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Hourglass-shaped right ventricle and localized constrictive pericarditis
Alper Karakus1, Hasan Ari1, Sencer Camci1
1Department of Cardiology, Bursa Postgraduate Hospital, Bursa, Turkey.
Echocardiography (Mount Kisco, N.Y.)
|February 19, 2017
Summary
Constrictive pericarditis, a rare condition, involves pericardial fibrosis impairing heart function. This case highlights 3D cardiac CT
Area of Science:
- Cardiology
- Radiology
- Cardiac Imaging
Background:
- Constrictive pericarditis involves pericardial fibrosis and calcification, hindering diastolic heart filling.
- Diagnosis is challenging, particularly for rare localized forms.
- Existing diagnostic methods have limitations.
Observation:
- A rare case of localized constrictive pericarditis was identified.
- 3D multislice cardiac computed tomography (CT) was employed for diagnosis.
- The CT revealed a constrictive band impacting the right ventricle.
Findings:
- The constrictive band caused significant strangulation of the right ventricle.
- An "hourglass" shape deformity of the right ventricle was observed.
- This imaging finding is crucial for diagnosing localized constrictive pericarditis.
Implications:
- 3D multislice cardiac CT is valuable for diagnosing rare constrictive pericarditis.
- Accurate diagnosis aids in appropriate management and treatment strategies.
- Understanding the specific CT findings can improve patient outcomes.
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