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Delayed Diagnosis of Constrictive Pericarditis Resulting in Recurrent Heart Failure: A Case Report
Chunliang Wang1, Yuzhu Fan2, Guiting Liang2
1Department of Cardiology, Shijiazhuang Traditional Chinese Medicine Hospital, Shijiazhuang, China.
Insights
Constrictive pericarditis, characterized by pericardial inflammation and fibrosis, impairs diastolic ventricular filling. Echocardiography diagnosed this condition in a patient presenting with progressive dyspnea and edema, leading to pericardiectomy.
Area of Science:
- Cardiology
- Cardiac Surgery
- Diagnostic Imaging
Background:
- Constrictive pericarditis restricts diastolic ventricular filling due to pericardial inflammation and fibrosis.
- Symptoms include progressive dyspnea and edema, often developing over years.
Abstract:
Constrictive pericarditis can lead to compromised diastolic ventricular filling due to pericardial inflammation and fibrosis. A diagnosis of constrictive pericarditis was established by identifying structural and hemodynamic features through echocardiography. We present a case of constrictive pericarditis, which manifested in the form of gradually worsening dyspnea and lower-extremity edema over a 7 years period. The patient was diagnosed with constrictive pericarditis using echocardiography, and underwent a pericardiectomy.
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