Constrictive pericarditis: the complex diagnostic pathway for a diagnostic pathway of a mimicking disease

Authors

  • Gerardo Chacon Loyola Médico residente cardiología. Instituto Nacional de Cardiología ¨Ignacio Chávez¨ https://orcid.org/0000-0003-2083-0557
  • María José Calva Galván Medical intern of social service. National Institute of Cardiology ¨Ignacio Chávez¨
  • Mauricio López Meneses Interventional Cardiologist. National Institute of Cardiology ¨Ignacio Chávez¨
  • José Antonio Arias Godínez Echocardiographic Cardiologist. Chief of Echocardiography Department. National Institute of Cardiology "Ignacio Chávez"
  • Jorge Aceituno Melgar Echocardiography Fellow. "Ignacio Chávez" National Institute of Cardiology

DOI:

https://doi.org/10.37615/retic.v5n2a9

Keywords:

constrictive pericarditis, diastolic heart failure, pericardiectomy.

Abstract

We present a case of constrictive pericarditis with 2 years of history prior to diagnosis. The main diagnostic study is the transthoracic echocardiogram with the protocol for constrictive pericarditis proposed by the Mayo Clinic. Cardiac magnetic resonance and cardiac tomography are diagnostic options in complex cases and help to
characterize the anatomy of the pericardium. Cardiac catheterization helps to differentiate between constrictive
pericarditis vs restrictive cardiomyopathy. Surgical pericardiectomy is the only definitive treatment, most patients experience a substantial improvement in functional class and cardiac filling pressures.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

I.- Welch T. Constrictive pericarditis: diagnosis, management and clinical outcomes. BMJ. 2017; 0: 1-7. doi: http://orcid.org/10.1136/heartjnl-2017-311683

II.- Welch T. Oh, J. Constrictive Pericarditis. Elsevier Inc. 2017: 539-549. doi: http://dx.doi.org/10.1016/j.ccl.2017.07.007 DOI: https://doi.org/10.1016/j.ccl.2017.07.007

III.- Geske J, Anavekar N, Nishimura R, Oh J, Gersh B. Differentiation of Constriction and Restriction: complex cardiovascular hemodynamics. State of the Art Review. JACC. 2016; 68: 2329-47. doi: http://dx.doi.org/10.1016/j.jacc.2016.08.050 DOI: https://doi.org/10.1016/j.jacc.2016.08.050

IV. - Syed F, Schaff H, Oh J. Constrictive pericarditis—a curable diastolic heart failure. Nature Reviews. 2014; 11: 530-544. DOI: https://doi.org/10.1038/nrcardio.2014.100

doi: http://orcid.org/10.1038/nrcardio.2014.100

V. - Miranda W, Oh J. Effusive-Constrictive Pericarditis. Elsevier Inc. 2017: 551-558. doi: http://dx.doi.org/10.1016/j.ccl.2017.07.008 DOI: https://doi.org/10.1016/j.ccl.2017.07.008

VI.- Adler, Y. Charron, P. Imazio, M. Badano, L, Esquivias, G. Bogaert, J. Brucato, A. et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases. European Heart Journal. 2015; 36: 2921-2964. doi: http://orcid.org/10.1093/eurheartj/ehv318 DOI: https://doi.org/10.5603/KP.2015.0228

Downloads

Published

2022-08-30

How to Cite

1.
Chacon Loyola G, Calva Galván MJ, López Meneses M, Arias Godínez JA, Aceituno Melgar J. Constrictive pericarditis: the complex diagnostic pathway for a diagnostic pathway of a mimicking disease. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2022 Aug. 30 [cited 2024 Dec. 22];5(2):41-5. Available from: https://imagenretic.org/RevEcocarPract/article/view/396

Issue

Vol. 5 No. 2 (2022): Journal of Practical Echocardiography and Other Cardiac Imaging Techniques

Section

CLINICAL CASES

License

Copyright (c) 2022 Revista de ecocardiografía práctica y otras técnicas de imagen cardíaca

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

RETIC is distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license https://creativecommons.org/licenses/by-nc-nd/4.0 which allows sharing, copying and redistribution of the material in any medium or format, under the following terms:

  • Attribution: you must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests that the licensor endorses you or your use.
  • Non-commercial: you may not use the material for commercial purposes.
  • No Derivatives: if you remix, transform or build upon the material, you may not distribute the modified material.
  • No Additional Restrictions: you may not apply legal terms or technological measures that legally restrict others from doing anything permitted by the license.
Crossref
Scopus
Google Scholar
Europe PMC