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    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 Sep 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 Aug 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 Sep 5. 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 2017 Jul 21. Epub 2017 Jul 21.
    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

    Major vessel venous thrombosis in patients of posttubercular chronic constrictive pericarditis undergoing pericardectomy: A rare scenario.
    Ann Card Anaesth 2017 Jul-Sep;20(3):348-350
    Department of Anaesthesiology, Sanjay Gandhi postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
    We are reporting two cases of neck and arm major venous thrombosis in patients of posttubercular chronic constrictive pericarditis posted for pericardectomy. There was unanticipated difficulty in placement of Internal Jugular vein catheter and subsequent ultrasound revealed thrombosis in the major veins. It was not diagnosed in the preoperative period. Read More

    [A Case of Chronic Myelogenous Leukemia That Developed Fibrous Pericarditis Owing to Nilotinib Use].
    Gan To Kagaku Ryoho 2017 Jun;44(6):529-531
    Dept. of Medical Oncology and Hematology, Sapporo Medical University.
    A 64-year-old man was diagnosed with chronic-phase chronic myelogenous leukemia(CML)in May 2009. He was treated with imatinib and achieved complete cytogenetic response(CCyR)in 2 months. After 4 months of treatment, he developed interstitial pneumonia and became intolerant to imatinib. Read More

    Constrictive pericarditis-induced shunting through a PFO: Persistence despite pericardiectomy.
    Respir Med Case Rep 2017 30;22:28-30. Epub 2017 May 30.
    Department of Pulmonary and Critical Care Medicine, Beaumont Hospital - Royal Oak, Royal Oak, MI, 48073, USA.
    A patent foramen ovale (PFO) is found in around 25-30% of patients. The discovery is often made only on autopsy, as most PFOs are clinically silent and any inter-atrial blood exchange typically shunts from the left to right heart [1]. Thus, when a patient presents with hypoxic respiratory failure, concern for presence of a PFO is rarely at the top of the differential. Read More

    A Rare Case of Pneumopericardium in the Setting of Tuberculous Constrictive Pericarditis.
    Case Rep Cardiol 2017 28;2017:4257452. Epub 2017 May 28.
    Division of Thoracocardiovascular Surgery, Department of Surgery, University of the Philippines, Philippine General Hospital, Manila, Philippines.
    A 28-year-old Filipino male was admitted due to high-grade fevers and dyspnea on a background of chronic cough and weight loss. Due to clinical and echocardiographic signs of cardiac tamponade, emergency pericardiocentesis was performed on his first hospital day. Five days after, chest radiographs showed new pockets of radiolucency within the cardiac shadow, indicative of pneumopericardium. Read More

    Invasive Hemodynamics of Pericardial Disease.
    Interv Cardiol Clin 2017 Jul;6(3):309-317
    Valve Science Center, Minneapolis Heart Institute Foundation, 800 East 28th Street, Minneapolis, MN 55407, USA; Center for Valve and Structural Heart Disease, Minneapolis Heart Institute, Abbott Northwestern Hospital, 800 East 28th Street, Minneapolis, MN 55407, USA. Electronic address:
    Pericardial diseases can be classified broadly as 3 entities: acute pericarditis, cardiac tamponade, and constrictive pericarditis. These disorders can be diagnosed and managed with noninvasive studies following a comprehensive history and physical examination, without the need for cardiac catheterization in most patients. Despite the advances in noninvasive cardiac imaging, there are limitations to their diagnostic accuracy. Read More

    Retroperitoneal fibrosis and constrictive pericarditis-IgG4 related diseases: A case report.
    Exp Ther Med 2017 Jun 4;13(6):3603-3606. Epub 2017 May 4.
    Nephrology Clinic, Military Medical Academy, 11000 Belgrade, Serbia.
    Retroperitoneal fibrosis (RPF) is a rare disease characterized by infiltration of inflammatory cells and deposition of thickened fibrous tissues. The present study presents the case of a 53-year-old patient treated for generalized weakness and fatigue for 1 year prior to hospitalization. A cardiac ultrasound revealed pericardial effusion that required pericardiocentesis, during which 1,400 ml serous fluid with the characteristics of an exudate was aspirated. Read More

    A clinical enigma of ongoing constrictive pericarditis.
    Clin Med (Lond) 2017 Jun;17(3):248-250
    East Sussex Healthcare NHS Trust, St Leonards-on-sea, UK.
    A 59-year-old lady presented with a 1-week history of orthopnoea, paroxysmal nocturnal dyspnoea, night sweats and a productive cough. She had no recent history of travel. Transthoracic echocardiogram revealed preserved left ventricular systolic function with abnormal pericardial thickening and restrictive left ventricular filling consistent with pericardial constriction. Read More

    Waldmann's Disease (Primary Intestinal Lymphangiectasia) with Atrial Septal Defect.
    J Clin Diagn Res 2017 Apr 1;11(4):SD03-SD04. Epub 2017 Apr 1.
    Assistant Professor, Department of Paediatrics, Kasturba Medical College, Manipal, Karnataka, India.
    Waldmann's disease or Primary Intestinal Lymphangiectasia (PIL) is a rare disorder of gastrointestinal tract characterized by dilated lymphatics and widened villi causing leakage of lymph into intestinal lumen. Loss of lymph leads to hypoalbuminemia, hyogammaglobulinemia and lymphopenia. Secondary lymphangiectasia occurs secondary to an elevated lymphatic pressure as in lymphoma, systemic lupus erythematosus, constrictive pericarditis, cardiac surgeries (Fontan's procedure), inflammatory bowel disease and malignancies. Read More

    Multidrug Resistant Invasive Nontyphoidal Salmonella Isolated from and Masquerading Healed Tubercular Constrictive Pericarditis and Study of Virulence Markers.
    Cureus 2017 Apr 26;9(4):e1198. Epub 2017 Apr 26.
    Dst-inspire Faculty, National Institute of Animal Biotechnology.
    Among the infectious causes of pericarditis are various bacteria, viruses, fungal and parasitic infections. The course disease may progress to a chronic constrictive pattern especially with tubercular etiology. Non-typhoidal Salmonella has rarely been reported as a cause of pericarditis. Read More

    Constrictive Pericarditis and Primary Amenorrhea with Syndactyly in an Iranian Female: Mulibrey Nanism Syndrome.
    J Tehran Heart Cent 2016 Oct;11(4):187-191
    Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
    Mulibrey nanism is a rare autosomal recessive syndrome caused by a mutation in the TRIM37 gene with severe growth retardation and multiple organ involvement. Early diagnosis is important because 50% of the patients develop congestive heart failure owing to constrictive pericarditis, and this condition plays a critical role in the final prognosis. A 37-year-old female patient presented with symptoms of dyspnea on exertion and shortness of breath. Read More

    Surgical Treatment of Constrictive Pericarditis.
    Tex Heart Inst J 2017 Apr 1;44(2):101-106. Epub 2017 Apr 1.
    Constrictive pericarditis is the final stage of a chronic inflammatory process characterized by fibrous thickening and calcification of the pericardium that impairs diastolic filling, reduces cardiac output, and ultimately leads to heart failure. Transthoracic echocardiography, computed tomography, and cardiac magnetic resonance imaging each can reveal severe diastolic dysfunction and increased pericardial thickness. Cardiac catheterization can help to confirm a diagnosis of diastolic dysfunction secondary to pericardial constriction, and to exclude restrictive cardiomyopathy. Read More

    Pericardial interstitial cell senescence responsible for pericardial structural remodeling in idiopathic and postsurgical constrictive pericarditis.
    J Thorac Cardiovasc Surg 2017 Sep 4;154(3):966-975.e4. Epub 2017 Apr 4.
    Institute of Cardiothoracic Surgery, Changhai Hospital, Second Military Medical University, Shanghai, China. Electronic address:
    Objective: Idiopathic and postsurgical constrictive pericarditis is characterized by pericardial structural remodeling that involves fibrosis, calcification, and inflammation. This study aimed to determine whether cell senescence was responsible for pericardial structural remodeling.

    Methods: Pericardial interstitial cells derived from patients with idiopathic or postsurgical pericarditis (pericarditis cells) were harvested. Read More

    New Cardiac Imaging Algorithms to Diagnose Constrictive Pericarditis Versus Restrictive Cardiomyopathy.
    Curr Cardiol Rep 2017 May;19(5):43
    Heart and Vascular Institute, West Virginia University, 1 Medical Center Drive, Morgantown, WV, 26506, USA.
    Purpose Of Review: Echocardiography is the mainstay in the diagnostic evaluation of constrictive pericarditis (CP) and restrictive cardiomyopathy (RCM), but no single echocardiographic parameter is sufficiently robust to accurately distinguish between the two conditions. The present review summarizes the recent advances in echocardiography that promise to improve its diagnostic performance for this purpose. The role of other imaging modalities such as cardiac computed tomography, magnetic resonance imaging, and invasive hemodynamic assessment in the overall diagnostic approach is also discussed briefly. Read More

    Serial semi-invasive hemodynamic assessment following pericardiectomy for chronic constrictive pericarditis.
    Ann Card Anaesth 2017 Apr-Jun;20(2):169-177
    Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India.
    Objectives: This study was designed to prospectively investigate the effects of pericardiectomy via median sternotomy on intra- and postoperative hemodynamics by a new semi-invasive device (Flotrac/VigileoTM monitor) using arterial pressure waveform analysis.

    Patients And Methods: Thirty consecutive patients aged 15 to 55 years (mean+SD, 31.73 + 13. Read More

    Recurrent constrictive pericarditis associated with seropositive rheumatoid arthritis: A case report.
    Int J Surg Case Rep 2017 21;34:93-95. Epub 2017 Mar 21.
    Wessex Cardiothoracic Centre, University Hospital Southampton, UK.
    Introduction: Constrictive pericarditis is an uncommon disease characterized by impaired diastolic filling of the ventricles, encased in a fibrotic pericardium resulting from an inflammatory process. Rheumatoid arthritis is a rare cause of constrictive pericarditis, usually due to a concomitant acute or chronic serositis.

    Presentation Of Case: This paper presents a unique case of recurrent constrictive pericarditis associated with seropositive rheumatoid arthritis, requiring pericardiectomy and complicated three years later by recurrent fibrosis, demanding a second pericardiectomy. Read More

    Cardiac manifestations of parasitic diseases.
    Heart 2017 May 11;103(9):651-658. Epub 2017 Mar 11.
    Hospital das Clinicas, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
    The heart may be affected directly or indirectly by a variety of protozoa and helminths. This involvement may manifest in different ways, but the syndromes resulting from impairment of the myocardium and pericardium are the most frequent. The myocardium may be invaded by parasites that trigger local inflammatory response with subsequent myocarditis or cardiomyopathy, as occurs in Chagas disease, African trypanosomiasis, toxoplasmosis, trichinellosis and infection with free-living amoebae. Read More

    Systematic review of non-invasive cardiovascular imaging in the diagnosis of constrictive pericarditis.
    Indian Heart J 2017 Jan - Feb;69(1):57-67. Epub 2016 Jun 25.
    Department of Medicine, Division of Cardiology, University of Missouri School of Medicine, Columbia, MO, United States. Electronic address:
    Background: Diagnosis of constrictive pericarditis (CP) can be challenging. It can be nearly impossible to distinguish CP from other causes of right heart failure. Although various imaging modalities help in the diagnosis, no test is definitive. Read More

    Hourglass-shaped right ventricle and localized constrictive pericarditis.
    Echocardiography 2017 Feb 18;34(2):320-321. Epub 2017 Feb 18.
    Department of Cardiology, Bursa Postgraduate Hospital, Bursa, Turkey.
    Constrictive pericarditis is characterized by thick pericardial fibrosis and frequent calcification that progressively impairs diastolic filling of the heart. The diagnosis of constrictive pericarditis has been challenging even though multiple diagnostic modalities have been developed. The diagnosis of constructive pericarditis is especially difficult in localized constrictive pericarditis which is extremely rare. Read More

    Transthoracic Echocardiography: Pitfalls and Limitations as Delineated at Cardiac CT and MR Imaging.
    Radiographics 2017 Mar-Apr;37(2):383-406. Epub 2017 Feb 17.
    From the Department of Diagnostic Imaging, Kaiser Permanente Los Angeles Medical Center, 1505 N Edgemont Ave, Basement, Los Angeles, CA 90027.
    Transthoracic echocardiography ( TTE transthoracic echocardiography ) is a critical tool in the field of clinical cardiology. It often serves as one of the first-line imaging modalities in the evaluation of cardiac disease owing to its low cost, portability, widespread availability, lack of ionizing radiation, and ability to evaluate both anatomy and function of the heart. Consequently, a large majority of patients undergoing a cardiac computed tomography (CT) or magnetic resonance (MR) imaging examination will have a TTE transthoracic echocardiography available for review. Read More

    The Importance of Complete Pericardiectomy and the Role of the Apical Suction Device in Chronic Constrictive Pericarditis.
    Korean J Thorac Cardiovasc Surg 2017 Feb 5;50(1):22-29. Epub 2017 Feb 5.
    Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital.
    Background: The aim of this study was to analyze the preoperative attributes and clinical impacts of complete pericardiectomy in chronic constrictive pericarditis.

    Methods: A total of 26 patients were treated from January 2001 to December 2013. The pericardium was resected as widely as possible. Read More

    Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease Genotypes.
    Case Reports Immunol 2017 10;2017:2676403. Epub 2017 Jan 10.
    Pediatric Immunology Department, Medical Faculty, Ege University, Izmir, Turkey.
    Chronic granulomatous disease (CGD) is a primary immune deficiency causing predisposition to infections with specific microorganisms, Aspergillus species and Staphylococcus aureus being the most common ones. A 16-year-old boy with a mutation in CYBB gene coding gp91(phox) protein (X-linked disease) developed a liver abscess due to Staphylococcus aureus. In addition to medical therapy, surgical treatment was necessary for the management of the disease. Read More

    Late onset radiation-induced constrictive pericarditis and cardiomyopathy after radiotherapy: A case report.
    Medicine (Baltimore) 2017 Feb;96(5):e5932
    aDepartment of Cardiology bDepartment of Cardiac Surgery, State Key Laboratory of Cardiovascular Disease, FuWai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.
    Introduction: Radiation-induced heart disease (RIHD) is a serious side effect of cancer treatment, including coronary artery disease, valvular cardiac dysfunction, cardiomyopathy, aortopathy, and chronic constrictive pericarditis. Herein, this case we present was diagnosed as radiation-induced constrictive pericarditis and cardiomyopathy by means of cardiac magnetic resonance (CMR) and transthoracic echocardiogram, finally confirmed by pathology after performing heart transplant operation.

    Conclusions: This case supports a notion that RIHD often causes multiple heart impairment and CMR is helpful to diagnose cardiomyopathy after radiation. Read More

    [Cardiobacterium hominis pericarditis: an unusual case].
    Rev Chilena Infectol 2016 Dec;33(6):691-695
    Nefrología, Instituto de Medicina, Universidad Austral de Chile, Chile.
    The case of a male patient under hemodialytic therapy, who developed right heart failure is presented. Echocardiography revealed pericardial effusion, constrictive pattem in the right cavities, septation, without valvular damage and preserved systolic and diastolic function. Pericardial drainage and extensive pericardiectomy was performed obtaining cultures of pericardial tissue positive for an HACEK group organism, Cardiobacterium hominis, with repeatedly negative blood cultures. Read More

    Anti-inflammatory properties of amniotic membrane patch following pericardiectomy for constrictive pericarditis.
    J Cardiothorac Surg 2017 Jan 26;12(1). Epub 2017 Jan 26.
    Department of Surgery, Division of Cardiothoracic Surgery, University of Arizona College of Medicine, 1501 North Campbell Avenue, Room 4302, Tucson, AZ, 85724, USA.
    Background: Since constrictive pericarditis is most often idiopathic and the pathophysiology remains largely unknown, both the diagnosis and the treatment can be challenging. However, by definition, inflammatory processes are central to this disease process. Amniotic membrane patches have been shown to possess anti-inflammatory properties and are believed to be immune privileged. Read More

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