4,354 results match your criteria Pericarditis Constrictive


Exploring the pathophysiologic basis of constrictive pericarditis of Kohlmeier Degos disease: A case series and review of the literature.

Ann Diagn Pathol 2022 Mar 28;59:151943. Epub 2022 Mar 28.

Department of Medicine, Albany Medical Center, Albany, NY, United States of America.

Kohlmeier-Degos Disease is a unique thrombotic microvascular and arteriopathic vasculopathy that is highly selective in the organs it targets. It invariably involves the skin and can be a purely cutaneous process. It affects both the microvasculature and the arterial system ranging from a thrombogenic microangiopathy to a fibrointimal obliterative arteriopathy with an accompanying background of extravascular fibrosis. Read More

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Mechanical Interaction of the Pericardium and Cardiac Function in the Normal and Hypertensive Rat Heart.

Front Physiol 2022 2;13:878861. Epub 2022 May 2.

Computational Cardiovascular Bioengineering Laboratory, Department of Biomedical Engineering, Texas A&M University, College Station, TX, United States.

The pericardium is a thin connective tissue membrane that surrounds the heart and is an integral regulatory component of cardiopulmonary performance. Pathological growth and remodeling of the right ventricle (RV) stemming from structural heart diseases are thought to include a significant role of the pericardium, but its exact role remains unclear. The objective of this study was to investigate potential biomechanical adaptations of the pericardium in response to pulmonary hypertension and their effects on heart behavior. Read More

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Ascitic Fluid Analysis Leading to the Diagnosis of Constrictive Pericarditis in 2 Patients.

J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096221097530

Department of Medicine, Medical University of South Carolina, Charleston, USA.

Although well documented, constrictive pericarditis is a rare entity and an uncommon cause of heart failure. A stiff and noncompliant pericardium creates the disease's unique hemodynamics and leads to elevated venous pressures, hepatic sinusoidal congestion, and draining of protein-rich fluid into the peritoneal cavity presenting as ascites. The low incidence in addition to its varied and subtle clinical presentations can often lead to a delay in diagnosis. Read More

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Does tuberculosis affect surgical outcomes following pericardiectomy for chronic constrictive pericarditis? Twelve years' experience from a tertiary care center in India.

Indian J Thorac Cardiovasc Surg 2022 May 5;38(3):241-250. Epub 2022 Feb 5.

The Department of Cardiothoracic Surgery, The Christian Medical College, Tamil Nadu, Vellore, 632004 India.

Introduction And Purpose: Tuberculosis (TB) is the commonest cause of chronic constrictive pericarditis (CCP) in India, unlike in the western countries. Pericardiectomy is the treatment of choice for CCP. Surgery in TB CCP is considerably more difficult than it is for other etiologies. Read More

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Constrictive pericarditis caused by pericardial substitution using expanded polytetrafluoroethylene.

J Card Surg 2022 May 8. Epub 2022 May 8.

Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan.

Background: Expanded polytetrafluoroethylene (ePTFE) is commonly used as a pericardial substitute during cardiac surgery to prevent cardiac injury during re-sternotomy. However, although rare, constrictive pericarditis associated with ePTFE has been reported.

Material, Methods And Results: Here, we report a rare case of constrictive pericarditis developed due to severe restriction of cardiac motion associated with the ePTFE membrane used as a pericardial substitute. Read More

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Non-pulmonary Disseminated Tuberculosis Complicated by Constrictive Pericarditis and Cutaneous Gumma.

J Gen Intern Med 2022 May 2. Epub 2022 May 2.

Division of Hospital Medicine, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

A 23-year-old previously healthy male presented to the hospital with symptoms of heart failure. He was diagnosed with pericarditis and found to have a reduced left ventricular ejection fraction of 25%. He was noted to have mediastinal lymphadenopathy. Read More

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Head-to-head comparison of the diagnostic value of five tests for constrictive tuberculous pericarditis: Five tests for constrictive TBP.

Int J Infect Dis 2022 Apr 14;120:25-32. Epub 2022 Apr 14.

Zhejiang Tuberculosis Diagnosis and Treatment Center, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. Electronic address:

Background: The diagnosis of constrictive tuberculous pericarditis (TBP) remains challenging. This study aimed to evaluate 5 tests (acid-fast bacilli [AFB] smear, Mycobacterium tuberculosis [MTB] culture, Xpert MTB/RIF assay, CapitalBio Mycobacterium real-time PCR detection assay [CapitalBio assay], and pathology) for constrictive TBP using pericardial tissue.

Methods: We reviewed the case histories of patients with suspected constrictive TBP. Read More

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Constrictive pericarditis following mRNA COVID-19 vaccination in a patient with systemic sclerosis.

J Cardiol Cases 2022 Apr 4. Epub 2022 Apr 4.

Department of Cardiovascular Medicine, Kumamoto University School of Medicine, Kumamoto, Japan.

A 59-year-old man with systemic sclerosis and interstitial pneumonia was referred to our department because he developed dyspnea and leg edema after receiving a first shot of coronavirus disease 2019 (COVID-19) vaccine. Transthoracic echocardiography showed moderate pericardial effusion with conspicuous fibrin deposition. Prednisolone was increased from 6 mg/day for systemic sclerosis to 20 mg/day. Read More

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Degos disease complicated by constrictive pericarditis in remote phase: a case report.

J Cardiothorac Surg 2022 Apr 1;17(1):59. Epub 2022 Apr 1.

Department of Cardiovascular Surgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Sagamihara, Kanagawa, 252-0374, Japan.

Background: Degos disease, also known as malignant atrophic papulosis, is characterised by cutaneous manifestations due to chronic thrombo-obliterative vasculopathy. There have been reports of the rare late-onset Degos disease complicated by constrictive pericarditis (CP). This study reports a case of CP caused by Degos disease that developed 20 years after diagnosis. Read More

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Tuberculous Pericarditis-Own Experiences and Recent Recommendations.

Diagnostics (Basel) 2022 Mar 2;12(3). Epub 2022 Mar 2.

Department of Lung Diseases, National Tuberculosis and Lung Diseases Research Institute, 01-138 Warsaw, Poland.

Tuberculous pericarditis (TBP) accounts for 1% of all forms of tuberculosis and for 1-2% of extrapulmonary tuberculosis. In endemic regions, TBP accounts for 50-90% of effusive pericarditis; in non-endemic, it only accounts for 4%. In the absence of prompt and effective treatment, TBP can lead to very serious sequelae, such as cardiac tamponade, constrictive pericarditis, and death. Read More

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Predictive value of matrix metalloprotease 9 on surgical outcomes after pericardiectomy.

J Cardiothorac Surg 2022 Mar 23;17(1):50. Epub 2022 Mar 23.

Department of Thoracic Surgery, Affiliated Hangzhou Chest Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.

Background: The effects of matrix metalloproteases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) expressions on the patients with constrictive pericarditis undergoing pericardiectomy remain unclear. This study explored the associations of MMPs and TIMPs expressions with postoperative outcomes in these patients.

Methods: Pericardial specimens were obtained during pericardiectomy from the patients with constrictive pericarditis. 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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A case of cardiac strangulation following epicardial pacemaker implantation in an adult: a case report.

Eur Heart J Case Rep 2022 Mar 23;6(3):ytac092. Epub 2022 Feb 23.

Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan.

Background: Cardiac strangulation (CS) is a rare but potentially devastating complication caused by the leads of an epicardial pacemaker (EP). Most cases have been reported in paediatric patients, and there has been no report wherein the diagnosis was made in a living, adult patient, and treated successfully.

Case Summary: A 31-year-old woman with a history of atrial septal defect (ASD) patch closure and EP implantation for congenital atrial stand-still presented with dyspnoea on exertion. Read More

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Constrictive pericarditis 20 years after surgical aortic valve replacement.

J Gen Fam Med 2022 Mar 8;23(2):122-123. Epub 2021 Oct 8.

Department of Pulmonary Medicine Thoracic Center St Luke's International Hospital Tokyo Japan.

Catheterization of the right side of the heart shows an elevated right ventricular pressure, a prominent "y" descent, known as Friedreich's sign, and a dip-and-plateau configuration. Read More

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The Importance of Early Pericardiectomy in Mulibrey Nanism Syndrome, a Case Report.

J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096221077816

SUNY Upstate Medical University, Syracuse, NY, USA.

Mulibrey (scle-er-ain-e) Nanism syndrome is an extremely rare genetic disorder with multiorgan involvement. Constrictive pericarditis and diastolic dysfunction are the most common causes of mortality. We present a case of a patient with Mulibrey nanism syndrome who underwent pericardiectomy at 12 years old and was able to live 44 years more with relatively stable and asymptomatic diastolic congestive heart failure (CHF). 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

“Turtle cage” method in the cardiac surgical treatment of constrictive pericarditis – our short-term results

Orv Hetil 2022 03 6;163(10):393-399. Epub 2022 Mar 6.

1 Semmelweis Egyetem, Általános Orvostudományi Kar, Városmajori Szív- és Érgyógyászati Klinika, Szívsebészeti Profil Budapest, Városmajor u. 68., 1122 Magyarország.

Összefoglaló. Bevezetés: A pericarditis constrictiva egy krónikus gyulladásos folyamat révén kialakuló betegség, melynek során a pericardium elveszíti rugalmasságát, gátolja a szív működését, végső soron szívelégtelenséghez vezet. Egyetlen oki terápiája sebészi. Read More

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Analysis of Risk Factors of Early Mortality After Pericardiectomy For Constrictive Pericarditis.

Heart Surg Forum 2022 Jan 17;25(1):E056-E064. Epub 2022 Jan 17.

Department of Cardiothoracic Surgery, The People's Hospital of Liuzhou City, Liuzhou, Guangxi, China.

Background: We aimed to investigate risk factors of early mortality following pericardiectomy.

Methods: This was a retrospective study of patients undergoing pericardiectomy between January 1994 and May 2021 at The People's Hospital of Guangxi Zhuang Autonomous Region, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, and The People's Hospital of Liuzhou City.

Results: This study included 826 patients, who were divided into two groups: group with operative deaths (N = 66) and group without operative deaths (N = 760). Read More

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January 2022

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

J Card Surg 2022 Mar 2. 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

Effusive-constrictive pericarditis after the second dose of BNT162b2 vaccine (Comirnaty): a case report.

Eur Heart J Case Rep 2022 Feb 12;6(2):ytac012. Epub 2022 Jan 12.

Department of Biomedical and Clinical Sciences "Luigi Sacco", Fatebenefratelli Hospital, Università di Milano, Milan, Italy.

Background: Whereas effusive-constrictive pericarditis (ECP) can rarely occur in coronavirus disease 2019 (COVID-19), to date no cases of ECP related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV2) vaccine have been documented.

Case Summary: A 59-year-old Caucasian man presented to our emergency department with ECP. Symptoms occurred shortly after the second dose of BNT162b2 (Comirnaty) vaccine. 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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A Prediction Model for Acute Kidney Injury After Pericardiectomy: An Observational Study.

Front Cardiovasc Med 2022 11;9:790044. Epub 2022 Feb 11.

Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

Objectives: Acute kidney injury is a common complication after pericardiectomy for constrictive pericarditis, which predisposes patients to worse outcomes and high medical costs. We aimed to investigate potential risk factors and consequences and establish a prediction model.

Methods: We selected patients with constrictive pericarditis receiving isolated pericardiectomy from January 2013 to January 2021. Read More

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February 2022

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

COVID-19 constrictive pericarditis.

Authors:
D A Whitelaw T Pohl

S Afr Med J 2022 02 1;112(2):13500. Epub 2022 Feb 1.

Department of Medicine, Tygerberg Hospital and Stellenbosch University, Cape Town, South Africa.

COVID-19 has been reported to affect a variety of organs. We report a case of constrictive pericarditis in a patient who had contracted the SARS-CoV-2 virus. Other possible causes such as tuberculosis and metabolic causes were considered, but excluded by special investigations. Read More

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February 2022