Subacute effusive-constrictive pericarditis: diagnosis by serial echocardiography
Cindy M Baker1, David A Orsinelli
1Division of Cardiovascular Medicine, The Ohio State University College of Medicine, Columbus, OH 43210, USA.
Summary
A young man rapidly developed effusive-constrictive physiology from acute pericarditis. Echocardiography revealed significant pericardial changes, leading to successful pericardiectomy for symptom relief.
Area of Science:
- Cardiology
- Cardiac Surgery
- Diagnostic Imaging
Background:
- Acute pericarditis can present with diverse hemodynamic complications.
- Effusive-constrictive physiology is a rare but serious manifestation of pericardial disease.
- Early recognition is crucial for timely management and improved patient outcomes.
Observation:
- A 30-year-old male presented with acute pericarditis.
- Rapid progression to effusive-constrictive physiology occurred within two weeks.
- Serial echocardiography showed marked changes in pericardial effusion and the pericardial space.
Findings:
- Operative findings revealed a significantly thickened and inflamed pericardium.
- Echocardiography accurately depicted the evolving pericardial disease.
- Surgical intervention (pericardiectomy) provided symptomatic relief.
Implications:
- This case underscores the critical role of echocardiography in diagnosing and monitoring pericardial disease.
- Specific echocardiographic features can indicate the need for early surgical intervention.
- Prompt diagnosis and management of effusive-constrictive physiology are vital in pericarditis cases.
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