| A young man with intractable ascites and effort dyspnoea without echocardiographic signs of pericardial thickening: the importance of clinical investigation, CT scan and MRI in the diagnosis of constrictive pericarditis. | |
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MedLine Citation:
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PMID: 17727984 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 35-year-old male patient suffering from dyspnoea on effort for 8 months, with abdominal and jugular venous distension, was previously studied in another hospital and discharged with a diagnosis of restrictive cardiomyopathy. Physical examination revealed a blood pressure of 110/60 mm Hg and absence of pericardial knock and also of paradoxical pulse. Chest X-ray showed no cardio-pulmonary alterations. Transthoracic echocardiography showed mild LV dysfunction (LVEF 46%) and lack of pericardial effusion and thickening. Doppler interrogation of transmitral flow showed a restrictive pattern. Computed tomography showed diffusely thickened pericardium, with the absence of calcification and of pericardial effusion. Cardiac magnetic resonance confirmed pericardial thickening and showed lack of myocardial alterations. Mild LV dysfunction was noted with dyskinesia of interventricular septum. The patient underwent cardiac catheterization, demonstrating an equalisation of RV and LV diastolic pressures with "square root" sign. The patient underwent pericardiectomy with consequent resolution of his symptoms and improvement of LV function. |
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Authors:
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Ilaria Dato; Giulio Coluzzi; Ghalia Al-Mohanni; Roberta Della Bona; Maddalena Piro; Luigi Natale; Nicola Luciani; Luigi M Biasucci; Filippo Crea |
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Publication Detail:
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Type: Case Reports; Letter Date: 2007-08-28 |
Journal Detail:
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Title: International journal of cardiology Volume: 128 ISSN: 1874-1754 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-07-29 Completed Date: 2008-10-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Netherlands |
Other Details:
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Languages: eng Pagination: e79-81 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Ascites / etiology* Cardiomyopathy, Restrictive / diagnosis Diagnosis, Differential Dyspnea / etiology* Heart Catheterization Humans Magnetic Resonance Imaging* Male Pericarditis, Constrictive / complications, diagnosis* Tomography, X-Ray Computed* |
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