Pericardial pathology. Diagnostic and therapeutic challenge in the era of multimodality cardiac imaging apropos of a case

Authors

  • Carlos Igor Morr Sección de Imagen Cardiovascular, Servicio de Cardiología. Hospital Universitario Clínico San Carlos. Madrid. España
  • José Julián Carvajal Sección de Imagen Cardiovascular, Servicio de Cardiología. Hospital Universitario Clínico San Carlos. Madrid. España
  • Ana Bustos Servicio de Radiología. Hospital Universitario Clínico San Carlos. Madrid. España
  • José Juan Gómez de Diego Sección de Imagen Cardiovascular, Servicio de Cardiología. Hospital Universitario Clínico San Carlos. Madrid. España
  • Leopoldo Pérez de Isla Sección de Imagen Cardiovascular, Servicio de Cardiología. Hospital Universitario Clínico San Carlos. Madrid. España

DOI:

https://doi.org/10.37615/retic.n5a11

Keywords:

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.

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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

Published

2017-08-30

How to Cite

1.
Morr CI, Carvajal JJ, Bustos A, Gómez de Diego JJ, Pérez de Isla L. Pericardial pathology. Diagnostic and therapeutic challenge in the era of multimodality cardiac imaging apropos of a case. Rev Ecocar Pract (RETIC) [Internet]. 2017 Aug. 30 [cited 2024 May 17];(5):55-8. Available from: https://imagenretic.org/RevEcocarPract/article/view/68