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    1 OF 77

    Constrictive Pericarditis as a Long-term Undetermined Etiology of Ascites and Edema.
    Intern Med 2018 Jan 11. Epub 2018 Jan 11.
    Heart Center, Tokyo Bay Urayasu-Ichikawa Medical Center, Japan.
    Constrictive pericarditis (CP) is defined as impedance to diastolic filling caused by a fibrotic pericardium. The diagnosis of CP is a clinical challenge and requires a high index of clinical suspicion. The signs and symptoms of CP include fatigue, edema, ascites, and liver dysfunction. Read More

    Diagnostic and prognostic utility of cardiovascular magnetic resonance imaging in heart failure with preserved ejection fraction - implications for clinical trials.
    J Cardiovasc Magn Reson 2018 Jan 11;20(1). Epub 2018 Jan 11.
    Department of Cardiovascular Sciences and National Institute for Health Research (NIHR), University of Leicester, Leicester Cardiovascular Biomedical Research Unit, Glenfield Hospital, Groby Road, Leicester, LE3 9QP, UK.
    Background: Heart failure with preserved ejection fraction (HFpEF) is a poorly characterized condition. We aimed to phenotype patients with HFpEF using multiparametric stress cardiovascular magnetic resonance imaging (CMR) and to assess the relationship to clinical outcomes.

    Methods: One hundred and fifty four patients (51% male, mean age 72 ± 10 years) with a diagnosis of HFpEF underwent transthoracic echocardiography and CMR during a single study visit. Read More

    Clinical features, management and outcome of patients with constrictive pericarditis - Experience from a third world country.
    J Saudi Heart Assoc 2018 Jan 11;30(1):9-13. Epub 2017 May 11.
    Medstar Georgetown University, USA.
    Objectives: To study the clinical features, management and outcome of patients with constrictive pericarditis, at a tertiary care hospital of Pakistan.

    Design: Descriptive study.

    Material & Method: All consecutive patients with the final diagnosis of constrictive pericarditis, admitted at Aga Khan University Hospital Karachi, during the year 2005 to 2015 were included in the study. Read More

    Diagnosis of Budd-Chiari syndrome.
    Abdom Radiol (NY) 2017 Dec 28. Epub 2017 Dec 28.
    Department of Radiology, Hôpital Beaujon, HUPNVS, 100, Bd du Général Leclerc, Clichy, France.
    Budd-Chiari syndrome (BCS) is defined by clinical and laboratory signs associated with partial or complete impairment of hepatic venous drainage in the absence of right heart failure or constrictive pericarditis. Primary BCS is the most frequent type and is a complication of hypercoagulable states, in particular myeloproliferative neoplasms. Secondary BCS involves tumor invasion or extrinsic compression. Read More

    Constrictive Pericarditis 5 Months after Radiation Therapy in a 62-Year-Old Woman with Esophageal Cancer.
    Tex Heart Inst J 2017 Dec 19;44(6):411-415. Epub 2017 Dec 19.
    Most pericardial changes appear within a few weeks in patients who have undergone radiation therapy for thoracic neoplasms. Chronic pericardial constriction typically occurs decades later, consequent to fibrosis. Early constrictive pericarditis after chest irradiation is quite rare. Read More

    Restrictive Cardiomyopathies: The Importance of Noninvasive Cardiac Imaging Modalities in Diagnosis and Treatment-A Systematic Review.
    Radiol Res Pract 2017 15;2017:2874902. Epub 2017 Nov 15.
    Department of Cardiology, Chatzikosta General Hospital, Ioannina, Greece.
    Restrictive cardiomyopathy (RCM) is the least common among cardiomyopathies. It can be idiopathic, familial, or secondary to systematic disorders. Marked increase in left and/or right ventricular filling pressures causes symptoms and signs of congestive heart failure. Read More

    A Case of Severe Adult-onset Still Disease with Constrictive pericarditis and Pleuritis that Was Successfully Treated with Tocilizumab in Addition to Corticosteroids and Cyclosporin A.
    Intern Med 2017 Dec 21. Epub 2017 Dec 21.
    Department of Internal Medicine, Faculty of Medicine, University of Tsukuba, Japan.
    Adult-onset Still disease (AOSD) is a systemic inflammatory disease characterized by fever, arthritis and rash. Corticosteroids represent a promising therapeutic option for AOSD; however, some resistant cases require immunosuppressants and biologic agents. We herein report the case of a 29-year-old Japanese man with severe AOSD, accompanied by constrictive pericarditis (CP) and pleuritis. Read More

    Restrictive Cardiomyopathy or Constrictive Pericarditis: An Unresolved Conundrum.
    World J Pediatr Congenit Heart Surg 2017 Jan 1:2150135116678415. Epub 2017 Jan 1.
    2 Department of Paediatric Cardiac Surgery, Cardiopulmonary Transplant Unit, Freeman Hospital, Newcastle Upon Tyne NE7 7DN, United Kingdom.
    Cardiomyopathy may have a variety of causes and may lead to significant morbidity. Often, there is no "perfect" treatment. New investigative techniques may add insight but retain the possibility of uncertainty. Read More

    Constrictive pericarditis: diagnosis, management and clinical outcomes.
    Heart 2017 Nov 25. Epub 2017 Nov 25.
    Section of Cardiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
    Constrictive pericarditis (CP) is a form of diastolic heart failure that arises because an inelastic pericardium inhibits cardiac filling. This disorder must be considered in the differential diagnosis for unexplained heart failure, particularly when the left ventricular ejection fraction is preserved. Risk factors for the development of CP include prior cardiac surgery and radiation therapy, but most cases are still deemed to be idiopathic. Read More

    Transitory effusive-constrictive pericarditis.
    Am J Emerg Med 2017 Nov 20. Epub 2017 Nov 20.
    Emergency Department, Humanitas Research Hospital, Via Manzoni 56, 20089 Rozzano, Italy. Electronic address:
    Pericardial effusion of various sizes is a quite common clinical finding, while its progression to effusive-constrictive pericarditis occurs in about 1.4-14% of cases. Although available evidence on prevalence and prognosis of this rare pericardial syndrome is poor, apparently a considerable proportion of patients conservatively managed has a spontaneous resolution after several weeks. Read More

    A 47-Year-Old Man With Recurrent Unilateral Pleural Effusion.
    Chest 2017 Nov;152(5):e121-e124
    University of Pennsylvania, Philadelphia, PA.
    Case Presentation: A 47-year-old man with a medical history of hypertension, diabetes, hyperlipidemia, and OSA presented with a 7- to 10-day history of progressively worsening dyspnea on exertion, with a walking distance of 60 feet. He had bilateral lower-extremity swelling and was prescribed furosemide without clinical improvement. At baseline, he used three pillows for sleeping. Read More

    A systematic review of the efficacy and safety of intrapericardial fibrinolysis in patients with pericardial effusion.
    Int J Cardiol 2018 Jan 6;250:223-228. Epub 2017 Nov 6.
    Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa. Electronic address:
    Pericardial effusion is the abnormal accumulation of fluid in the pericardial space. The complications of pericardial effusion can either be acute (e.g. Read More

    Effectiveness and long-term outcomes of surgical intervention for constrictive epicardium in constrictive pericarditis.
    Gen Thorac Cardiovasc Surg 2017 Oct 27. Epub 2017 Oct 27.
    Department of Cardiovascular Surgery, Cardiovascular Center, Toranomon Hospital, Tokyo, Japan.
    Objective: Epicardial resection is considered effective in patients with constrictive pericarditis accompanied by epicardial constriction, but few publications have evaluated its long-term outcomes. The study objective was to evaluate early and late results of epicardial resection.

    Methods: A total of 22 patients with pericardiectomy for constrictive pericarditis were treated at our institution between 1989 and 2016. Read More

    Implantable epicardial cardioverter-defibrillator-induced localized constrictive pericarditis.
    Interact Cardiovasc Thorac Surg 2018 Jan;26(1):158-160
    Department of Cardiovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
    In the 1990s, epicardial implantable cardioverter-defibrillator (ICD) patches were frequently implanted to treat life-threatening ventricular arrhythmia. However, owing to the high rates of functional failure, the patch system has been replaced by transvenous ICD leads system. Although morphological abnormalities such as dense fibrosis around the patch are quite frequent, epicardial ICD patch-induced localized constrictive pericarditis is very rare. Read More

    Multimodality Imaging of Pericardial Diseases.
    Curr Treat Options Cardiovasc Med 2017 Oct 12;19(12):89. Epub 2017 Oct 12.
    King Abdulaziz Cardiac Center, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia.
    Opinion Statement: Pericardial diseases have changed their epidemiology in the past few years. With the aging population and decreasing incidence of communicable diseases, the causes of pericardial diseases have significantly changed from infectious and malignant to postradiation and cardiac surgery causes. Despite that, pericardial diseases remain difficult to diagnose. Read More

    Tuberculous and Infectious Pericarditis.
    Cardiol Clin 2017 Nov;35(4):615-622
    Division of Cardiology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Heart Vascular and Stroke Institute Imaging Center, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Republic of Korea. Electronic address:
    Viral pericarditis is the most common cause of acute pericarditis and it is typically responsive to aspirin or nonsteroidal anti-inflammatory drugs. Tuberculous pericarditis is common in immunocompromised patients or in immunocompetent patients in endemic areas. The diagnosis of tuberculous pericarditis usually requires a multidisciplinary approach, and presumptive treatment should be started for people with suspected infections living in endemic areas. Read More

    Contemporary Techniques of Pericardiectomy for Pericardial Disease.
    Cardiol Clin 2017 Nov;35(4):559-566
    Department of Cardiovascular Surgery, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address:
    Pericardiectomy is a potentially curative treatment for constrictive pericarditis. We use a median sternotomy and believe that adequate resection involves removal of the diaphragmatic pericardium and the anterior pericardium. Late outcomes depend on severity of right-sided heart failure preoperatively, the etiology of constrictive pericarditis, and adequate pericardial resection. Read More

    Effusive-Constrictive Pericarditis.
    Cardiol Clin 2017 Nov;35(4):551-558
    Department of Cardiovascular Diseases, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
    Effusive-constrictive pericarditis (ECP) corresponds to the coexistence of a hemodynamically significant pericardial effusion and decreased pericardial compliance. The hallmark of ECP is the persistence of elevated right atrial pressure postpericardiocentesis. The prevalence of ECP seems higher in tuberculous pericarditis and lower in idiopathic cases. Read More

    Constrictive Pericarditis.
    Cardiol Clin 2017 Nov;35(4):539-549
    Cardiovascular Diseases, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.
    Constrictive pericarditis is a potentially treatable cause of diastolic heart failure that arises because a diseased, inelastic pericardium restricts ventricular diastolic expansion. Affected patients present with heart failure with predominant right-sided symptoms and signs. The key to diagnosis is identification of the unique hemodynamic properties associated with constriction: dissociation of intrathoracic and intracardiac pressures and enhanced ventricular interaction. Read More

    Imaging of the Pericardium: A Multimodality Cardiovascular Imaging Update.
    Cardiol Clin 2017 Nov;35(4):491-503
    Section of Cardiovascular Imaging, Center for the Diagnosis and Treatment of Pericardial Diseases, Heart and Vascular Institute, Cleveland Clinic, Desk J1-5, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address:
    Pericardial diseases represent diverse conditions, ranging from painful inflammatory states, such as acute pericarditis, to life-threatening tamponade and chronic heart failure due to constrictive pericarditis. Multimodality cardiovascular imaging plays important roles in diagnosis and management of pericardial conditions. This review provides a clinical update on multimodality cardiovascular imaging of the pericardium, incorporating echocardiography, multidetector computed tomography, and cardiac magnetic resonance imaging, focusing on guiding clinicians about when each cardiac imaging modality should be used in each relevant pericardial condition. Read More

    Pericardial Effusion and Compressive Disorders of the Heart: Influence of New Technology on Unraveling its Pathophysiology and Hemodynamics.
    Cardiol Clin 2017 Nov;35(4):467-479
    Department of Cardiovascular Diseases, Mayo Clinic, 200 First Avenue Southwest, Rochester, MN 55905, USA. Electronic address:
    Constrictive pericarditis and cardiac tamponade cause severe diastolic dysfunction, but do not depress systolic function until the agonal state has been reached. Multimodality cardiovascular imaging has brought the nuances of pericardial disease to the domain of the practicing cardiologist. This introduction is a revised article originally written by the late Dr Shabetai for a pericardial diseases textbook which was not published. Read More

    Constrictive pericarditis caused by Cutibacterium (Propionibacterium) acnes: A case report and review of literature.
    IDCases 2017 28;10:79-82. Epub 2017 Sep 28.
    Department of Medicine; section of Infectious Diseases, Hospital Unit Vest, Herning, Denmark.
    Constrictive and effusive-constrictive pericarditis are rare cardiac disorders. Only rarely are the conditions caused by purulent infection, and even more infrequently by anaerobe bacteria. We describe a case of constrictive - and effusive-constrictive pericarditis due to Cutibacterium (formerly Propionibacterium) acnes in a 75-year old, immunocompetent and previously healthy patient without any predisposition. Read More

    Successful treatment of community-acquired methicillin-resistant Staphylococcus aureus purulent myopericarditis.
    BMJ Case Rep 2017 Oct 10;2017. Epub 2017 Oct 10.
    Department of Cardiology, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.
    A previously healthy 48-year-old active duty man, who had been treated for an elbow abscess 3 weeks earlier, presented to an emergency department in Bahrain with tachycardia, pericardial friction rub and jugular venous distention. Cardiac tamponade was confirmed on transthoracic echocardiogram and he was taken for emergent pericardiocentesis. Pericardial fluid cultures grew community-acquired methicillin-resistant Staphylococcus aureus Despite ongoing treatment with intravenous vancomycin, he developed a recurrent fibrinous pericardial effusion and constrictive pericarditis requiring pericardiectomy. Read More

    A case report of combined radical pericardiectomy and beating heart coronary artery bypass grafting in a patient with tubercular chronic constrictive pericarditis with coronary artery disease.
    Ann Card Anaesth 2017 Oct-Dec;20(4):465-467
    Department of Anaesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
    We here report a successful midterm outcome following combined off-pump radical pericardiectomy and coronary artery bypass surgery (CABG) in a 65-year-old male patient who was suffering from chronic constrictive calcified tubercular pericarditis with coronary artery disease. Simultaneous off-pump CABG and radical pericardiectomy for nonsurgical constrictive pericarditis is reported very rarely in English literature. Read More

    A rare complication of chronic granulomatous disease in a child: constrictive aspergillus pericarditis.
    Turk Kardiyol Dern Ars 2017 Oct;45(7):660-663
    Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Turkey.
    A 3-year-old girl with the diagnosis of chronic granulomatous disease (CGD) was hospitalized for bronchopneumonia and congestive heart failure. Her medical history included methylprednisolone medication for autoimmune gastric outlet obstruction. Computed tomography revealed pneumonic infiltrations and pericardial thickening. Read More

    Importance of Clinical and Laboratory Findings in the Diagnosis and Surgical Prognosis of Patients with Constrictive Pericarditis.
    Arq Bras Cardiol 2017 Nov 2;109(5):457-465. Epub 2017 Oct 2.
    Instituto do Coração (InCor) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), São Paulo, SP - Brazil.
    Background: International studies have reported the value of the clinical profile and laboratory findings in the diagnosis of constrictive pericarditis. However, Brazilian population data are scarce.

    Objective: To assess the clinical characteristics, sensitivity of imaging tests and factors related to the death of patients with constrictive pericarditis undergoing pericardiectomy. Read More

    Effusive-Constrictive Pericarditis After Pericardiocentesis: Incidence, Associated Findings, and Natural History.
    JACC Cardiovasc Imaging 2017 Sep 9. Epub 2017 Sep 9.
    Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota. Electronic address:
    Objectives: This study sought to investigate the incidence, associated findings, and natural history of effusive-constrictive pericarditis (ECP) after pericardiocentesis.

    Background: ECP is characterized by the coexistence of tense pericardial effusion and constriction of the heart by the visceral pericardium. Echocardiography is currently the main diagnostic tool in the assessment of pericardial disease, but limited data have been published on the incidence and prognosis of ECP diagnosed by echo-Doppler. Read More

    Interventions for treating tuberculous pericarditis.
    Cochrane Database Syst Rev 2017 09 13;9:CD000526. Epub 2017 Sep 13.
    Cochrane South Africa, South African Medical Research Council, Francie van Zijl Drive, Parow Valley, Cape Town, Western Cape, South Africa, 7505.
    Background: Tuberculous pericarditis can impair the heart's function and cause death; long term, it can cause the membrane to fibrose and constrict causing heart failure. In addition to antituberculous chemotherapy, treatments include corticosteroids, drainage, and surgery.

    Objectives: To assess the effects of treatments for tuberculous pericarditis. Read More

    Localized constrictive pericarditis compressing and obstructing the right ventricular inflow tract due to a giant anterior calcified cardiac mass. A case report.
    Int J Surg Case Rep 2017 25;39:276-279. Epub 2017 Aug 25.
    Division of Cardiac Surgery, University Hospital Center of Tirana, Albania.
    Introduction: Localized pericardial constriction is a rare form of constrictive pericarditis CP. Depending on the CP location, clinical presentation may be variable, including compression and obstruction of right ventricular inflow tract(RVIT), coronary obstruction, or pulmonary stenosis.

    Case Presentation: A 72-year-old man presented a 2-year history of dyspnea and atrial fibrillation. Read More

    Clinical and diagnostic features of angiosarcoma with pulmonary metastases: A retrospective observational study.
    Medicine (Baltimore) 2017 Sep;96(36):e8033
    aDepartment of Respiratory Medicine bPathology Department cDepartment of Thoracic Surgery dRadiology Department, Peking Union Medical College Hospital, Dong Cheng District, Beijing, China.
    Angiosarcoma with pulmonary metastasis is a rare, fatal disease that often presents with multiple pulmonary nodules and diffuse alveolar hemorrhage. We herein review the detailed clinical characteristics of pulmonary metastatic angiosarcoma and determine a reasonable diagnostic strategy.The medical records of 11 patients with pulmonary angiosarcoma were reviewed. Read More

    Uremic pericarditis, pericardial effusion, and constrictive pericarditis in end-stage renal disease: Insights and pathophysiology.
    Clin Cardiol 2017 Oct 5;40(10):839-846. Epub 2017 Sep 5.
    Department of Cardiovascular Medicine, Center for Diagnosis and Treatment of Pericardial Diseases, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.
    A rising prevalence of end-stage renal disease (ESRD) has led to a rise in ESRD-related pericardial syndromes, calling for a better understanding of its pathophysiology, diagnoses, and management. Uremic pericarditis, the most common manifestation of uremic pericardial disease, is a contemporary problem that calls for intensive hemodialysis, anti-inflammatories, and often, drainage of large inflammatory pericardial effusions. Likewise, asymptomatic pericardial effusions can become large and impact the hemodynamics of patients on chronic hemodialysis. Read More

    Human immunodeficiency virus-associated heart failure in sub-Saharan Africa: evolution in the epidemiology, pathophysiology, and clinical manifestations in the antiretroviral era.
    ESC Heart Fail 2016 Sep 3;3(3):158-167. Epub 2016 Mar 3.
    Division of Cardiology, Department of Medicine, University of Cape Town and Groote Schuur Hospital, Cape Town, South Africa.
    The survival of patients with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) who have access to highly active antiretroviral therapy (ART) has dramatically increased in recent times. This review focuses on HIV-associated heart failure in sub-Saharan Africa (SSA). In HIV infected persons, heart failure may be related to pathology of the pericardium, the myocardium, the valves, the conduction system, or the coronary and pulmonary vasculature. Read More

    Pattern of Cardiac Diseases in Children Attended at Dhulikhel Hospital, Nepal.
    Kathmandu Univ Med J (KUMJ) 2016 Jul-Sept.;14(55):239-243
    Department of Pediatrics, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.
    Background Congenital Heart Disease and Rheumatic Heart Disease are the most common childhood cardiac disease encountered in developing countries. Objective To study the pattern and the prevalence of cardiac diseases, its age wise distribution and to determine their risk factors for mortality in children presented to Dhulikhel Hospital, Kathmandu University Hospital. Method A study of cardiac diseases in children, since birth to 16 years of age attending the department of pediatrics in Dhulikhel Hospital, Kathmandu University Hospital was done over a period of 30 months (Jan 2014 to June 2016). Read More

    [Effectiveness of the Waffle Procedure for Constrictive Pericarditis].
    Kyobu Geka 2017 Aug;70(9):765-769
    Department of Cardiovascular Surgery, Yokohama Minami Kyousai Hospital, Yokohama, Japan.
    A 66-year-old woman was referred to our hospital with dyspnea. Right-sided congestive pleural effusion of an unknown etiology was detected and she was diagnosed with constrictive pericarditis. Pericardiectomy was performed via median sternotomy under extracorporeal circulation because severe adhesion was observed. Read More

    Tuberculous pericarditis treated with steroid in a dialysis patient.
    BMJ Case Rep 2017 Aug 1;2017. Epub 2017 Aug 1.
    Depatment of Cardiovascular Medicine, Nippon Medical School, Bunkyou-ku, Japan.
    Mycobacterium tuberculosis has spread worldwide and its mortality rate had been very high. The prevention technology and antituberculosis (TB) chemotherapy has improved its prognosis. However, immunocompromised patients, such as those who had HIV infection, older age and on haemodialysis, are still at high risk of TB infection. Read More

    Experience With Pericardiectomy for Constrictive Pericarditis Over Eight Decades.
    Ann Thorac Surg 2017 Sep 29;104(3):742-750. Epub 2017 Jul 29.
    Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota.
    Background: The purpose of this study was to review the surgical outcomes of pericardiectomy for constrictive pericarditis and to examine risk factors for overall mortality in a contemporary period.

    Methods: We reviewed all patients who underwent pericardiectomy for constriction from 1936 through 2013. The investigation included constrictive pericarditis cases confirmed intraoperatively, all other types of pericarditis were excluded; 1,071 pericardiectomies were performed in 1,066 individual patients. Read More

    [Constrictive pericarditis and single coronary artery: Rare presentation].
    Arch Cardiol Mex 2018 Jan - Mar;88(1):62-64. Epub 2017 Jul 22.
    Departamento de Hipertensión Pulmonar y Corazón Derecho, Unidad Médica de Alta Especialidad, Hospital de Cardiología del Centro Médico Nacional, Siglo XXI, IMSS, Ciudad de México, México.

    Constrictive pericarditis from an endocardial pacemaker lead.
    BMJ Case Rep 2017 Jul 14;2017. Epub 2017 Jul 14.
    Division of Cardiovascular Medicine, University of Florida, Gainesville, Florida, USA.
    Constrictive pericarditis secondary to endocardial pacemaker inflammation, without associated pericardial effusion or infection, has yet to be described in the literature. We present a case of a 42-year-old man who developed recurrent ascites from regional constrictive pericarditis following pacemaker implant. Symptoms resolved after pericardiectomy. Read More

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