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Key Clinical Message: Constrictive Pericarditis is a rare fibrotic conversion of the pericardium that results in non-specific clinical symptoms such as hepatomegaly, ascites, pleural effusions, and lower extremity edema. A multi-modal diagnostic approach with cardiac imaging tools, cardiac hemodynamic measurements, and tissue biopsy can be used to diagnose Constrictive Pericarditis.
Abstract: Constrictive Pericarditis is a rare complication resulting in the fibrotic conversion of the pericardium secondary to idiopathic, infective, post-surgical, or post-radiation etiologies.
Assessment of Radiation Induced Pneumonitis and Pericarditis in Patients Undergoing Breast Conservative Treatment Using Hypofractionated Simultaneous Integrated Boost Technique.
Gulf J Oncolog
May 2024
Department of Radiation Oncology, Regional Cancer Centre (RCC), JIPMER (Jawaharlal Institute of Postgraduate Medical Education and Research), Puducherry, India.
Introduction: To determine the proportion of radiationinduced pneumonitis and pericarditis in patients who have received Hypo-fractionated Radiation along with simultaneous integrated boost technique after breast conservative surgery using a prospective observational study from a tertiary hospital.
Materials & Methods: The incidence of radiationinduced pneumonitis and pericarditis was evaluated in all adult patients with biopsy-proven early-stage unilateral breast cancer who underwent breast-conserving surgery followed by hypo-fractionated radiation with a simultaneous integrated boost technique. Baseline assessments including a six-minute walk test, highresolution computed tomography (HRCT), pulmonary function tests (PFTs), electrocardiography (ECG) and echocardiography (ECHO) were performed.
Acute Onset of Constrictive Pericarditis Due to Acute Myelomonocytic Leukemia: A Case and Literature Review.
Intern Med
December 2024
Department of Hematology, Hokkaido University Hospital, Japan.
Article Synopsis
- - A patient developed fatal constrictive pericarditis (CP) after experiencing chest pain two days post-COVID-19 vaccination, which was later linked to acute myelomonocytic leukemia (AMML).
- - An autopsy showed that leukemic cells had infiltrated the pericardium, highlighting a rare but serious association between CP and leukemia, with only 14 previous cases reported.
- - The findings suggest that leukemic infiltration should be considered by doctors when diagnosing CP, alongside other known causes such as graft-versus-host disease and autoimmune conditions.
Cardiovascular Toxicities of Radiation Therapy and Recommended Screening and Surveillance.
J Cardiovasc Dev Dis
October 2023
Department of Cardiology, Temple University Hospital, Philadelphia, PA 19140, USA.
Radiation therapy is a key part of treatment for many cancers. Vast advancements in the field of radiation oncology have led to a decrease in malignancy-related mortality, which has uncovered some of the long-term side effects of radiation therapy. Specifically, there has been an increase in research looking into the cardiovascular side effects of chest radiation therapy for cancers of the esophagus, breast, and lung tissue as well as lymphomas.
View Article and Find Full Text PDFPericardiectomy for constrictive pericarditis at a single Japanese center: 20 years of experience.
Gen Thorac Cardiovasc Surg
May 2022
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan.
Objective: Constrictive pericarditis (CP) is a rare disease, and the diagnosis and surgical treatment of CP remain challenging. The aim of this study was to evaluate our Japanese single-center experience with isolated pericardiectomy for CP to elucidate the factors associated with improved outcomes.
Methods: Over a 20-year period, 44 consecutive patients underwent isolated pericardiectomy at our institution.
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