1,107 results match your criteria Imaging in Constrictive Pericarditis


Prognostic importance of mitral e' velocity in constrictive pericarditis.

Eur Heart J Cardiovasc Imaging 2020 Jun 8. Epub 2020 Jun 8.

Department of Cardiovascular Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA.

Aims : Increased medial mitral annulus early diastolic velocity (e') plays an important role in the echocardiographic diagnosis of constrictive pericarditis (CP) and mitral e' velocity is also a marker of underlying myocardial disease. We assessed the prognostic implication of mitral e' for long-term mortality after pericardiectomy in patients with CP.

Methods And Results : We studied 104 surgically confirmed CP patients who underwent echocardiography and cardiac catheterization within 7 days between 2005 and 2013. Read More

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http://dx.doi.org/10.1093/ehjci/jeaa133DOI Listing

Galectin-3 Levels in Patients with Chronic Constrictive Pericarditis.

Arq Bras Cardiol 2020 04 29;114(4):683-689. Epub 2020 May 29.

HC, FM, USP, São Paulo, SP, Brasil.

Background Galectin-3 (Gal-3) is a proinflammatory, profibrotic molecule implicated in the pathogenesis of heart failure. The role of Gal-3 in patients with chronic constrictive pericarditis (CCP) is not clear. Objective The aim of this study was to assess plasma Gal-3 in patients with CCP and correlate it with clinical, functional and histologic parameters. Read More

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http://dx.doi.org/10.36660/abc.20190152DOI Listing

[Value of left ventricular myocardial strain derived from cardiac magnetic resonance tissue tracking on differentiating constrictive pericarditis from restrictive cardiomyopathy].

Zhonghua Xin Xue Guan Bing Za Zhi 2020 May;48(5):386-392

Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.

To compare left ventricular myocardial mechanics detected by cardiac magnetic resonance tissue tracking(CMR-TT) between patients with constrictive pericarditis(CP) and restrictive cardiomyopathy(RCM),and see if those can be used to differentiate CP from RCM patients. A total of 23 patients with CP, 20 patients with RCM, who hospitalized in Beijing Anzhen Hospital from January 2014 to April 2019 were included in this study and 25 healthy subjects served as control group, all subjects underwent cardiac magnetic resonance examination. Myocardial mechanics were evaluated by 2-dimensional(2D) and 3-dimensional(3D) CMR-TT in terms of global longitudinal strain(GLS), circumferential strain(GCS), radial strain(GRS) and the lateral wall strain to septal wall strain ratio(lateral/septal ratio) of basal, mid-cavity and apical. Read More

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http://dx.doi.org/10.3760/cma.j.cn112148-20190906-00549DOI Listing

Subacute pericardial abscess after aortic valve replacement: a case report.

BMC Infect Dis 2020 May 13;20(1):342. Epub 2020 May 13.

Department of Experimental, Diagnostic and Specialty Medicine-DIMES (Padiglione 23), University of Bologna, Via Giuseppe Massarenti 9, 40138, Bologna, Italy.

Background: Purulent pericarditis is an infectious disease, frequently caused by gram-positive bacteria, that is rarely observed in healthy individuals, and is often associated with predisposing conditions.

Case Presentation: Here, we present the case of an Escherichia coli post-surgical localized purulent pericarditis complicated by transient constrictive pericarditis and its diagnostic and therapeutic management.

Conclusions: Our case report focuses on the importance of imaging-guided treatment of purulent pericardial diseases, in particular on the emerging role of 18 F-labelled 2-fluoro-2-deoxy-D-glucose Positron Emission Tomography/Computed Tomography in pericardial diseases and on the management of transient constrictive pericarditis, often seen after thoracic surgery. Read More

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http://dx.doi.org/10.1186/s12879-020-05063-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218556PMC

Noninfectious pericarditis: management challenges for cardiologists.

Authors:
Massimo Imazio

Kardiol Pol 2020 May 11;78(5):396-403. Epub 2020 May 11.

The aim of this review is to deal with management challenges related to diagnosis and therapy of noninfectious pericarditis. In the European countries in which a low prevalence of tuberculosis is noted, determining the etiology of pericarditis is essentially aimed at the exclusion of the most common causes, which may require a specific therapy and are associated with an increased risk of complications: systemic autoimmune or autoinflammatory diseases, postcardiac injury syndrome (5%-20%), neoplastic pericardial involvement (5%-10%), tuberculosis (about 5%), and rarely purulent pericarditis in less than 5% of cases. In developing countries that report a high prevalence of tuberculosis, this condition is the most common cause of pericardial diseases. Read More

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http://dx.doi.org/10.33963/KP.15353DOI Listing

Graft-versus-host disease: a case report of a rare but reversible cause of constrictive pericarditis.

Eur Heart J Case Rep 2020 Apr 4;4(2):1-5. Epub 2020 Mar 4.

Barts Heart Centre, Barts Health NHS Trust, West Smithfield, London EC1A 7BE, UK.

Background : Constrictive pericarditis (CP), although an uncommon cause of heart failure, requires specialist multidisciplinary input and multi-modality imaging to identify the underlying aetiology and treat potentially reversible causes.

Case Summary : We report the case of a 74-year-old gentleman referred for assessment of progressive exertional dyspnoea and peripheral oedema, 30 months following treatment of acute myeloid leukaemia with high-dose chemotherapy and allogeneic stem cell transplantation. Clinical examination and cardiac imaging revealed a small pericardial effusion and pericardial thickening with constrictive physiology; however, no aetiology was identified despite diagnostic pericardiocentesis. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180538PMC

Multimodality approach to the diagnosis and management of constrictive pericarditis.

Echocardiography 2020 Apr 2;37(4):632-636. Epub 2020 Apr 2.

Harrington Heart & Vascular Institute, University Hospital Cleveland Medical Center, Cleveland, Ohio.

Despite advances in cardiovascular imaging, the diagnosis of constrictive pericarditis remains challenging. A multimodality approach to the diagnosis of CP is essential to (a) fully assess the extent of pericardial thickening and calcification, (b) detect the functional and hemodynamic consequences of the constricting pericardium, and (c) implement the optimal management strategy in these often complex cases. This case-based review highlights the role and diagnostic ambiguities of multimodality imaging. Read More

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http://dx.doi.org/10.1111/echo.14649DOI Listing

An unusual suspect for heart failure.

Acute Med 2020 ;19(1):52-55

Department of Cardiology, The Alfred Hospital, Australia.

Constrictive pericarditis though an uncommon diagnosis is a potentially reversible form of heart failure (with surgical pericardiectomy) and hence is imperative to diagnose. Diagnosis is dependent on a high index of clinical suspicion and further testing with appropriate cardiac investigations including cardiac imaging with invasive cardiac catheterisation as the gold standard. Read More

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January 2020

Multimodality imaging in patients with post-cardiac injury syndrome.

Heart 2020 May 11;106(9):639-646. Epub 2020 Mar 11.

Center for the Diagnosis and Treatment of Pericardial Diseases, Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, United States

This review article is focused on the role of echocardiography, cardiac CT and cardiac magnetic resonance (CMR) imaging in diagnosing and managing patients with post-cardiac injury syndrome (PCIS). Clinically, the spectrum of pericardial diseases under PCIS varies not only in form and severity of presentation but also in the timing varying from weeks to months, thus making it difficult to diagnose. Pericarditis developing after recent or remote myocardial infarction, cardiac surgery or ablation if left untreated or under-treated could worsen into complicated pericarditis which can lead to decreased quality of life and increased morbidity. Read More

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http://dx.doi.org/10.1136/heartjnl-2019-316050DOI Listing
May 2020
5.595 Impact Factor

Constrictive pericarditis masquerading as hepatic sequestration crisis in a patient with sickle cell disease: a case report.

Eur Heart J Case Rep 2020 Feb 12;4(1):1-5. Epub 2020 Feb 12.

Department of Cardiology, City Hospital, Sandwell and West Birmingham Hospital NHS Trust, Birmingham B18 7QH, UK.

Background: Constrictive pericarditis is a challenging diagnosis that is easily overlooked. Worldwide, tuberculosis (TB) is the leading cause; however, in the developed countries pericarditis and cardiac surgery are common aetiologies. Medical therapy can be sufficient in specific aetiologies preventing progression of constriction and thus surgery. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047049PMC
February 2020

Breaking hearts and taking names: A case of sarcoidosis related effusive-constrictive pericarditis.

Respir Med 2020 Mar 23;163:105879. Epub 2020 Jan 23.

Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Florida, Gainesville, FL, USA. Electronic address:

Introduction: Pericardial involvement of sarcoidosis is a rare cause for acute heart failure, and usually occurs as a result of the development of a pericardial effusion leading to cardiac tamponade. Even rarer still, is the manifestation of constrictive pericarditis. We report a case of sarcoidosis with lung, pleural, and pericardial involvement with effusive-constrictive pericarditis leading to cardiac tamponade. Read More

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http://dx.doi.org/10.1016/j.rmed.2020.105879DOI Listing

Comprehensive review of pericardial diseases using different imaging modalities.

Int J Cardiovasc Imaging 2020 May 11;36(5):947-969. Epub 2020 Feb 11.

Department of Radiology, University of Washington Medical Center, Seattle, WA, USA.

Pericardial abnormalities are common cardiovascular disease entity, which are encountered in various clinical settings. Imaging plays an integral role in evaluation of pericardial abnormalities. The appropriate use of multiple imaging modalities is crucial to initiate the diagnosis and guide the referring providers to establish a management plan. Read More

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http://dx.doi.org/10.1007/s10554-020-01784-xDOI Listing

Hemodynamics of constrictive pericarditis and restrictive cardiomyopathy.

Catheter Cardiovasc Interv 2020 May 6;95(6):1240-1248. Epub 2020 Jan 6.

Veterans Administration Long Beach Health Care System, University of California, Irvine, California.

Constrictive pericarditis (CP) and restrictive cardiomyopathy (RCM) are indolent disabling diseases of diastolic function. The two conditions share common pathophysiologic features, resulting in similar and overlapping clinical presentations, echocardiographic findings, and hemodynamic characteristics. However, their clinical course differs, as CP is surgically curable whereas RCM is a chronic condition managed medically. Read More

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http://dx.doi.org/10.1002/ccd.28692DOI Listing

Jailed in a Bony Prison: Post-tuberculotic Calcific Constrictive Pericarditis.

Am J Med Sci 2020 03 1;359(3):188-189. Epub 2019 Nov 1.

First Department of Cardiology, Hippokration Hospital, University of Athens Medical School, Athens, Greece.

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http://dx.doi.org/10.1016/j.amjms.2019.10.013DOI Listing

Effusive-Constrictive Pericarditis: Doppler Findings.

Curr Cardiol Rep 2019 11 22;21(11):144. Epub 2019 Nov 22.

Department of Cardiovascular Medicine, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.

Purpose Of Review: To review the echo-Doppler findings in effusive-constrictive pericarditis (ECP). ECP corresponds to the coexistence of a hemodynamically significant pericardial effusion and markedly reduced compliance of the pericardium, manifested by constrictive physiology post-pericardiocentesis.

Recent Findings: We summarize herein the recent observations regarding the prevalence of ECP based on echocardiography as well as the pre- and post-pericardiocentesis echo-Doppler features of ECP. Read More

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http://dx.doi.org/10.1007/s11886-019-1243-4DOI Listing
November 2019

Imaging-Guided Therapies for Pericardial Diseases.

JACC Cardiovasc Imaging 2020 Jun 13;13(6):1422-1437. Epub 2019 Nov 13.

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

Frequently, multimodality imaging is indispensable in the care of patients with pericardial disease. With cardiac magnetic resonance imaging, pericardial inflammation can be characterized as acute, subacute, or chronic. This spectrum of inflammation is variably associated with reduced compliance of the pericardium, which may result in constrictive pathophysiology, typically well-defined with echocardiography. Read More

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http://dx.doi.org/10.1016/j.jcmg.2019.08.027DOI Listing

Usefulness of Cardiac Magnetic Resonance for Recurrent Pericarditis.

Am J Cardiol 2020 01 11;125(1):146-151. Epub 2019 Oct 11.

University Cardiology, Cardiovascular and Thoracic Department, AOU Città della Salute e della Scienza di Torino, Torino, Italy,; Department of Medical Science, University of Torino, Torino, Italy.

Cardiac magnetic resonance (CMR) offers the capability to objectively detect pericarditis by identifying pericardial thickening, edema/inflammation by Short-TI Inversion Recovery-T2 weighted (STIR-T2w) imaging, edema/inflammation or fibrosis by late gadolinium enhancement (LGE), and presence of pericardial effusion. This is especially helpful for the diagnosis of recurrent pericarditis. Aim of the present paper is to assess the diagnostic accuracy of CMR findings as well as their potential prognostic value for the diagnosis of recurrent pericarditis. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.09.026DOI Listing
January 2020

Subacute Constrictive Pericarditis Postcardiac Surgery Evaluated by F-Fluorodeoxyglucose Positron Emission Tomography/Magnetic Resonance Imaging.

Circ Cardiovasc Imaging 2019 11 18;12(11):e009764. Epub 2019 Oct 18.

Department of Cardiovascular Medicine, Fukushima Medical University, Japan.

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http://dx.doi.org/10.1161/CIRCIMAGING.119.009764DOI Listing
November 2019
1 Read

Impact of pericardiectomy on exercise capacity and sleep of patients with chronic constrictive pericarditis.

PLoS One 2019 11;14(10):e0223838. Epub 2019 Oct 11.

Cardiomyopathy Clinical Unit, Cardiology Division, Heart Institute (InCor), Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

Background: Heart failure is associated with exercise intolerance and sleep- disordered breathing; however, studies in patients with chronic constrictive pericarditis are scarce. The purpose of our study was to assess exercise capacity and sleep in patients with chronic constrictive pericarditis (CCP) undergoing a pericardiectomy.

Methods: We studied consecutive patients scheduled for pericardiectomy due to symptomatic CCP. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0223838PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6788706PMC
March 2020
2 Reads

[Hepatomegaly as a form of presentation in constrictive pericarditis. A pediatric clinical case].

Arch Argent Pediatr 2019 10;117(5):e523-e526

Servicio de Cardiología, Hospital de Niños Ricardo Gutiérrez, Ciudad Autónoma de Buenos Aires.

Constrictive pericarditis is a rare entity in pediatrics in which there is a limitation for cardiac diastole due to fibrosis of the pericardium. The etiopathogenic origin of this pathology is multiple, finding idiopathic constrictive pericarditis firstly and Mycobacterium tuberculosis infection secondly. Diagnosis is a clinical challenge since it requires a high degree of suspicion. Read More

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http://dx.doi.org/10.5546/aap.2019.e523DOI Listing
October 2019
3 Reads

[54-Year-Old Patient with Stress Dyspnea and Intermittent Thoracic Tightness].

Dtsch Med Wochenschr 2019 09 26;144(19):1325-1326. Epub 2019 Sep 26.

Abteilung für Diagnostische und Interventionelle Radiologie, Universitätsklinik Tübingen.

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http://dx.doi.org/10.1055/a-0918-7606DOI Listing
September 2019

Excision of visceral pericardium for chronic effusive constrictive pericarditis.

Asian Cardiovasc Thorac Ann 2020 Jan 3;28(1):65-67. Epub 2019 Sep 3.

Division of Cardiothoracic Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

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http://dx.doi.org/10.1177/0218492319874905DOI Listing
January 2020
3 Reads

Constrictive Pericarditis After Lung Transplantation.

Transplantation 2020 May;104(5):1081-1084

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Duke University Medical Center, Durham, NC.

Background: Constrictive pericarditis is a rare, but increasingly recognized long-term postoperative complication of lung transplantation. Heightened clinical suspicion, improved diagnostic imaging, and effective surgical treatment of the disease have led to progressive awareness of the pathology. We present our institutional experience with constrictive pericarditis after lung transplant in an effort to investigate the cause and natural history of the disease. Read More

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http://dx.doi.org/10.1097/TP.0000000000002943DOI Listing
May 2020
2 Reads
3.828 Impact Factor

Constrictive pericarditis: a common pathophysiology for different macroscopic anatomies.

J Cardiovasc Med (Hagerstown) 2019 Oct;20(10):725-726

Dipartimento di Scienze Biomediche e Cliniche 'Sacco', University of Milan, Milan, Italy.

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http://dx.doi.org/10.2459/JCM.0000000000000844DOI Listing
October 2019
3 Reads

A case report: multiple right ventricular diverticula with constrictive pericarditis and right heart failure.

Eur Heart J Case Rep 2019 Jun;3(2)

Department of Cardiac Imaging, North West Heart Centre, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Southmoor Road, Manchester M23 9LT, UK.

Background: Right ventricular diverticula (RVD) are very rare congenital anomalies and their association with constrictive pericarditis is even rarer. So far, only one case has been published in literature.

Case Summary: We report a case of multiple congenital RVD with constrictive pericarditis and right heart failure which was incidentally identified on surveillance computed tomography (CT) for abdominal lymphangioma. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6601178PMC
June 2019
2 Reads

An unusual interventricular septal bounce in a patient with dermatomyositis: a case report.

Eur Heart J Case Rep 2019 Jun;3(2)

Cardiology Unit and EchoLab of Emergency Department, 'Madonna del Soccorso' Hospital, 3-7, Via Manara, San Benedetto del Tronto, Italy.

Background: In literature it has been reported in 1998, for the first time, a case of a 54-year-old man who developed constrictive pericarditis (CP) 12 years after diagnosis of dermatomyositis (DM). To our knowledge, this may be the only case reported.

Case Summary: A 16-year-old man presented to our institution because of symptoms posing a suspicion for an inflammatory disease; after physical examination, lab tests, and other investigations (electromyography, magnetic resonance, and muscular biopsy) was diagnosed as having DM. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6601201PMC
June 2019
4 Reads

Multimodality imaging for the diagnosis and treatment of constrictive pericarditis.

Expert Rev Cardiovasc Ther 2019 Sep 23;17(9):663-672. Epub 2019 Aug 23.

Department of Cardiovascular Medicine, Cleveland Clinic, Heart and Vascular Institute , Cleveland , OH , USA.

: Constrictive pericarditis can result in debilitating congestive right heart failure and has been considered an important cause of morbidity and mortality in patients with cardiovascular disease. Multimodality imaging continues to play a fundamental role in the individual approach to diagnosis, management, and prognosis of patients with this clinical syndrome. : This article gives an overview of the clinical spectrum of constrictive pericardial diseases and the role of multimodality imaging in the diagnosis of constrictive pericarditis. Read More

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http://dx.doi.org/10.1080/14779072.2019.1657832DOI Listing
September 2019
2 Reads

A clinical case of tuberculosis with transient constrictive pericarditis and perimyocarditis.

Echo Res Pract 2019 Sep 16;6(3):K7-K12. Epub 2019 Jul 16.

Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.

Tuberculous pericarditis is a rare diagnosis seen among as few as 1% of tuberculosis (TB) patients in developed countries. We present a case of a 60-year-old male suffering from a transient constrictive pericarditis and subclinical involvement of the myocardium in a clinical case of tuberculous pericarditis with corresponding improvement after the initiation of anti-tuberculous treatment. We suggest monitoring of myocardial function using global longitudinal strain by myocardial speckle tracking strain analysis as supplement to routine left ventricular ejection fraction to assess clinical improvement in patients at risk of developing constrictive pericarditis. Read More

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http://dx.doi.org/10.1530/ERP-19-0019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6689120PMC
September 2019
2 Reads

Clinical Utility of [F]FDG-PET /CT in Pericardial Disease.

Curr Cardiol Rep 2019 08 2;21(9):107. Epub 2019 Aug 2.

Division of Cardiology, Department of Medicine, Samsung Medical Center, Heart Vascular and Stroke Institute Imaging Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, Korea.

Identification of the etiology of pericardial disease is challenging because the accessibility to pericardial fluid and tissue is limited and there is a relatively low yield of fluid and tissue analysis. Pericardial disease is associated with various systemic diseases and is frequently a first manifestation of other systemic diseases. Detecting the cause of pericarditis and minimizing the subsequent inflammatory process can possibly prevent long-term complications. Read More

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http://dx.doi.org/10.1007/s11886-019-1193-xDOI Listing
August 2019
4 Reads

Differentiating Constriction from Restriction (from the Mayo Clinic Echocardiographic Criteria).

Am J Cardiol 2019 09 25;124(6):932-938. Epub 2019 Jun 25.

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

Constrictive Pericarditis (CP) is a curable and reversible form of severe diastolic heart failure. We aimed to investigate the diagnostic accuracy of published echocardiographic Mayo Clinic Criteria in differentiating 107 patients with surgically proven CP from 30 patients with restrictive cardiomyopathy due to cardiac Amyloidosis. Five principal echocardiographic and Doppler variables were remeasured on preoperative transthoracic echocardiogram namely (1) respiration-related ventricular septal shift; (2) respiratory variation in mitral inflow E pulsed Doppler velocity; 3) tissue Doppler medial mitral annular e' velocity; (4) ratio of medial mitral annular e' to lateral mitral annular e' velocity; and 5) hepatic vein (HV) pulsed Doppler diastolic flow reversal ratio. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.06.002DOI Listing
September 2019
8 Reads
3.276 Impact Factor

Radiation-Associated Pericardial Disease.

Curr Cardiol Rep 2019 07 27;21(9):97. Epub 2019 Jul 27.

Heart and Vascular Institute, Department of Cardiovascular Medicine, Cleveland Clinic, 9500 Euclid Avenue, Desk J1-5, Cleveland, OH, 44195, USA.

Purpose Of Review: This review highlights the literature related to pericardial injury following radiation for oncologic diseases.

Recent Findings: Radiation-associated pericardial disease can have devastating consequences. Unfortunately, there is considerably less evidence regarding pericardial syndromes following thoracic radiation as compared to other cardiovascular outcomes. Read More

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http://dx.doi.org/10.1007/s11886-019-1192-yDOI Listing
July 2019
5 Reads

Budd-Chiari Syndrome and hepatic regenerative nodules: Magnetic resonance findings with emphasis of hepatobiliary phase.

Eur J Radiol 2019 Aug 20;117:15-25. Epub 2019 May 20.

Radiology Unit, Department of Diagnostic and Therapeutic Services, IRCCS ISMETT (Mediterranean Institute for Transplantation and Advanced Specialized Therapies), via Tricomi 5, 90127 Palermo, Italy.

Budd-Chiari syndrome (BCS) is a disorder with numerous causes that is a result of hepatic outflow obstruction, in the absence of right heart failure or constrictive pericarditis. Acute Budd-Chiari syndrome is uncommon and clinically characterized by ascites, hepatomegaly, and hepatic insufficiency. In the majority of cases, patients present with chronic BCS, showing a dysmorphic liver disease with variable fibrosis deposition. Read More

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http://dx.doi.org/10.1016/j.ejrad.2019.05.015DOI Listing
August 2019
5 Reads

Tuberculous constrictive pericarditis.

BMJ Case Rep 2019 Jul 4;12(7). Epub 2019 Jul 4.

Internal Medicine/Pediatrics, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA.

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http://dx.doi.org/10.1136/bcr-2019-230420DOI Listing
July 2019
3 Reads

Constrictive Pericarditis: Differentiating the "Purebred" From the "Mixed Bag".

Authors:
Allan L Klein Bo Xu

J Am Coll Cardiol 2019 07;73(25):3322-3325

Section of Cardiovascular Imaging, Center for the Diagnosis and Treatment of Pericardial Diseases, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

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http://dx.doi.org/10.1016/j.jacc.2019.05.003DOI Listing
July 2019
8 Reads
16.503 Impact Factor

Right Atrial/Pulmonary Arterial Wedge Pressure Ratio in Primary and Mixed Constrictive Pericarditis.

J Am Coll Cardiol 2019 07;73(25):3312-3321

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota; Division of Cardiology, Department of Critical Care Medicine and Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. Electronic address:

Background: Cardiac filling pressures may be elevated due to abnormalities in the myocardium, heightened pericardial restraint, or both. The authors hypothesized that the relative contributions due to myocardium and pericardium could be estimated by the ratio between right atrial pressure and pulmonary arterial wedge pressure (RAP/PAWP), which would enable better discrimination of the extent of myocardial disease in patients with constrictive pericarditis (CP).

Objectives: This study investigated the relationships between RAP/PAWP and the pericardial thickness as well as echocardiographic parameters of myocardial function and assessed the prognostic implications of RAP/PAWP for long-term mortality in primary and mixed CP patients who underwent pericardiectomy. Read More

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http://dx.doi.org/10.1016/j.jacc.2019.03.522DOI Listing
July 2019
5 Reads

Constrictive pericarditis following necrotising pneumococcal pneumonia in an immunocompetent child.

Cardiol Young 2019 Aug 26;29(8):1101-1103. Epub 2019 Jun 26.

Department of Paediatric, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang, Malaysia.

Purulent pericarditis leading to constrictive pericarditis is a rare but serious complication following invasive pneumococcal infection. Early recognition of this complication is crucial to prevent mortality. Here, we report a previously healthy child who developed constrictive pericarditis due to purulent pericarditis following necrotising pneumococcal pneumonia, which is not common in this current antibiotic and pneumococcal vaccine era. Read More

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http://dx.doi.org/10.1017/S1047951119001458DOI Listing
August 2019
3 Reads

Heart failure with preserved ejection fraction in the elderly: pathophysiology, diagnostic and therapeutic approach.

J Geriatr Cardiol 2019 May;16(5):421-428

Cardiomyopathy Section, Cardiology Division, University of Iowa, Iowa City, Iowa, USA.

Heart failure with preserved ejection fraction (HFpEF) is a clinical syndrome characterized by symptoms and sings of heart failure with elevated left ventricular filling pressures at rest or during exercise. It is the most common type of heart failure in the elderly and its prevalence increases with age and is higher in females at any given age. HFpEF is frequently accompanied of comorbid conditions such as diabetes mellitus, obesity, atrial fibrillation and renal dysfunction. Read More

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http://dx.doi.org/10.11909/j.issn.1671-5411.2019.05.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6558574PMC
May 2019
15 Reads

Heart in the 'jaws' of a constrictor, unusual cause of subacute right heart failure.

J Cardiothorac Surg 2019 Jun 15;14(1):110. Epub 2019 Jun 15.

Departments of Cardiovascular Surgery and Imaging, Shandong Provincial Hospital, Affiliated to Shandong University, No.324 -Jingwu, Jinan, People's Republic of China.

Background: Constrictive Pericarditis(CP) can be viewed as a constellation of syndromes resulting from compression of the heart, etiologies, course and types are well discussed in other reports. However, localized CP as a cause of right heart failure is rare, and presentation with interposed fluid under-pressure is extremely odd.

Case Report: A case of C. Read More

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http://dx.doi.org/10.1186/s13019-019-0916-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6570946PMC
June 2019
11 Reads

Pericardial Effusion in a Dog with Pericardial Hemangiosarcoma.

J Vet Cardiol 2019 Jun 2;23:81-87. Epub 2019 Mar 2.

College of Veterinary Medicine, Small Animal Clinical Sciences, Michigan State University, 736 Wilson Road, East Lansing, MI, USA 48824. Electronic address:

An adult Jack Russel terrier dog presented for evaluation of large-volume peritoneal and pleural effusion. Echocardiography revealed scant pericardial effusion and abnormally thickened pericardium. Electrocardiography revealed complete atrioventricular block with junctional and ventricular escape beats and occasional ventricular premature complexes. Read More

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http://dx.doi.org/10.1016/j.jvc.2019.01.008DOI Listing
June 2019
17 Reads

Constrictive Pericarditis: A Medical or Surgical Disease?

J Cardiovasc Imaging 2019 Jul 30;27(3):178-186. Epub 2019 Apr 30.

Division of Cardiology, Department of Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Constrictive pericarditis is a disease of the pericardium resulting from chronic inflammation and/or scar responsible for a clinical feature of left and right ventricular failure. Although constrictive pericarditis has long been considered a surgical disease, a subset of patients experience reversibility of pericardial inflammation, a condition referred to as "transient constriction." Thus, after establishing the diagnosis of constrictive pericarditis, it is essential to evaluate the duration and potential for reversal to determine an appropriate treatment plan. Read More

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http://dx.doi.org/10.4250/jcvi.2019.27.e28DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6669181PMC
July 2019
16 Reads

Relapsed acute myeloid leukemia presenting with myocardial hypertrophy and constrictive pericardial physiology.

Anatol J Cardiol 2019 Apr;21(5):287-289

Department of Cardiology, Faculty of Medicine, Başkent University, Dr. Turgut Noyan Practice and Research Center; Adana-Turkey.

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http://dx.doi.org/10.14744/AnatolJCardiol.2019.64011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6528520PMC
April 2019
1 Read

Constrictive pericarditis as a rare cause of chylothorax: a case report.

Eur Heart J Case Rep 2018 Dec 22;2(4):yty113. Epub 2018 Oct 22.

Clinic of Cardiology, St. Olavs Hospital, Postbox 3250 Sluppen, Trondheim, Norway.

Background: Chylothorax is a rare clinical condition that results from thoracic duct damage with leakage of chyle from the lymphatic system to the pleural space. Rarely, constrictive pericarditis has been associated with chylothorax, but to our knowledge only in relation to secondary causes such as tuberculosis, HIV, or malignancy.

Case Summary: A previously healthy 63-year-old man presented with effusive-constrictive pericarditis, recurrent right-sided pleural effusion, and chylothorax. Read More

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http://dx.doi.org/10.1093/ehjcr/yty113DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426027PMC
December 2018
23 Reads

Surgical resection of enlarged calcification formed by idiopathic localized constrictive pericarditis during total aortic arch replacement for aortic dissection.

J Card Surg 2019 Jun 24;34(6):511-513. Epub 2019 Apr 24.

Department of Cardiovascular Surgery, University of Tsukuba, Ibaraki, Japan.

A 75-year-old woman presented at a prior hospital with persistent cough and was treated conservatively for a thrombosed-type aortic dissection (Stanford A). One-year after discharge, follow-up computerized tomography revealed a DeBakey type II, chronic dissecting aortic aneurysm enlarged to 54 mm. She was referred to our hospital with slight edema in the face and extremities and chest radiography showed calcification around the heart. Read More

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http://dx.doi.org/10.1111/jocs.14056DOI Listing
June 2019
9 Reads

Septal bounce illustrated on coronary angiogram.

BMJ Case Rep 2019 Apr 20;12(4). Epub 2019 Apr 20.

Cardiology, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.1136/bcr-2019-230179DOI Listing

Multimodality Imaging for the Assessment of Pericardial Diseases.

Curr Cardiol Rep 2019 04 16;21(5):41. Epub 2019 Apr 16.

Heart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Cleveland Clinic, Cleveland, OH, USA.

Purpose Of Review: The diagnosis of pericardial syndromes, while occasionally straightforward, includes a wide range of pathologies and is often a well-recognized clinical challenge. The aim of this review is to highlight the key role of the various imaging modalities for the diagnosis and management of the spectrum of pericardial diseases.

Recent Findings: Cardiac imaging has become an integral part of the diagnostic process often beginning with echocardiography and supported by advanced imaging modalities including computed tomography, magnetic resonance imaging, and positive emission tomography. Read More

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http://link.springer.com/10.1007/s11886-019-1115-y
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http://dx.doi.org/10.1007/s11886-019-1115-yDOI Listing
April 2019
24 Reads

Pericardial calcification: A case report of a three-dimensional disease.

Int J Surg Case Rep 2019 19;57:152-154. Epub 2019 Mar 19.

Wessex Cardiothoracic Centre, University Hospitals Southampton, Tremona Road, Southampton, SO16 6YD, United Kingdom.

Introduction: Constrictive pericarditis is an important cause of diastolic heart failure. The relationship between the presence and degree of pericardial calcification with constrictive pericarditis is variable, however this should be an early warning sign to initiate appropriate investigations.

Presentation Of Case: A 64-year-old gentleman presented with dyspnoea and dizziness on exertion. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453799PMC
March 2019
8 Reads

Constrictive Pericarditis With a Right Ventricular Apical Outpouching Masquerading as a Diverticulum.

Ann Thorac Surg 2019 09 15;108(3):e203. Epub 2019 Mar 15.

Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India. Electronic address:

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http://dx.doi.org/10.1016/j.athoracsur.2019.02.018DOI Listing
September 2019
7 Reads

Autoinflammatory constrictive pericarditis and chronic myelomonocytic leukaemia: when one speciality is not enough.

BMJ Case Rep 2019 Mar 7;12(3). Epub 2019 Mar 7.

Cardiovascular Research Unit, Sheffield Teaching Hospitals and University of Sheffield, Sheffield, UK.

We present a case of constrictive pericarditis with concomitant blood and bone marrow appearances of chronic myelomonocytic leukaemia (CMML). Despite surgical treatment with pericardiectomy, the patient deteriorated into multiorgan failure. Pericardial histology disclosed a typical inflammatory picture with no evidence of monocytic or malignant infiltrate. Read More

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http://dx.doi.org/10.1136/bcr-2018-228204DOI Listing
March 2019
9 Reads

Case Report of Aggressive Primary Pericardial Mesothelioma Presenting as a Constrictive Pericarditis.

Circ Cardiovasc Imaging 2019 03;12(3):e008621

Faculty of Medicine, Laval University, QC (G.M., M.B., M.-E.P., L.C., C.C.).

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http://dx.doi.org/10.1161/CIRCIMAGING.118.008621DOI Listing
March 2019
11 Reads