1,249 results match your criteria Imaging in Constrictive Pericarditis


Heart in a shell-a cascade of classical findings: a case report.

Eur Heart J Case Rep 2022 Jun 10;6(6):ytac231. Epub 2022 Jun 10.

Department of Cardiovascular Disease, Michigan State University/McLaren, 48532 Flint, MI, USA.

Background: Idiopathic chronic constrictive pericarditis (CP) is an uncommon yet very important clinical entity as prompt diagnosis and early treatment are affiliated with improved outcomes. We describe an uncommon case of CP with a series of textbook findings and received successful treatment with surgical pericardiectomy (SP).

Case Summary: A 58-year-old male presented to the emergency department with exertional dyspnoea and anasarca. Read More

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Right heart failure in a young man.

Heart 2022 Jun 24;108(14):1120-1160. Epub 2022 Jun 24.

Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

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Case Report: Protein-Losing Enteropathy in Association With Tuberculosis-Related Constrictive Pericarditis.

Front Pediatr 2022 30;10:875032. Epub 2022 May 30.

Department of Nephrology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

Protein-losing enteropathy (PLE) is a clinical disorder in which an excessive amount of serum protein is lost into the gastrointestinal tract, resulting in hypoproteinemia and malnutrition. PLE is associated with a wide range of gastrointestinal disorders and the rare complication of constrictive pericarditis. We report a case in which pericardiectomy achieved marked improvement of extremely severe hypoalbuminemia caused by PLE associated with tuberculosis-related constrictive pericarditis. Read More

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An Unusual Cause of Right Heart Failure: Hemorrhagic Pericardial Cyst Presenting as a Pericardial Mass and Constrictive Pericarditis.

Indian J Radiol Imaging 2022 Mar 19;32(1):132-135. Epub 2022 Apr 19.

Department of Thoracic and vascular Surgery, Government Medical College Hospital, Thiruvananthapuram, Kerala, India.

Congenital pericardial cysts are very rare neoplasms of the middle mediastinum. We report a case of a young woman who was referred to the surgical department with abdominal pain. The ultrasound done showed moderate ascites and pleural effusion. Read More

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Primary malignant pericardial mesothelioma with a survival of 2.5 years: a case report.

Transl Cancer Res 2022 May;11(5):1451-1456

Department of Respiratory and Critical Care Medicine Division, Guiqian International General Hospital, Guiyang, China.

Background: Primary malignant pericardial mesothelioma (PMPM) is a highly malignant tumor originating in the pericardium serosum with clinical manifestations presenting as constrictive pericarditis, with pericardial tamponade and heart failure. Malignant pericardial mesothelioma is rare and has a poor prognosis, with an average survival time of 6-10 months.

Case Description: Herein, we report the case of a 57-year-old female who developed chest tightness and panic for no obvious reason. Read More

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The role of multi-modality cardiovascular imaging in a patient presenting with acute liver failure secondary to constrictive pericarditis: a case report.

Eur Heart J Case Rep 2022 Jun 7;6(6):ytac217. Epub 2022 Jun 7.

University Hospitals North Midlands NHS Foundation Trust, Newcastle Rd, Stoke-on-Trent ST4 6QG, UK.

Background: Constrictive pericarditis is a rare cause of heart failure which often presents a diagnostic challenge to clinicians.

Case Summary: We describe the case of a 62-year-old male who presented to our institution with symptoms and signs suggestive of acute liver failure. Abdominal imaging demonstrated congestive hepatopathy. Read More

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The way to a man's heart is through his stomach? A unique case report of transient constrictive pericarditis secondary to infarction of herniated omentum following bariatric surgery.

Eur Heart J Case Rep 2022 Jun 18;6(6):ytac205. Epub 2022 May 18.

2School of Medicine, Griffith University, Gold Coast campus, 4222 Southport, Queensland, Australia.

Background: Intrapericardial diaphragmatic hernias are a rare form of diaphragmatic hernia. The presentation is usually acute due to trauma or from iatrogenic causes. In some instances however, these patients can present years later. Read More

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Multimodality Imaging for Pericardial Epithelioid Angiosarcoma Presenting With Pericardial Effusion and Constrictive Pericarditis.

Korean Circ J 2022 May 17. Epub 2022 May 17.

Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.

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Kaposiform lymphangiomatosis complicated with effusive constrictive pericarditis: a rare systemic malformation involving the heart.

Eur Heart J Cardiovasc Imaging 2022 May 27. Epub 2022 May 27.

Department of Cardiology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

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Pericardial Mesothelioma Presenting as Constrictive Pericarditis.

Cureus 2022 Apr 19;14(4):e24270. Epub 2022 Apr 19.

Cardiology, Reading Hospital Tower Health, Reading, USA.

This case report presents a 60-year-old gentleman with a significant smoking history and possible asbestos exposure who was referred to the emergency department for atrial fibrillation with a rapid ventricular rate and symptoms of heart failure. Labs showed normal brain natriuretic peptide and troponin I. His echocardiography finding suggested constrictive pericarditis with an ejection fraction of 60%. Read More

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Cardiac MRI after first episode of acute pericarditis: A pilot study for better identification of high risk patients.

Int J Cardiol 2022 May 12;354:63-67. Epub 2022 Mar 12.

Centro Cardiologico Monzino, IRCCS, Milan, Italy; Università di Milano, Department of Biomedical and Clinical Sciences "Luigi Sacco", Fatebefratelli Hospital, Milan, Italy.

Background: Cardiac magnetic resonance (CMR) was proposed as an accurate non-invasive tool to evaluate pericardial inflammation. Aim of the present study was to evaluate the role of CMR early in the course of the first episode of acute pericarditis.

Material And Methods: A clinical registry of consecutive patients who underwent clinical indicated CMR due to pericardial disease from January 2014 to January 2020 was screened. Read More

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Constrictive Pericarditis Revealing Rare Case of ALH Amyloidosis With Underlying Lymphoplasmacytic Lymphoma (Waldenstrom Macroglobulinemia).

JACC Case Rep 2022 Mar 2;4(5):271-275. Epub 2022 Mar 2.

Division of Cardiovascular Medicine, Department of Medicine, Stanford University, Stanford, California, USA.

We present a case of pericardial amyloidosis with associated lymphoplasmacytic lymphoma in a patient with chronic worsening shortness of breath and cough. This case highlights the wide variation in the presentation of cardiac amyloidosis, and the rare occurrence of clinically significant light-chain and heavy-chain amyloidosis in the pericardium. (). Read More

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[Infectious Thoracic Aortic Aneurysm and Purulent Pericarditis due to Staphylococcus aureus:Report of a Case].

Kyobu Geka 2022 Feb;75(2):146-149

Department of Cardiovascular Surgery, Tachikawa Medical Center, Nagaoka, Japan.

The objective of this case report is to highlight a rare case of infectious thoracic aortic aneurysm and purulent pericarditis simultaneously in a 56-year-old woman. The patient complained of left anterior chest pain and contrast computed tomography (CT) revealed infectious thoracic aortic aneurysm and purulent pericarditis accompanied by massive pericardial effusion. She underwent a pericardial drainage immediately, and antibiotic treatment was initiated. Read More

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February 2022

Incidentally detected dual right coronary artery in patient with constrictive pericarditis.

J Card Surg 2022 Jul 2;37(7):2092-2093. Epub 2022 Mar 2.

Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, India.

We report a case of a 29-year-old man with constrictive pericarditis where CT angiography incidentally demonstrated a dual right coronary artery (RCA). The present case highlights the diagnostic criterion for dual RCA as well as the potential clinical implications of the anomaly. Read More

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'Egg-cased heart': a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report.

Eur Heart J Case Rep 2022 Feb 15;6(2):ytac075. Epub 2022 Feb 15.

Department of Cardiac Surgery, ICVD, Madras Medical Mission, 4-A J.J. Nagar, Mogappair, Chennai 600037, India.

Background: Constrictive pericarditis (CP), also known as Pick's disease, is a sequela of chronic inflammation of the pericardium. Pericardial calcification is a common occurrence in CP; however, extensive egg-shell like calcification is rare. Our case, highlights, how a multi-modality imaging in a middle aged female helped to diagnose chronic constrictive pericarditis (CCP) with egg-shell like calcification encasing the heart. Read More

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February 2022

Constrictive Pericarditis: An Unusual Presentation of Rheumatoid Vasculitis.

Cureus 2022 Jan 26;14(1):e21643. Epub 2022 Jan 26.

Cardiology, Sands-Constellation Heart Institute, Rochester Regional Health, Rochester, USA.

We describe a case of rheumatoid vasculitis with an atypical presentation of constrictive pericarditis. A 51-year-old man who was previously admitted for diffuse lymphadenopathy, presented with chest pain and a lower extremity rash. Extensive workup including multimodality imaging, serology tests, and biopsy, resulted in the diagnosis of rheumatoid vasculitis. Read More

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January 2022

Pericardial Involvement in Sarcoidosis.

Am J Cardiol 2022 May 25;170:100-104. Epub 2022 Feb 25.

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

Pericardial disease secondary to sarcoidosis is a rare clinical entity with no observational studies in previous research. Therefore, we evaluated reported cases of pericarditis because of sarcoidosis to further understand its diagnosis and management. We performed a systematic review of previous research until December 16, 2020 in MEDLINE, Embase, Scopus, Cochrane Central Register of Controlled Trials, and Web of Science. Read More

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Aggressive Cholesterol Pericarditis With Minimal Effusion Masquerading as Treatment-Refractory Autoimmune Disease.

CJC Open 2022 Feb 24;4(2):237-239. Epub 2021 Sep 24.

Department of Cardiology, London Health Sciences Centre, Western University, London, Ontario, Canada.

A middle-aged woman with rheumatoid arthritis presented with treatment-refractory pericarditis. Symptoms persisted despite escalation of immunosuppression, and she had recurrent admissions for heart failure. Imaging revealed minimal pericardial effusion and a thickened pericardium. Read More

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February 2022

Case Report: "Gourd-Shaped" Heart Strangled by Localized Annular Calcification of the Left Ventricle: A Rare Case of Constrictive Pericarditis.

Front Cardiovasc Med 2022 4;9:834262. Epub 2022 Feb 4.

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

We report a rare case of a 43-year-old woman with calcific annular constrictive pericarditis (CP) encircling the basal segment of the right ventricle and the mid-segment of the left ventricle (LV) lateral wall. Over time, localized calcification has caused LV to be tightly strangled and shaped like a gourd. However, multimodality imaging confirmed no significantly clinical constriction associated with decreased cardiac movement and function. Read More

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February 2022

Cardiovascular complications of mantle field radiation: a case series.

Eur Heart J Case Rep 2022 Jan 18;6(1):ytac017. Epub 2022 Jan 18.

Department of Cardiology, St George Hospital, Sydney, NSW 2217, Australia.

Background: Mantle field radiotherapy has been known to cause cardiovascular complications even years after therapy. Complications include pericardial disease, coronary artery disease, and conduction abnormalities.

Case Summary: We present a case series of two patients who developed cardiovascular complications years after receiving mantle radiation. Read More

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January 2022

Myositis with prominent B-cell aggregates causing shrinking lung syndrome in systemic lupus erythematosus: a case report.

BMC Rheumatol 2022 Feb 16;6(1):11. Epub 2022 Feb 16.

Division of Internal Medicine, Department of Medicine, Hôpital du Sacré-Coeur de Montréal, Université de Montréal, 5400 Gouin O Blvd, Montreal, QC, H4J 1C5, Canada.

Background: Shrinking lung syndrome (SLS) is a rare manifestation of systemic lupus erythematosus (SLE) characterized by decreased lung volumes and diaphragmatic weakness in a dyspneic patient. Chest wall dysfunction secondary to pleuritis is the most commonly proposed cause. In this case report, we highlight a new potential mechanism of SLS in SLE, namely diaphragmatic weakness associated with myositis with CD20 positive B-cell aggregates. Read More

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February 2022

Immunoglobulin G4-related constrictive pericarditis and the importance of a thorough workup: a case report.

BMC Cardiovasc Disord 2022 02 4;22(1):28. Epub 2022 Feb 4.

Cardiothoracic Surgery Department, Hospital Santa Cruz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal.

Background: Constrictive pericarditis remains a problematic diagnosis and a thorough investigation is critical. Among possible aetiologies, immunoglobulin-G4 (IgG4)-related pericardial disease is an unusual cause of pericardial constriction. We report a challenging diagnostic case of pericardial constriction due to IgG4-related disease. Read More

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February 2022

Pericardiectomy for constrictive pericarditis at a single Japanese center: 20 years of experience.

Gen Thorac Cardiovasc Surg 2022 May 4;70(5):430-438. Epub 2022 Feb 4.

Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan.

Objective: Constrictive pericarditis (CP) is a rare disease, and the diagnosis and surgical treatment of CP remain challenging. The aim of this study was to evaluate our Japanese single-center experience with isolated pericardiectomy for CP to elucidate the factors associated with improved outcomes.

Methods: Over a 20-year period, 44 consecutive patients underwent isolated pericardiectomy at our institution. Read More

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Shrink-ring Constrictive Pericarditis Mimicking Double-Chambered Right Ventricle.

Ann Thorac Surg 2022 05 13;113(5):e399. Epub 2022 Jan 13.

Departments of Cardiac Ultrasound and Cardiac Surgery, The Third People's Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University, Chengdu, China. Electronic address:

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Pericardiectomy for constrictive pericarditis after mediastinal irradiation-Need for functional assessment.

Authors:
Siddharth Pahwa

J Card Surg 2022 Mar 8;37(3):706. Epub 2022 Jan 8.

Department of Cardiovascular and Thoracic Surgery, University of Louisville, Louisville, Kentucky, USA.

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Two-dimensional transthoracic echocardiographic demonstration of reduction in fibrin content in purulent pericarditis following intrapericardial fibrinolytic agent administration.

Echocardiography 2022 01 15;39(1):146-148. Epub 2021 Dec 15.

Division of Cardiology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.

We describe an adult patient who presented with purulent pericarditis (PP) in whom two-dimensional transthoracic echocardiography demonstrated a marked decrease in the area of the right ventricular (RV) wall together with the overlying fibrin following intrapericardial administration of a fibrinolytic agent. Documentation of this decrease by measurements performed and illustrated on two-dimensional images has not been reported previously in an adult patient with PP, to the best of our knowledge. Read More

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January 2022

[Constrictive Pericarditis Associated with Pericardial Hematoma:Report of a Case].

Kyobu Geka 2021 Dec;74(13):1101-1105

Department of Cardiovascular Surgery, Fukuoka Kinen Hospital, Fukuoka, Japan.

A 59-year-old man was admitted to our hospital due to keto-acidosis. Electric cardiogram showed history of myocardial infarction. Cardiac echogram showed severe left ventricular hypokinesis, thickened pericardium and pericardial effusion. Read More

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December 2021

Lessons of the month 3: Haemophagocytic lymphohistiocytosis following COVID-19 vaccination (ChAdOx1 nCoV-19).

Clin Med (Lond) 2021 Nov;21(6):e677-e679

University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.

A 36-year-old woman presented to hospital 9 days after receiving her first dose of the ChAdOx1 nCoV-19 vaccine with fever, myalgia and a sore throat. She was previously fit and well with no prior vaccine reactions.There was no clinical response to initial treatment with intravenous (IV) antibiotics. Read More

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November 2021

Constrictive pericarditis in the setting of repeated chest trauma in a mixed martial arts fighter.

BMC Cardiovasc Disord 2021 11 22;21(1):561. Epub 2021 Nov 22.

Division of Cardiovascular Medicine, Department of Medicine, University of Utah Health, 30 North 1900 East, Room 4A100, Salt Lake City, UT, 84132, USA.

Background: Constrictive pericarditis (CP) is characterized by scarring and loss of elasticity of the pericardium. This case demonstrates that mixed martial arts (MMA) is a previously unrecognized risk factor for CP, diagnosis of which is supported by cardiac imaging, right and left heart catheterization, and histological findings of dense fibrous tissue without chronic inflammation.

Case Presentation: A 47-year-old Caucasian male former mixed martial arts (MMA) fighter from the Western United States presented to liver clinic for elevated liver injury tests (LIT) and a 35-pound weight loss with associated diarrhea, lower extremity edema, dyspnea on exertion, and worsening fatigue over a period of 6 months. Read More

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November 2021

Features on cardiac magnetic resonance imaging and accuracy of echocardiographic findings for diagnosing constrictive pericarditis.

J Pak Med Assoc 2021 Nov;71(11):2652-2655

Department of Medicine and Cardiology, Aga Khan University Hospital, Karachi, Pakistan.

Constrictive pericarditis is a rare disease with a difficult diagnosis. Cardiac magnetic resonance (CMR) imaging data of Aga Khan University Hospital from January 2011 to March 2020 was retrospectively reviewed and patients with the diagnosis of constrictive pericarditis were included. A total of 22 patients were included with the mean age of 46±16 years and majority 17(77%) were male. Read More

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November 2021