Related Experiment Video
Updated: Apr 11, 2026

Induction of Right Ventricular Failure by Pulmonary Artery Constriction and Evaluation of Right Ventricular Function in Mice
Published on: May 13, 2019
Recurrent constrictive pericarditis: A diagnostic and therapeutic challenge
Raquel Ferreira1, Anabela Gonzaga1, Luís Santos1
1Serviço de Cardiologia, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal.
Abstract:
Recurrent right-sided heart failure after pericardiectomy may be caused by incomplete pericardiectomy, recurrent constriction, diastolic dysfunction or myocardial involvement. Identifying recurrent constrictive pericarditis (CP) in patients who have recurring symptoms after pericardiectomy is challenging, since the characteristic Doppler echocardiographic features may not be present if a portion of the ventricles are free of constricting pericardium, and there are no diagnostic or treatment guidelines for management of recurrent CP. The authors report the case of a 59-year-old man with a history of pericardiectomy for tuberculous CP in 1984, admitted to our hospital with signs and symptoms of right heart failure. After a complete diagnostic workup, recurrent CP was diagnosed. Given the scarcity of cases reported on this disease, three possible therapeutic approaches are discussed: a second pericardiectomy, heart transplantation and medical therapy.
Related Concept Videos
Pericarditis III: Medical Management
Pericarditis II: Clinical Features and Diagnostic Tests
Pericarditis I: Introduction
Cardiomyopathy IV: Restrictive Cardiomyopathy
Pericarditis IV: Nursing Management
Myocarditis II: Clinical Features and Diagnostic Tests

