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The Emerging Role of Multimodality Imaging in the Diagnosis and Management of Post Pericardiotomy Syndrome.
Curr Cardiol Rep
January 2025
Division of Cardiology, McGill University Health Centre, 845 Rue Sherbrooke O, Montreal, QC, H3H 0G4, Canada.
Purpose Of Review: This review aims to evaluate current diagnostic and therapeutic strategies for postpericardiotomy syndrome (PPS), with a focus on the evolving role of multimodality imaging, including echocardiography, cardiac computed tomography (CCT), and cardiac magnetic resonance imaging (CMR). The review also explores the potential benefits of advanced imaging in improving the accuracy and management of PPS.
Recent Findings: PPS, a common complication following cardiac surgery, presents with pleuritic chest pain, fever, and pericardial or pleural effusion.
Influence of pericardium on ventricular mechanical interdependence in an isolated biventricular working pig heart model.
J Physiol
January 2025
University of Bordeaux, INSERM, CRCTB, U1045, Pessac, France.
The pericardium plays an important role in mechanical interactions between the right (RV) and left (LV) ventricles, referred to as ventricular interdependence. However, the exact mechanisms of its supportive role remain unknown. The present study aimed to evaluate specifically ventricular interdependence in a model of isolated biventricular working heart of large mammal, which is in absence of neurohormonal influence or series interactions, and to evaluate the impacts of intact pericardium on this phenomenon.
View Article and Find Full Text PDFMultimodality Imaging in Chronic Constrictive Pericarditis.
Echocardiography
December 2024
Clinic for Cardiology, Elisabeth Krankenhaus Essen, Essen, Germany.
This case highlights the use of multimodality imaging in the diagnosis and management of chronic constrictive pericarditis (CP) in a 37-year-old male with a history of T-wave inversions on electrocardiogram (ECG). The patient underwent adenosine stress cardiac magnetic resonance (CMR) due to suspicion of coronary artery disease (CAD). CMR revealed findings suggestive of chronic CP, including pericardial thickening and septal shudder, with computed tomography (CT) confirming the presence of pericardial calcification.
View Article and Find Full Text PDFCase Report: A case of primary pericardial mesothelioma treated with multimodal combined therapy.
Front Cardiovasc Med
October 2024
Department of Radiation Oncology, Shidong Hospital, Yangpu District, Shanghai, China.
Background: Primary pericardial mesothelioma (PMPM) is a rare, aggressive, and lethal form of cancer. Due to its rarity, low incidence and poor prognosis, PMPM has no accepted standard-of-care treatment options with management and outcomes often extrapolated from diffuse pleural mesothelioma. Disease-specific studies are needed to better define PMPM.
View Article and Find Full Text PDFPericardiotomy as a novel treatment for heart failure with preserved ejection fraction.
Heart Fail Rev
January 2025
Department of Cardiovascular Disease, Mayo Clinic, Rochester, MN, USA.
Article Synopsis
- * In HFpEF patients, factors like obesity and heart conditions can cause increased pressure in the heart due to the restrictive nature of the pericardium.
- * Research is exploring the potential of pericardiotomy (surgical removal of the pericardium) as a new treatment option for HFpEF.
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