effüzyon nedeniyle takip edilen hastaların klinik ve laboratuar özelliklerini retrospektif olarak taramaktır.Metot: Perikardiyal efüzyon ve perikardit saptanan hastalar etiyolojide sorumlu olduğu düşünülen hastalıklar açısından hasta kayıtları incelendi. Hastaların fizik muayene, elektrokardiyografi, ekokardiyografi, laboratuar sonuçları, uygulanan tedavi metodu ve saptanan etyolojileri retrospektif olarak incelendi.Bulgular: Çalışma grubumuzdaki 136 hastadan 4 tanesine efüzyonsuz perikardit, 132 tanesinde perikardiyal efüzyon saptanmıştı. Perikardiyal efüzyon saptanan hastaların 29 tanesinde geniş perikardiyal efüzyon, 28 hastada perikardiyal tamponat saptanmıştı. Perikardiyal efüzyonun etiyolojisinde en sık kronik böbrek yetersizliği (%34) ve malignite (%31) olarak saptanmıştı. Perikardiyal efüzyon saptanan hastalardan 13 tanesine perikardiyosentez, 11 tanesine perikardiyal pencere ve 108 tanesinede medikal tedavi önerilmişti.Sonuç: Kalbin etrafını saran perikart malign ve bening birçok hastalıktan etkilenmektedir. Perikardın etkilendiği hastalıkların çoğunda perikardiyal tutuluma ait semptom ve bulgular ortaya çıkmaz. Eğer perikardiyal efüzyon gelişirse efüzyona ait bulgular görülebilir. Toplumun yaşlanmasıyla malign perikardiyal efüzyonlarla daha sık karşılaşılmaktadır.
Clinical and Echocardiographic Follow-Up in Pregnant Patients With Valvular Heart Disease
(Turkish Soc Cardiology, 2013) Gumrukcuoglu, Hasan Ali; Guler, Ayse; Odabasi, Dolunay; Simsek, Hakki; Sahin, Musa; Akdag, Serkan; Tuncer, Mustafa
Objectives: Pregnancy associated cardiovascular changes may result in a significant hemodynamic burden and can lead to morbidity and even mortality in women with cardiac disease. The present study aimed to evaluate clinical and echocardiographic follow-up in pregnant patients with valvular heart disease (VHD). Study design: The medical records of pregnant patients diagnosed with VHD from January 2004 to January 2011 were screened. Demographic characteristics including history of cardiac intervention performed during pregnancy, pulmonary edema, and maternal and fetal mortality, and cesarean section (C/S) history were collected from the hospital database and clinical records of the cardiology and obstetrics departments. The echocardiographic examination was carried out at presentation, 3rd trimester, and 1 month after delivery. The outcomes evaluated were cardiac intervention, pulmonary edema, and both fetal and maternal mortality during pregnancy and C/S. Results: We evaluated the outcomes of 884 pregnant patients with VHD. Adverse clinical outcomes including death, pulmonary edema, and valvular interventions were frequent among patients with severe VHD, whereas no adverse clinical outcome was observed in patients with mild-moderate VHD (n=49, 5.5% vs. n=0, 0%, p<0.001). In patients with severe VHD, clinical outcomes were frequent among patients with valve stenosis, but lower among patients with regurgitation [death 4 (0.45%) vs. 0 (0%); pulmonary edema (15 (1.7%) vs. 13 (1.5%); valvular intervention 11 (1.2%) vs. 6 (0.7%); respectively). Conclusion: Valvular heart disease is associated with fetal/maternal morbidity and mortality. Pregnant with severe VHD constitute a high-risk group in which life-threatening complications are likely to occur in the course of pregnancy.
Clinical and Laboratory Aspects of Our Patients Have Pericardial Effusion
(Elsevier Ireland Ltd, 2010) Gumrukcuoglu, Hasan Ali; Akyol, Aytac; Tuncer, Mustafa; Gunes, Yilmaz; Akdag, Serkan; Begenik, Huseyin; Simsek, Hakki
Clinical Characteristics and Outcome of Brucella Endocarditis
(Royal Soc Medicine Press Ltd, 2009) Gunes, Yilmaz; Tuncer, Mustafa; Guntekin, Unal; Akdag, Serkan; Gumrukcuoglu, Hasan Ali; Karahocagil, Mustafa; Ekim, Hasan
Brucella endocarditis, a rare complication of brucellosis, is the main cause of death attributable to this disease. There are difficulties in the diagnosis and uncertainty regarding many aspects of the treatment of Brucella endocarditis. We retrospectively examined the clinical characteristics and outcome of patients diagnosed with Brucella endocarditis. Of the six patients diagnosed as having Brucella endocarditis, four had valvular disease, one had aortic and mitral mechanic valve prosthesis (AVR + MVR) and one had secundum type atrial septal defect. Transesophageal echocardiography showed vegetations in four patients. Blood culture grew Brucella mellitensis only in two patients. Standard agglutination tests were elevated in all patients (range 1/320-1/10240). Four patients were managed with combined antibiotherapy and surgery. One refused further treatment and one refused an operation and follow-up was lost for that patient. Two patients died during follow-up; one having had a previous AVR + MVR operation refused further treatment and the other suffering renal failure. Due to the fulminant course of the disease, treatment should be initiated when there is a clinical suspicion, even if the culture results are unknown or negative. Agglutination titres aid in the diagnosis. A combination of antibiotherapy and surgery seems to be preferable treatment modality.
Comparison of the Effects of Quinapril and Irbesartan on P-Wave Dispersion in Hypertensive Patients
(Springer, 2008) Guntekin, Unal; Gunes, Yilmaz; Tuncer, Mustafa; Simsek, Hakki; Gunes, Ahmet
Introduction: P-wave dispersion (PWD) has been shown to be a non-invasive electrocardiographic predictor for development of atrial fibrillation (AF). Thus, it may be possible to attenuate AF risk through improvement of PWD. In this study, we compared the effects of an angiotensin-converting enzyme (ACE) inhibitor, quinapril, and an angiotensin receptor blocker (ARB), irbesartan, on PWD. Methods: A total of 38 newly diagnosed hypertensive patients were enrolled in the study. The patients were randomly assigned to receive treatment with either irbesartan (150-300 mg) or quinapril (20-40 mg). P-wave durations and PWD were measured at baseline and after 6 and 12 months of treatment. Echocardiographic examinations were performed at baseline and after 12 months of treatment. Results: Both drugs significantly reduced blood pressure to a similar degree (P < 0.001). Deceleration time (both P < 0.001) and isovolumetric relaxation time (both P=0.007) were also significantly reduced, whereas there was no significant change in the early diastolic flow/atrial contraction signal ratio. Both irbesartan and quinapril significantly decreased maximum P-wave duration (Pmax) (P < 0.001 and P=0.002, respectively) and PWD (from 68.0 +/- 22.1 to 41.0 +/- 25.1 msec for irbesartan, and from 70.5 +/- 20.4 to 46.6 +/- 13.3 msec for quinapril; both P < 0.001). Baseline and follow-up blood pressure, heart rate, echocardiographic findings, and P-wave values were not significantly different between the irbesartan and quinapril groups. No patient developed AF during follow-up. There was no significant correlation between PWD and blood pressure or diastolic function parameters. Conclusion: Antihypertensive treatment with either irbesartan or quinapril is associated with significant reductions in Pmax and PWD.
Comparison of Two Patients With Mitral Stenosis Which Do Not Have Diagnosis Up To Advanged Age
(Elsevier Ireland Ltd, 2010) Sahin, Musa; Tuncer, Mustafa; Akdag, Serkan; Gumrukcuoglu, Hasan Ali; Simsek, Hakki
Constrictive Pericarditis Associated With a Mass Mimicking Pericardial Cyst
(int Scientific Literature, inc, 2008) Ekim, Hasan; Tuncer, Mustafa; Basel, Halil; Gunes, Yilmaz
Background: Constrictive pericarditis can be defined as a syndrome resulting from compression of the heart caused by rigid, thickened, and frequently fused pericardial membranes, and represents the end stage of any inflammatory process involving the pericardium. We present a rare case of chronic calcified constrictive pericarditis associated with a calcified mass mimicking pericardial cyst. Case Report: A 55-year-old man was admitted to our hospital due to shortness of breath, cough, chest pain, abdominal swelling, and edema of lower extremities. Computed tomography (CT) demonstrated a thickened calcified pericardium associated with a pericardial mass with a thick calcified shell (8x6x4.5 cm) compressing the right ventricle. Results of thoracic magnetic resonance imaging (MRI) were in compliance with the CT results. Based on these findings, a diagnosis of chronic calcified constrictive pericarditis associated with a pericardial cyst was made. At the time of surgery, extensive pericardial calcifications and a cystic mass containing only hematoma were found. The calcified pericardial sac was decorticated laterally at a level just above the course of the phrenic nerve on both sides. A pathological diagnosis of idiopathic constrictive pericarditis was made. The postoperative recovery was uneventful. Ten days after the operation, he was discharged in good condition. Conclusions: Presentation of constrictive pericarditis associated with a cystic mass consisted of hematoma and compressing the right ventricle is extremely rare but does occur. It should be operated on with CPB on standby, especially if erosion of the right ventricle has suspected.