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Related Concept Videos

Pericarditis I: Introduction01:22

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Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
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Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
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Pleural Effusion Overview
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A Modified Technique for Transverse Aortic Constriction in Mice
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A rapid evolution from effusive-constrictive to constrictive pericarditis.

Alex Heyse1, Frederik Van Durme, Marc Goethals

  • 1Dept. of Cardiology, AZ ZVB Ronse, Belgium. alex.heyse@werken-glorieux.be

Acta Cardiologica
|July 30, 2010
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Summary

This case study details effusive-constrictive pericarditis evolving into constrictive pericarditis. Surgical pericardectomy successfully treated the patient, offering a favorable outcome for constrictive heart disease.

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Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Constrictive pericarditis is a cardiac condition characterized by impaired diastolic filling due to pericardial thickening and restriction.
  • Effusive-constrictive pericarditis presents with both pericardial effusion and constriction, posing diagnostic challenges.

Observation:

  • A 69-year-old woman initially presented with effusive-constrictive pericarditis, showing a mild pericardial effusion and constrictive physiology on echocardiography.
  • Follow-up revealed effusion resolution, significant pericardial thickening (up to 9 mm), and echocardiographic signs of constrictive pericarditis, including specific inflow variations and septal shift.
  • Cardiac catheterization confirmed constrictive pericarditis with characteristic pressure dynamics and equalization across all four heart chambers.

Findings:

  • The patient transitioned from effusive-constrictive pericarditis to classic constrictive pericarditis.
  • Medical management with aspirin and diuretics was insufficient to alleviate symptoms.
  • Surgical parietal and visceral pericardectomy resulted in a favorable clinical outcome.

Implications:

  • This case highlights the diagnostic progression from effusive-constrictive to constrictive pericarditis.
  • It underscores the effectiveness of pericardectomy in managing symptomatic constrictive pericarditis refractory to medical therapy.
  • Early recognition and intervention are crucial for improving patient prognosis in constrictive pericarditis.