Pericardial pathology. Diagnostic and therapeutic challenge in the era of multimodality cardiac imaging apropos of a case
DOI:
https://doi.org/10.37615/retic.n5a11Keywords:
pericardial constriction, pericardial infiltration, cardiac magnetic resonance imaging, relaxation times.Abstract
The pericardium consists of two layers, the visceral pericardium consisting of a single layer of mesothelial cells, elastin and collagen, attached to the epicardial surface of the heart, and an avascular parietal layer with an extensive network of collagen fibers. In humans, this fine structure normally reaches up to 2 mm thick. Its function is basically mechanical adapting to the volume changes of the cardiac cavities, although important variations of these or affectation of its tissue, makes it more rigid conditioning a restrictive behavior. There are many pathologies that can affect it, from inflammation, trauma, radiation to tumor infiltration.
Downloads
Metrics
References
Johnson D. The pericardium. En: Standring S, et al. (eds.). Gray´s Anatomy. Elsevier Churchill Livingstone. New York, 2005; 995-996.
Jöbsis PD, Ashikaga H, Wen H, et al. The visceral pericardium: Macromolecular structure and contribution to passive mechanical properties of the left ventricle. Am J Physiol 2007; 293: H3379. DOI: https://doi.org/10.1152/ajpheart.00967.2007
Talreja DR, Nishimura RA, Oh JK, Holmes DR. Constrictive pericarditis in the modern era. Novel criteria for diagnosis in the cardiac catheterization laboratory. J Am Coll Cardiol 2008; 22: 315. DOI: https://doi.org/10.1016/j.jacc.2007.09.039
Taylor AM, Dymarkowski S, Verbeken EK, Bogaert J. Detection of pericardial inflammation with late-enhancement cardiac magnetic resonance imaging. Initial results. Eur Radiol 2006; 16: 569. DOI: https://doi.org/10.1007/s00330-005-0025-0
Rienmüller R, Gröll R, Lipton MJ. CT and MR imaging of pericardial disease. Radiologic Clinics of North America 2004; 42 (3): 587-601. DOI: https://doi.org/10.1016/j.rcl.2004.03.003
Alter P, Figiel JH, Rupp TP, et al. MR, CT, and PET imaging in pericardial disease. Heart Fail Rev 2013; 18 (3): 289-306. DOI: https://doi.org/10.1007/s10741-012-9309-z
Imazio M, Demechelis B, Parrini I, et al. Relation of acute pericardial disease to malignancy. Am J Cardiol 2005; 95: 1393. DOI: https://doi.org/10.1016/j.amjcard.2005.01.094
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Carlos Igor Morr , José Julián Carvajal, Ana Bustos, José Juan Gómez de Diego, Leopoldo Pérez de Isla
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.