scholarly journals A case of right heart failure in a 48-year-old patient with constrictive pericarditis treated by pericardiectomy

2019 ◽  
Vol 14 (3-4) ◽  
pp. 45-45
Author(s):  
Ognjen Čančarević ◽  
Sandra Jakšić Jurinjak ◽  
Boris Starčević ◽  
Martina Menegoni ◽  
Daniel Unić
Keyword(s):  
Heart Failure ◽  
Constrictive Pericarditis ◽  
Right Heart Failure ◽  
Right Heart

scholarly journals A case report: multiple right ventricular diverticula with constrictive pericarditis and right heart failure

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Sohail Iqbal ◽  
Nik Abidin ◽  
Richard Bruce Irwin ◽  
Matthias Schmitt
Keyword(s):  
Magnetic Resonance Imaging ◽  
Heart Failure ◽  
Computed Tomography ◽  
Cardiac Magnetic Resonance ◽  
Magnetic Resonance ◽  
Right Ventricular ◽  
Constrictive Pericarditis ◽  
Right Heart Failure ◽  
Resonance Imaging ◽  
Right Heart

Abstract Background Right ventricular diverticula (RVD) are very rare congenital anomalies and their association with constrictive pericarditis is even rarer. So far, only one case has been published in literature. Case summary We report a case of multiple congenital RVD with constrictive pericarditis and right heart failure which was incidentally identified on surveillance computed tomography (CT) for abdominal lymphangioma. Interval CT, echocardiography, and cardiac magnetic resonance imaging (CMR) studies were performed and reviewed. Computed tomography abdomen showed hepatic congestion with features of portal hypertension, increasing size of the RVD on review of serial CTs, and eccentric foci of pericardial calcification. Echocardiography performed for breathlessness demonstrated supranormal early diastolic tissue velocities with average of 19.8 cms−1 and a septal bounce phenomenon on m-mode imaging suggesting constrictive physiology, which triggered a CMR referral. Cardiac magnetic resonance imaging HASTE and right ventricular (RV) outflow tract imaging showed four outpouchings along RV free wall, the largest measuring 4.5 × 2 cm with a sizeable neck. These outpouchings displayed a trabecular network and/or were contractile aiding the diagnosis of diverticula as opposed to aneurysms. Right ventricular function was moderately compromised, whereas left ventricular function was preserved. Discussion Right ventricular diverticula can be associated with, and potentially be causative of, pericardial thickening and calcification eventually leading to constrictive pericarditis and heart failure.

scholarly journals Constrictive Pericarditis: A Challenging Diagnosis in Paediatrics

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Mariana Faustino ◽  
Inês Carmo Mendes ◽  
Rui Anjos
Keyword(s):  
Heart Failure ◽  
Surgical Treatment ◽  
Constrictive Pericarditis ◽  
Correct Diagnosis ◽  
Previous History ◽  
Right Heart Failure ◽  
Right Heart ◽  
Noninvasive Cardiac Imaging ◽  
Uncommon Disease ◽  
History Of

Constrictive pericarditis is an uncommon disease in children, usually difficult to diagnose. We present the case of a 14-year-old boy with a previous history of tuberculosis and right heart failure, in whom constrictive pericarditis was diagnosed. The case highlights the need to integrate all information, including clinical data, noninvasive cardiac imaging, and even invasive hemodynamic evaluation when required, in order to establish the correct diagnosis and proceed to surgical treatment.

scholarly journals Salvation to Hearts in Distress under Shells of Stress: Subtotal Pericardiectomy in a Series of 9 Patients with Constrictive Pericarditis

2021 ◽  
Vol 07 (09) ◽  
Author(s):  
S. Faid ◽  
Keyword(s):  
Heart Failure ◽  
Cardiac Catheterization ◽  
Constrictive Pericarditis ◽  
Cardiac Mri ◽  
Diastolic Heart Failure ◽  
Rare Condition ◽  
Right Heart Failure ◽  
Right Heart ◽  
Pericardial Thickening

Objective: Chronic constrictive pericarditis (CCP) is a rare entity responsible of diastolic heart failure. The true prevalence is yet to be defined. The purpose of this study was to describe the clinical and para-clinical characteristics of patients with CCP, the therapeutic management, the outcomes and impacting factors. Materials and Methods: We conducted a retrospective descriptive study from 2017 to 2020 including 9 patients hospitalized for CCP in our cardiovascular surgery department. Results: The mean age was of 32.6 years. Majority were men (n=7). Dyspnea was the most common sign. Peripheral signs were dominated by signs of right heart failure. Cardiac ultrasonography showed pericardial thickening and calcifications with Doppler adiastolic signs in 90% of cases. Thoracic CT was performed in 7 patients, cardiac MRI in one patient, showing calcifications and measuring the pericardial thickening. Cardiac catheterization performed in 6 patients showed the aspect of Dip plateau. Tuberculosis etiology was retained in 55.6%; post-radiation origin in one patient and 33.4 % of cases were idiopathic. All of patients benefited from subtotal pericardiectomy with good results in the medium and long term. Two deaths occurred, the first patient died following multi-visceral failure, the second died 3 years later from neoplasia. Conclusion: The CCP is a rare condition with poor prognosis. The diagnosis should be raised when there are signs of right heart failure associated with signs of hemodynamic adiastolia. The echocardiography, with computed tomography or cardiac MRI and especially cardiac catheterization confirm the diagnosis and also etiological orientation. Tuberculosis and idiopathic etiologies were the most common at our country. Medical treatment options are limited. Pericardiectomy remains the only radical treatment with good results in immediate, medium and long term.

A Girl With Right Heart Failure Related to Effusive-Constrictive Pericarditis

2011 ◽  
Vol 32 (5) ◽  
pp. 681-684 ◽  
Author(s):  
Meng-Yu Chen ◽  
Yih-Sharng Chen ◽  
Shyh-Jye Chen ◽  
Chun-Wei Lu
Keyword(s):  
Heart Failure ◽  
Constrictive Pericarditis ◽  
Right Heart Failure ◽  
Right Heart ◽  
Effusive Constrictive Pericarditis

scholarly journals Hypertrophic Cardiomyopathy and Tricuspid Regurgitation with Right Heart Failure Mimicking Constrictive Pericarditis: A Rare Case Report

2016 ◽  
Vol 11 (1) ◽  
pp. 45-47
Author(s):  
SMG Saklayen ◽  
Rakibul Hasan ◽  
Redoy Ranjan ◽  
Mostafizur Rahman ◽  
Rezwanul Hoque ◽  
...  
Keyword(s):  
Heart Failure ◽  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Constrictive Pericarditis ◽  
Right Heart Failure ◽  
Right Atrial ◽  
Atrial Wall ◽  
Right Heart ◽  
Severe Tricuspid Regurgitation ◽  
Rare Case Report

Cardiomyopathy is the measurable deterioration of the function of the myocardium for any reason, usually leading to heart failure. Tricuspid regurgitation may result from structural alterations of any one or all of the components of the tricuspid valve apparatus which include the leaflets, chordae tendinae, annulus, and papillary muscles or adjacent right ventricular muscle. We are reporting a case of Cardiomyopathy with tricuspid regurgitation with right heart failure in a 38 years male. Preoperatively he was diagnosed as a case of constrictive pericarditis. Diagnosis of Tricuspid regurgitation with cardiomegaly was confirmed peroperatively. During operatrion tricuspid valve anatomy dimunited and severe tricuspid regurgitation was identified. Grossly dilated RA, RV identified and other anatomy of heart was normal. De-Vega Tricuspid anuloplasty done with pledgeted stich 2-0 polyster. Part of right atrial wall (2X2.5 inch) excised and resected portion sent for histopathology. Postoperative course was uneventful with marked improvement of symptoms.University Heart Journal Vol. 11, No. 1, January 2015; 45-47

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