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Ring-shaped calcific constrictive pericarditis strangling the heart: a case report.

Mu Sook Lee1, Joon Hyouk Choi2, Young Uck Kim2

  • 1Department of Diagnostic Radiology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, 690-767, South Korea.

International Journal of Emergency Medicine
|January 31, 2015
PubMed
Summary

Constrictive pericarditis diagnosis involves assessing pericardial abnormalities and heart function. A rare case revealed ring-shaped calcification strangulating the heart, offering novel imaging insights for this condition.

Keywords:
Atrioventricular grooveConstrictive pericarditisRing-shaped pericardial calcification

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Area of Science:

  • Cardiology
  • Radiology
  • Medical Imaging

Background:

  • Constrictive pericarditis stems from pericardial fibrosis and calcification, impairing diastolic heart filling.
  • Diagnosis typically combines morphologic evaluation with functional and hemodynamic assessments.

Purpose of the Study:

  • To report novel imaging findings in a rare case of constrictive pericarditis.
  • To highlight the diagnostic utility of chest computed tomography (CT) and roentgenogram in identifying specific pericardial abnormalities.

Main Methods:

  • Utilized chest computed tomography (CT) and chest roentgenogram for imaging.
  • Evaluated morphologic pericardial abnormalities and their functional impact.

Main Results:

  • Identified a rare, ring-shaped pericardial calcification at the atrioventricular groove.
  • This calcification caused cardiac strangulation, a less common presentation of constrictive pericarditis.

Conclusions:

  • Chest CT and roentgenogram can reveal rare anatomical causes of constrictive pericarditis.
  • Ring-shaped calcification at the atrioventricular groove is a distinct and severe manifestation requiring accurate diagnosis.