4,670 results match your criteria: "Pericarditis Constrictive"

Pericardial effusion in an Indian context: clinical insights and dynamics from a tertiary care centre.

BMC Cardiovasc Disord

December 2024

Faculty of General Medicine, Department of General Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India.

Background: Pericardial effusion (PE) indicates the build-up of fluid within the pericardial sac, which encases the heart. The present study was undertaken to assess the clinical profile, etiology of pericardial effusion and to determine the correlation of cardiac tamponade and constrictive pericarditis with etiology.

Methods: A prospective observational hospital based longitudinal study was undertaken among the 88 newly diagnosed and known patients of pericardial effusion who are above 18 years.

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Constrictive pericarditis is a rare complication after cardiac surgery. It is mostly seen in adults. We report a case of constrictive pericarditis in a 3-year-old child with right ventricular dysfunction after permanent pacemaker implantation during infancy for congenital complete heart block.

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Effect of Levosimendan on Low Cardiac Output Syndrome After Pericardiectomy.

Ther Clin Risk Manag

December 2024

Department of Thoracic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, People's Republic of China.

Background: Low cardiac output syndrome (LCOS) after pericardiectomy is associated with high morbidity and mortality. This study aimed to assess the effect of levosimendan on postoperative LCOS in the patients with constrictive pericarditis.

Methods: Patients were retrospectively enrolled, and those receiving the treatment of levosimendan were assigned in the LEVO (+) group, and others were in the LEVO (-) group.

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Pericardial-esophageal fistula is a rare complication after radiofrequency ablation for atrial fibrillation. A 52-year-old man developed pneumopericardium, which was revealed by echocardiogram and computed tomography, after a combined ablation and left atrial appendage occlusion procedure for atrial fibrillation. He was diagnosed with a pericardial-esophageal fistula and underwent surgical pericardial and mediastinal drainage tube placement.

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Introduction: we discuss the clinical case of a patient referred to our cardiology unit to evaluate the need for a pericardiectomy due to constrictive pericarditis.

Imaging: the echocardiographic assessment confirmed all diagnostic criteria for constrictive pericarditis; however, we conducted a cardiac MRI before referring the patient to the cardiac surgeon. This imaging technique not only confirmed the constrictive pathophysiology but also indicated extensive pericardial inflammation, consistent with transient constriction.

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Nocardial infections are rare but serious, often leading to systemic and cardiopulmonary complications. This is the first reported case of  causing constrictive pericarditis in an immunocompetent individual. We present a 37-year-old Caucasian female patient with no significant medical history who developed pericarditis symptoms after handling crates from China.

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Article Synopsis
  • Chronic constrictive pericarditis (CCP) is a disease marked by the thickening of the pericardium, leading to heart function issues, with a focus on patient demographics and clinical profiles in Northeast India over a decade.
  • The study analyzed 42 CCP patients between 2011 and 2020, highlighting a high prevalence in younger individuals and a significant history of tuberculosis among participants.
  • Symptoms included dyspnea and physical exam findings such as edema and hepatomegaly; imaging revealed notable heart structural changes, emphasizing the need for better diagnosis and management in the region.
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Analysis of the clinical manifestations and diagnostic process of the pleural effusion associated with constrictive pericarditis.

Front Med (Lausanne)

November 2024

Pulmonary and Critical Care Medicine, State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

Article Synopsis
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. Pericarditis has a heterogeneous clinical spectrum and rate of relapse. Data on aetiology, real-life treatment strategies, and long-term course from contemporary pericarditis cohorts are lacking.

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Partial cavopulmonary shunt is an established procedure for patients with abnormal right ventricular (RV) physiology. Late failure of the Glenn shunt is usually due to further progression of the primary disease process. However, there may be surprises, as in our patient.

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Tuberculous Pericarditis in an Immunocompromised Patient: A Case Report.

Cureus

October 2024

Cardiology, King Abdulaziz Medical City, King Abdulaziz Cardiac Center, Ministry of National Guard Health Affairs, Riyadh, SAU.

Article Synopsis
  • A 43-year-old male with a history of chronic severe pericarditis, right-sided heart failure, and rheumatoid arthritis presented with chest pain, dyspnea, ascites, and limb edema.
  • Diagnostic tests revealed significant pericardial thickening and necrotic lymph nodes, with a positive QuantiFERON-TB test confirming tuberculous pericarditis (TBP).
  • The patient was treated with anti-tuberculosis therapy and a radical pericardiectomy, highlighting the need for prompt diagnosis and management to enhance patient outcomes in TBP cases.
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Unlabelled: A 73-year-old man with a history of aortic arch replacement for chronic type B aortic dissective aneurysm was admitted for heart failure. He had normal left ventricular systolic function and had pulmonary hypertension with a pulmonary artery pressure of approximately 90 mmHg. He had been diagnosed with pneumoconiosis from his occupation and pulmonary hypertension due to heart failure with preserved ejection fraction (HFpEF) and respiratory disease.

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Article Synopsis
  • * Cardiologists are seeing more complications from acute viral pericarditis, leading to chronic or recurrent cases, which are more common today than a few years ago.
  • * The European guidelines for pericarditis management, last updated a decade ago, are set to be revised soon, and insights were gathered from Massimo Imazio, a leading expert in inflammatory heart diseases, regarding pressing management questions.
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Mediastinal angiosarcoma mimicking constrictive pericarditis and aortic dissection: a case report.

Gen Thorac Cardiovasc Surg Cases

February 2024

Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.

Article Synopsis
  • * A case involving a 49-year-old man revealed that initial diagnoses suggested other conditions like constrictive pericarditis, but surgery ultimately confirmed the presence of a malignant tumor after only a pericardiectomy was performed.
  • * The study highlights that mediastinal angiosarcoma can present with diverse symptoms resembling other diseases, and suggests that high hyaluronic acid concentration in pleural fluid could be a potential diagnostic marker.
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Constrictive pericarditis can lead to compromised diastolic ventricular filling due to pericardial inflammation and fibrosis. A diagnosis of constrictive pericarditis was established by identifying structural and hemodynamic features through echocardiography. We present a case of constrictive pericarditis, which manifested in the form of gradually worsening dyspnea and lower-extremity edema over a 7 years period.

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Article Synopsis
  • This study evaluated the effectiveness of cine magnetic resonance feature tracking (FT) in diagnosing constrictive pericarditis (CP) and pericardial adhesions in patients who underwent cardiac MRI from 2011 to 2021.
  • A total of 24 patients suspected of having CP were compared to age-matched individuals with heart failure and healthy volunteers, using various diagnostic assessments including septal bounce and adhesion detection.
  • Results indicated that CMR-FT showed high sensitivity and specificity for identifying significant CP and pericardial adhesions, making it a reliable diagnostic tool in clinical settings.
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Pericardial disease is increasingly recognized in cancer patients, including acute pericarditis, pericardial effusion, and constrictive pericarditis, often indicating a poor prognosis. Acute pericarditis arises from direct tumor involvement, cancer therapies, and radiotherapy. Immune checkpoint inhibitor (ICI)-related pericarditis, though rare, entails significant mortality risk.

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Thoracoscopic pericardiectomy for bilateral tuberculous constrictive pericarditis: A video vignette.

Asian J Surg

October 2024

Department of Cardio-Thoracic Surgery, The Yunnan Clinical Medical Center for Infectious Diseases, The Third People's Hospital of Kunming, Kunming, 650041, China. Electronic address:

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CT-derived myocardial strain measurement in patients with chronic constrictive pericarditis.

J Cardiovasc Comput Tomogr

October 2024

Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. Electronic address:

Background: We aimed to compare computed tomography (CT)-derived myocardial strain between patients with constrictive pericarditis (CP) and a matched healthy control group and to identify factors associated with clinical outcomes after pericardiectomy.

Methods: This retrospective study included 65 patients with CP (mean age: 58.9 ​± ​8.

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Fatal cerebral thrombosis after pericardiectomy.

Int J Emerg Med

October 2024

Department of Cardiac Surgery, Fuwai Hospital, Beijing, China.

Article Synopsis
  • - The text discusses a case of a patient who developed fatal cerebral thrombosis following a safe pericardiectomy for constrictive pericarditis, highlighting a rare complication of the procedure.
  • - Factors contributing to the thrombosis included a stiff pericardium affecting heart function, a pro-coagulable state from thermal effects during surgery, and rapid heart rates post-operation.
  • - The authors recommend that patients undergoing pericardiectomy receive prompt and aggressive anticoagulation therapy to reduce the risk of thrombotic complications.
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