Pericardial Calcification: An Uncommon Case with Intraventricular Extension

Area of Science:

• Cardiology
• Radiology

Background:

• Presents an 80-year-old male with shortness of breath, a history of hypertension, myocardial infarction, stroke, and atrial fibrillation.
• Physical examination revealed diminished heart sounds and irregular rhythm.

Observation:

• Imaging studies (X-ray, CT, echocardiography) identified pericardial calcification impacting the inferior wall and left ventricle.
• Diagnosis of constrictive pericarditis due to pericardial calcification, likely idiopathic but potentially linked to ischemic heart disease.

Findings:

• Pericardial calcification extending into the left ventricle was visualized.
• Combined imaging was essential for identifying calcification and assessing patient comorbidities.

Implications:

• While pericardiectomy is an option for severe cases, non-pharmacological management and patient-centered discussions are vital for those with mild symptoms.
• Rehabilitation planning should be considered as part of the non-pharmacological management for eligible patients.