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Chronic constrictive pericarditis

Hossein Doustkami1, Afshin Hooshyar2, Nasrollah Maleki2

  • 1Interventional Cardiology, Department of Cardiology, Imam Khomeini Hospital, Ardabil University of Medical Sciences, Iran.

Case Reports in Cardiology
|May 15, 2014
PubMed

Insights

Constrictive pericarditis (CP) is a challenging diagnosis, often missed by physicians. This case highlights the diagnostic difficulties and emphasizes the benefits of prompt surgical treatment for constrictive pericarditis.

Area of Science:

  • Cardiology
  • Internal Medicine

Background:

  • Constrictive pericarditis (CP) is a rare condition with diagnostic challenges.
  • Symptoms like dyspnea, pleural effusion, and ascites can be misattributed to other diseases.

Purpose of the Study:

  • To present a case of constrictive pericarditis (CP) that illustrates diagnostic difficulties.
  • To discuss the diagnostic workup and the benefits of prompt treatment for CP.

Main Methods:

  • Case report of a patient with unexplained dyspnea, ascites, and pleural effusion.
  • Diagnostic investigations included ascitic fluid analysis, echocardiography, computed tomography, and cardiac catheterization.
  • Treatment involved complete pericardiectomy.

Main Results:

  • Ascitic fluid analysis showed high protein content and elevated serum-ascites gradient.
  • Cardiac catheterization confirmed constrictive pericarditis with equalization of end-diastolic pressures.
  • The patient recovered well after pericardiectomy.

Conclusions:

  • Constrictive pericarditis (CP) diagnosis requires high clinical suspicion and thorough investigation.
  • Prompt surgical intervention, such as pericardiectomy, leads to good outcomes in CP.

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