1,163 results match your criteria Imaging in Constrictive Pericarditis

Novel Imaging Parameters for Right Ventricular Dysfunction after Pericardiectomy in Constrictive Pericarditis.

Yong Hyun Park

J Cardiovasc Imaging 2021 May 24. Epub 2021 May 24.

Division of Cardiology, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.

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Cardiac Decompression by Pericardiectomy for Constrictive Pericarditis: Multimodality Imaging to Identify Patients at Risk for Prolonged Inotropic Support.

J Cardiovasc Imaging 2021 May 6. Epub 2021 May 6.

Royal Brompton Hospital, London, United Kingdom.

Background: Right ventricular (RV) failure post-pericardiectomy for constrictive pericarditis (CP) has been reported but it remains not well-studied. To investigate imaging parameters that could predict RV function and the outcome of patients post-pericardiectomy.

Methods: We analysed data from a total of 53 CP patients undergoing pericardiectomy. Read More

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Coronavirus disease 2019 (COVID-19)-associated constrictive pericarditis.

BMJ Case Rep 2021 May 11;14(5). Epub 2021 May 11.

Division of Cardiology and Department of Radiology, George Washington University School of Medicine, Washington, DC, USA.

This report documents a rare case of COVID-19-associated constrictive pericarditis (CP) in the setting of a recent COVID-19 infection. A 55-year-old man with a history of hypertension and gout presented with acute hypoxic respiratory failure and was diagnosed with COVID-19 pneumonia with progression to acute respiratory distress syndrome. His hospital course was complicated by a large pericardial effusion; an emergent bedside transthoracic echocardiography was concerning for cardiac tamponade, so pericardiocentesis was performed. Read More

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Pathophysiological Concepts of Constrictive Pericarditis in Cardiac Imaging: Back to Basics.

Circ Cardiovasc Imaging 2021 May 5;14(5):e012136. Epub 2021 May 5.

Division of Cardiology, Department of Medicine, RWJBH Newark Beth Israel Medical Center, Newark, NJ (E.V., E.Y.C., S.S., S.W.).

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Multimodality imaging of constrictive pericarditis in H syndrome.

Echocardiography 2021 Apr 26. Epub 2021 Apr 26.

Rajaie Cardiovascular Medical and Research Center, Niayesh Highway, Tehran, Iran.

This is the first report of constrictive pericarditis (CP) in a 16-year-old boy with H syndrome with pericardial involvement predominantly over the right ventricle with favorable response to anti-inflammatory treatment. H syndrome, first reported in 2008, is a new auto-inflammatory syndrome with multiorgan involvement due to mutation in the SLC29A3 gene. We described the echocardiographic characteristics of asymmetric pericardial involvement and presented the cardiac computed tomography angiographic and magnetic resonance imaging findings. Read More

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[Clinical and imaging characteristics of patients with primary cardiac angiosarcoma].

Zhonghua Xin Xue Guan Bing Za Zhi 2021 Apr;49(4):374-379

Department of Cardiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China.

To investigate the clinical, cardiac imaging characteristics and prognosis of patients with primary cardiac angiosarcoma. The clinical data of 14 patients hospitalized with primary cardiac angiosarcoma from January 2001 to December 2017 in Peking Union Medical College Hospital were collected and analyzed. Metastatic cardiac angiosarcoma was not included in this study. Read More

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Intrapericardial Colon.

Radwan Kassir

N Engl J Med 2021 Apr 27;384(13):e49. Epub 2021 Mar 27.

Félix Guyon University Hospital, Saint Denis de la Réunion, France

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Delayed-onset constrictive pericarditis associated with trauma.

BMJ Case Rep 2021 Mar 16;14(3). Epub 2021 Mar 16.

Department of Cardiology, Japan Community Healthcare Organization (JCHO) Osaka Hospital, Osaka, Japan.

A 59-year-old man presented with exertional dyspnoea and pretibial oedema that had lasted 6 months. He was referred to our hospital with suspected constrictive pericarditis (CP). Several examinations, including CT, echocardiography and cardiac catheterisation, indicated heart failure associated with CP that had been induced by trauma 13 years prior. Read More

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[Pericarditis in contemporary therapeutic clinic: nosological spectrum, approaches to diagnosis and treatment].

Ter Arkh 2020 Dec 15;92(12):10-18. Epub 2020 Dec 15.

Sechenov First Moscow State Medical University (Sechenov University).

Aim: To analyze the register of pericarditis in a therapeutic clinic, to evaluate their nosological spectrum, to optimize approaches to diagnosis and treatment.

Materials And Methods: For the period 20072018, the register includes 76 patients with the diagnosis of pericarditis (average age 53.115. Read More

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December 2020

Interval imaging to guide treatment in constrictive pericarditis.

Heart 2021 May 10;107(10):781-782. Epub 2021 Feb 10.

Department of Medicine, HeartOtago, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand

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Effusive-constrictive cholesterol pericarditis: a case report.

Eur Heart J Case Rep 2021 Jan 11;5(1):ytaa496. Epub 2020 Dec 11.

Cardiology Department, South Warwickshire NHS Foundation Trust, Lakin Road, Warwick CV34 5BW, UK.

Background: Cholesterol pericarditis (CP) remains a rare pericardial disease characterized by chronic pericardial effusions with high cholesterol concentrations with or without the formation of cholesterol crystals. Effusions are often large and can cause ventricular compression and subsequent pericardial adhesion formation. CP can be idiopathic but has associations with rheumatoid arthritis (RA), tuberculosis and hypothyroidism. Read More

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January 2021

Clinical features and prognosis of surgically proven constrictive pericarditis after orthotopic heart transplantation.

J Heart Lung Transplant 2021 Apr 12;40(4):241-246. Epub 2021 Jan 12.

Departments of Cardiovascular Medicine.

Constrictive pericarditis (CP) results in pericardial non-compliance and diastolic dysfunction. Definitive treatment is pericardiectomy, but data on CP after orthotopic heart transplantation (OHT) are limited. Accordingly, a retrospective review of 8 cases of surgically proven CP after OHT undergoing pericardiectomy was conducted. Read More

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Meta-Analysis of Population Characteristics and Outcomes of Patients Undergoing Pericardiectomy for Constrictive Pericarditis.

Am J Cardiol 2021 05 1;146:120-127. Epub 2021 Feb 1.

Division of Cardiology, New York University Langone Medical Center, NY, New York. Electronic address:

We sought to systematically describe the epidemiology, etiology, clinical and operative characteristics as well as outcomes of patients who underwent pericardiectomy for constrictive pericarditis in the contemporary era. We conducted a systematic search of the MEDLINE, Embase, and Cochrane databases from their inception to April 1, 2020 for studies assessing the outcomes of pericardiectomy in patients with constrictive pericarditis. Studies with patients enrolled before 1985, pediatric patients or studies including >10% tuberculous pericarditis were excluded. Read More

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Dual energy imaging in cardiothoracic pathologies: A primer for radiologists and clinicians.

Eur J Radiol Open 2021 20;8:100324. Epub 2021 Jan 20.

Institute for Diagnostic and Interventional Radiology, University Hospital Cologne, Cologne, Germany.

Recent advances in dual-energy imaging techniques, dual-energy subtraction radiography (DESR) and dual-energy CT (DECT), offer new and useful additional information to conventional imaging, thus improving assessment of cardiothoracic abnormalities. DESR facilitates detection and characterization of pulmonary nodules. Other advantages of DESR include better depiction of pleural, lung parenchymal, airway and chest wall abnormalities, detection of foreign bodies and indwelling devices, improved visualization of cardiac and coronary artery calcifications helping in risk stratification of coronary artery disease, and diagnosing conditions like constrictive pericarditis and valvular stenosis. Read More

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January 2021

Rheumatic pericarditis: a rare cause of constrictive pericarditis.

BMJ Case Rep 2021 Jan 25;14(1). Epub 2021 Jan 25.

Cardiology Department, Limerick Regional Hospital, Dooradoyle, Limerick, Ireland.

Constrictive pericarditis is a relatively uncommon form of cardiac failure and presents due to scarring and consequent loss of the normal elasticity of the pericardial sac. This results in abnormal/limited ventricular filling and symptoms of heart failure. The aetiology is varied, from infective causes to idiopathic causes, or can manifest after cardiothoracic surgery. Read More

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January 2021

Pericardial Involvement in Cancer.

Am J Cardiol 2021 04 15;145:151-159. Epub 2021 Jan 15.

Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address:

Despite the monumental advances in the diagnoses and therapeutics of malignancy, several cancer patients have presented with pericardial involvement, including acute pericarditis, constrictive pericarditis, and pericardial effusion. Multiple factors can contribute to acute pericarditis, including direct metastasis to the heart, pericardial hemorrhage, infections due to immunosuppression, and cancer therapies that include chemotherapy, immunotherapy, and radiation. Pericardial effusion, either due to cancer invasion or cancer treatment, is one of the most common incidental findings in cancer patients, which significantly worsens morbidity and mortality. Read More

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Constrictive Pericarditis after Open Heart Surgery: A 20-Year Case Controlled Study.

Int J Cardiol 2021 04 6;329:63-66. Epub 2021 Jan 6.

Cardiovascular Institute, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Background: Constrictive pericarditis is a rare complication of open heart surgery (OHS), but little is known regarding the etiologic determinants, and prognostic factors. The purpose of this study was to investigate clinical predictors and long term prognosis of post-operative constrictive pericarditis (CP).

Methods: Using the Myocardial Infarction Data Acquisition System database, we analyzed records of 142,837 patients who were admitted for OHS in New Jersey hospitals between 1995 and 2015. Read More

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Dilated right ventricular outflow tract in a young woman due to localized constrictive pericarditis: cardiac CT and MRI findings.

Serap Baş

Radiol Case Rep 2021 Mar 24;16(3):575-578. Epub 2020 Dec 24.

Department of Radiology, İstanbul Yeni Yüzyıl University Gaziosmanpaşa Hospital, Çukurçeşme Cad. No:51 Gaziosmanpaşa-İstanbul, Turkey.

We present a case of a dilated right ventricular outflow tract (RVOT) in a 30-year-old woman because of localized constrictive pericarditis where the diagnosis was reached with the help of cardiac CT, and MRI. The patient was suffering from congestive heart failure for two years and had partial pericardiectomy 10 years ago. The diagnostic evaluation of the localized pericarditis requires a multimodality approach and suspected patients would benefit from simple tests, such as X-ray and echocardiography, but also furthermore complex imaging, including cardiac CT and MRI. Read More

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Improvement in left ventricular mechanics following medical treatment of constrictive pericarditis.

Heart 2021 May 6;107(10):828-835. Epub 2021 Jan 6.

Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA

Objective: Patients with constrictive pericarditis (CP) with active inflammation may show resolution with anti-inflammatory therapy. We aimed to investigate the impact of anti-inflammatory medications on constrictive pathophysiology using echocardiography in patients with CP.

Methods: We identified 35 patients with CP who were treated with anti-inflammatory medications (colchicine, prednisone, non-steroidal anti-inflammatory drugs) after diagnosis of CP (mean age 58±13; 80% male). Read More

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A Rare Case of Coccidioidomycosis Constrictive Pericarditis.

Circ Cardiovasc Imaging 2020 12 3;13(12):e010825. Epub 2020 Dec 3.

Banner University Medical Center, Phoenix, Arizona.

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December 2020

A rare manifestation of extrapulmonary tuberculosis: left ventricular cardiac tuberculoma in an HIV infected male "case report".

Cardiovasc Diagn Ther 2020 Oct;10(5):1341-1344

Research Center for Prevention of Cardiovascular Disease, Institute of Endocrinology & Metabolism, Iran University of Medical Sciences, Tehran, Iran.

Cardiac tuberculosis (TB) is rare and most commonly manifests itself as tuberculous pericarditis. Involvement of other parts of the heart is unusual and descriptions in the literature are confined to case reports regarding mainly pericardial TB and very few cases of cardiac tuberculoma. Tuberculomas are space occupying lesions most commonly found in the brain of immunocompromised individuals. Read More

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October 2020

A rare case of primary angiosarcoma of the anterior mediastinum.

Gen Thorac Cardiovasc Surg 2021 Apr 22;69(4):766-769. Epub 2020 Nov 22.

Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, Japan.

A 32-year-old male patient was initially diagnosed with fibrosing mediastinitis. The patient subsequently developed severe dyspnea and was further diagnosed with constrictive pericarditis due to the extent of fibrosing mediastinitis around the heart. Therefore, the patient underwent surgical resection of the fibrotic tissue in the anterior mediastinum including the pericardium and the pleura. Read More

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Assessment of Pericardial Disease with Cardiovascular MRI.

Heart Fail Clin 2021 Jan 28;17(1):109-120. Epub 2020 Oct 28.

Department of Medical Imaging, University Health Network, University of Toronto, Toronto, Ontario, Canada; Division of Cardiology, Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, Ontario, Canada; Division of Cardiology and Radiology, Toronto General Hospital, 4N-490, 585 University Avenue, Toronto, Ontario M5G 2N2, Canada. Electronic address:

Disorders of the pericardium are common and can result in significant morbidity and mortality. Advances in multimodality imaging have enhanced our ability to diagnose and stage pericardial disease and improve our understanding of the pathophysiology of the disease. Cardiovascular MRI (CMR) can be used to define pericardial anatomy, identify the presence and extent of active pericardial inflammation, and assess the hemodynamic consequences of pericardial disease. Read More

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January 2021

Spontaneous Bacterial Peritonitis in Cardiogenic Ascites.

Cureus 2020 Oct 16;12(10):e10995. Epub 2020 Oct 16.

Internal Medicine, Lehigh Valley Health Network, Allentown, USA.

The most common cause of ascites is liver cirrhosis. Additional causes such as heart failure, cancer, and pancreatitis among others can also precipitate this abnormality. Spontaneous bacterial peritonitis (SBP) is an infection of ascitic fluid that happens without any evidence of an intra-abdominal surgically-treatable cause. Read More

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October 2020

Cardiovascular images: constrictive pericarditis and tricavitary effusion in a dog with pericardial mesothelioma.

J Vet Cardiol 2020 Dec 2;32:55-59. Epub 2020 Oct 2.

Virginia-Maryland College of Veterinary Medicine, 205 Duck Pond Dr, Blacksburg, VA, 24060, USA.

This report describes the transthoracic echocardiographic findings and computed tomography features of a 12-year-old West Highland white terrier with constrictive pericarditis (CP) secondary to pericardial mesothelioma. Although pericardial mesothelioma is well described in dogs, its association with CP in the canine population is not as widely reported. In this clinical case, a multidisciplinary imaging approach was helpful to identify anatomical and hemodynamic abnormalities that allowed for a diagnosis of CP. Read More

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December 2020

Trapped heart in heavily calcified pericardium.

Oxf Med Case Reports 2020 Oct 23;2020(10):omaa083. Epub 2020 Oct 23.

Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.

Constrictive pericarditis is a disabling disease of the heart, which causes cardiac diastolic dysfunction. We present a case of a 44-year-old gentleman with a history of blunt chest trauma who presented with constrictive pericarditis with right-sided heart failure. Imaging studies revealed a calcified pericardium. Read More

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October 2020

A case report of constrictive pericarditis: a forgotten cause of refractory ascites.

Radiol Case Rep 2020 Dec 8;15(12):2565-2568. Epub 2020 Oct 8.

Department of Radiology, Cardiothoracic Radiology and Nuclear Medicine divisions, King Faisal Specialist Hospital & Research Center, Riyadh 11211, Saudi Arabia.

Constrictive pericarditis is well known but rare and commonly forgotten cause of ascites. Early diagnosis of constrictive pericarditis is difficult due to absence of typical cardiopulmonary signs and multiple vague symptoms and its insidious course. In this case report, we present a 61-year-old male referred for liver transplantation vs transjugular intrahepatic portosystemic shunt work-up for presumptive diagnosis of nonalcoholic steatohepatitis cirrhosis and refractory ascites. Read More

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December 2020

Features of carcinoid heart disease identified by cardiac computed tomography.

J Cardiovasc Comput Tomogr 2021 Mar-Apr;15(2):167-174. Epub 2020 Sep 6.

Neuroendocrine Tumour Unit, ENETS Centre of Excellence, Royal Free Hospital, London, United Kingdom. Electronic address:

Background: Carcinoid heart disease (HD) is a rare form of valvular heart disease, the features of which have not been fully described by cardiac computed tomography (CT).

Methods: All patients with carcinoid HD that underwent cardiac CT, either preoperatively or for assessment of coronary arteries, between Apr-2006 and Dec-2019 at the Royal Free Hospital, UK, were reviewed.

Results: Of 32 patients with carcinoid HD, 29 (91%) had heart valve involvement. Read More

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September 2020

Constrictive pericarditis after heart transplantation: a case report.

Eur Heart J Case Rep 2020 Aug 28;4(4):1-6. Epub 2020 Jul 28.

Department of Cardiovascular Surgery, CHU Liege, Sart Tilman B35, 4000 Liege, Belgium.

Background: Constrictive pericarditis (CP) is a disease characterized by inflammation, progressive fibrosis, and thickening of the pericardium. Constrictive pericarditis after heart transplantation (HT) is a rare phenomenon, with a reported incidence of 1.4-3. Read More

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Right ventricular dysfunction due to effusive-constrictive pericarditis.

J Card Surg 2020 Dec 16;35(12):3569-3570. Epub 2020 Sep 16.

Department of Cardiovascular Surgery, The Affiliated Hospital of Southwest Medical University, Luzhou, China.

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December 2020