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Effusive-Constrictive Tuberculosis Pericarditis with Biventricular Systolic Dysfunction

ABSTRACT: Graphical abstract Highlights • Tuberculosis is a rare etiology of effusive-constrictive pericarditis.• It can present with systolic dysfunction, irrespective of myocardial involvement.• Anti-TB and steroid therapy are reasonable treatment options.

SUBMITTER: Haq I

PROVIDER: S-EPMC9271481 | biostudies-literature |

REPOSITORIES: biostudies-literature

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Pericardial waffle for effusive-constrictive pericarditis.

Project description:We present the case of a 55-year-old female marathon runner who presented with progressive exercise intolerance and was diagnosed with effusive-constrictive pericarditis. Stereotypical findings of this challenging diagnosis are shown by transthoracic echocardiographic and right heart catheterization. We treated the patient with a parietal pericardiectomy and pericardial waffle procedure to relieve a thick and constrictive epicardium.

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Effusive-constrictive cholesterol pericarditis: a case report.

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A rare cause of effusive-constrictive pericarditis.

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Acute Myeloid Leukemia Presenting as Effusive Constrictive Pericarditis.

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Diagnosis and treatment of effusive-constrictive pericarditis: a case report.

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Effusive-constrictive pericarditis secondary to pneumopericardium associated with gastropericardial fistula.

Project description:A 66-year-old man with a history of gastric pull-up reconstruction for oesophageal cancer was hospitalized because of prolonged chest pain. Chest X-ray demonstrated pneumopericardium. Computed tomography revealed ulceration and abscess in the gastric conduit adjacent to the heart, suggesting gastropericardial fistula. As the patient did not show tamponade physiology, he was conservatively treated with antibiotics. The pneumopericardium diminished; however, he developed effusive-constrictive pericarditis with overt heart failure symptoms. Because pericardiocentesis failed to relieve the symptoms, pericardiectomy was performed. Intraoperative exploration revealed remarkably thickened pericardium and epicardium constituting multiple layers with purulent effusion. Epicardiectomy as well as pericardiectomy were required to achieve the effective reduction of central venous pressure. Perforation of the gastric conduit into the pericardial cavity was identified and repaired. Histopathology demonstrated thickened pericardium composed of hyalinized stroma, collagenous bundles, and infiltration of inflammatory cells. Streptococcus anginosus and Candida tropicalis were identified by culture of the resected tissue.

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An Unusual Case of Effusive-Constrictive Pericarditis in the Intensive Care Unit.

Project description: Not available

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Localized constrictive pericarditis resulting in biventricular aneurysm-like apical outpouching.

Project description: Not available

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Malignant primary pericardial mesothelioma presenting as effusive constrictive pericarditis: a case report study.

Project description:BackgroundPrimary pericardial mesothelioma (PPM) is a rare malignancy with a high prevalence of mortality. The diagnosis is usually challenging using a variety of imaging modalities and invasive procedures and is generally performed at the later stages of the disease or in autopsy. This case study points to an unconventional presentation of PPM and the challenges in diagnosing this rare mortal malignancy.Case presentationThis study presents a 44-year-old woman with no remarkable medical history with an initial diagnosis of effusive constrictive pericarditis at first hospitalization. Imaging evaluations, including transthoracic echocardiography and chest computed tomography scan, demonstrated visible thickened pericardium, pericardial effusion, and mass-like lesions in pericardium and mediastinum. The definite diagnosis of primary pericardial mesothelioma was established after pericardiectomy and histopathology examinations. Chemotherapy with pemetrexed and carboplatin was administrated to the patient, and she has been through four cycles of chemotherapy with no complications to date.ConclusionConstrictive pericarditis is an uncommon presentation of PPM. Due to the high mortality rate and late presentation, difficulties and uncertainties in diagnosis, being aware of this rare malignant entity in different cardiac manifestations, particularly when there is no clear explanation or response to treatment in such conditions, is highly important.

| S-EPMC8511285 | biostudies-literature

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