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Diastolic Coronary Artery Compression in Constrictive Pericarditis.
Georgios Christopoulos1, John M Stulak2, Jae K Oh1
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
JACC. Case Reports
|July 28, 2021
Summary
Diastolic coronary artery compression, a rare condition, can be caused by constrictive pericarditis. This case highlights a unique presentation of this cardiac phenomenon.
Area of Science:
- Cardiology
- Cardiac Surgery
- Pathology
Background:
- Phasic coronary artery compression during diastole is an uncommon cardiovascular event.
- Constrictive pericarditis is a condition characterized by inflammation and scarring of the pericardium, potentially leading to cardiac dysfunction.
Purpose of the Study:
- To describe a rare case of diastolic coronary artery compression.
- To identify constrictive pericarditis as the underlying cause of this specific compression.
Main Methods:
- Case report detailing clinical presentation, diagnostic workup, and management.
- Review of relevant literature on coronary artery compression and constrictive pericarditis.
Main Results:
- The patient presented with symptoms attributable to diastolic coronary artery compression.
- Diagnostic findings confirmed constrictive pericarditis as the etiology of the coronary compression.
Conclusions:
- Constrictive pericarditis can manifest as diastolic coronary artery compression.
- This case underscores the importance of considering pericardial disease in the differential diagnosis of coronary artery abnormalities.
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