Document Detail

A rapid evolution from effusive-constrictive to constrictive pericarditis.
MedLine Citation:
PMID:  20666277     Owner:  NLM     Status:  MEDLINE    
We present a case of a 69-year-old woman with constrictive pericarditis preceded by effusive-constrictive pericarditis. Echocardiography on admission revealed a mild pericardial effusion, pericardial thickening and a constrictive physiology in the absence of RV pressure/volume overload suggesting effusive-constrictive pericarditis. Echocardiographic follow-up showed gradual disappearance of the effusion within one month and an important thickening of the visceral and parietal pericardium up to 9 mm. Respiratory variation of the mitral and tricuspid inflow, prominent diastolic septum shift and high mitral annular TDI-velocities were indicative of constrictive pericarditis. Subsequent left/right heart catheterisation 3 months after the initial diagnosis confirmed constrictive pericarditis with elevated diastolic pressures equalized in the four heart chambers, square root sign, respiratory discordant change of the left and right systolic pressures and an inspiratory increase of the right atrial pressure. The patient remained symptomatic under treatment with aspirin and diuretics. A parietal and visceral pericardectomy was successfully performed with a favourable clinical evolution.
Alex Heyse; Frederik Van Durme; Marc Goethals
Related Documents :
2275407 - Relation between capillary pressure and vascular tone over the range from maximum dilat...
6653607 - Determination of right ventricular ejection fraction utilising a radionuclide washout t...
9255647 - Effects of epinephrine on right ventricular function in patients with severe septic sho...
16386567 - Effects of dobutamine on right ventricular function and pulmonary circulation in pulmon...
8862637 - Continuous renal replacement therapy in critically ill patients: monitoring circuit fun...
9812787 - Immunohistochemical analysis of egf-r in gastric mucosa in portal hypertensive with cir...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  65     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-29     Completed Date:  2010-09-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  351-2     Citation Subset:  IM    
Dept. of Cardiology, AZ ZVB Ronse, Belgium.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Disease Progression
Heart Catheterization
Pericardial Effusion / complications*,  physiopathology*,  surgery,  ultrasonography
Pericarditis, Constrictive / etiology*,  physiopathology*,  surgery,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Primary cardiac lymphoma complicated with inferior vena cava thrombosis: a case report.
Next Document:  Pericarditis as a rare complication of pneumococcal pneumonia in a young infant.