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A case report of pericardial constriction with coexisting severe left main coronary artery disease

Saman Ostad Karampour1, Tara L Sedlak2, Christina L Luong2

  • 1Division of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, BC, Canada V5Z 1M9.

European Heart Journal. Case Reports
|July 20, 2022
PubMed

Insights

Constrictive pericarditis (CP) can present with atypical hemodynamics, especially when severe coronary artery disease (CAD) is present. Early diagnosis and surgical intervention, including pericardiectomy, are crucial for managing heart failure in these complex cases.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Internal Medicine

Background:

  • Constrictive pericarditis (CP) is a rare condition causing heart failure due to pericardial fibrosis and impaired ventricular filling.
  • Differentiating CP from restrictive cardiomyopathy is vital as CP is potentially curable via pericardiectomy.
  • This case highlights CP with atypical hemodynamics in a patient with severe left main coronary artery disease (CAD).
Abstract

Keywords:
Case reportConstrictive pericarditisCoronary artery diseaseHaemodynamicsRestrictive cardiomyopathy

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