We discovered constrictive pericarditis
on thoracic CT, echocardiography, and hemodynamic examination.
, still a diagnostic challenge: comprehensive review of clinical management.
A key message is that fibrous/ calcified pericardium does not mean constriction, as 28% of constrictive pericarditis
cases have normal pericardium .
Traditionally, increased pericardial thickness has been considered a specific diagnostic feature of constrictive pericarditis
, but these days there is also a subset of patients with hemodynamic signs of constrictive pericarditis
and normal thickness of the pericardium .
Differentiation of constrictive pericarditis
from restrictive cardiomyopathy: the case for high-resolution dynamic tomographic imaging.
Reversible protein-losing enteropathy with intestinal lymphangiectasia secondary to chronic constrictive pericarditis
(CP) is characterized by a thickened and fibrotic pericardium, and the rigid and nonpliable pericardium results in impaired diastolic heart function leading to heart failure.
Pericardial calcification prompted us to consider constrictive pericarditis
as one of the differential diagnosis.
Echocardiogram showed features of constrictive pericarditis
with heavily thickened pericardium, which was confirmed by cardiac computed tomography (CT ).
may be a complication of cardiac surgery in spite of an open pericardium and should be considered in postoperative patients who present with deteriorating cardiac function.
Doppler echocardiography in cardiac tamponade and constrictive pericarditis
Coverage includes obstructive coronary disease, acute ST elevation myocardial infarction, noninvasive imaging in patients with suspected unstable angina or non-ST elevation myocardial infarction, post-MI risk stratification, evaluation after coronary revascularization, acute pulmonary embolism, dyspnea due to heart failure, hypertrophic cardiomyopathy, chronic myocardial ischemia and viability, valvular heart disease, aortic dissection, claudication, congenital heart disease, constrictive pericarditis
versus restrictive cardiomyopathy, atrial arrhythmias, and cardiac masses.