Multimodality Imaging in Chronic Constrictive Pericarditis
Christina Karamarkou1, Charalampia Maltsinioti1, Oliver Bruder1
1Clinic for Cardiology, Elisabeth Krankenhaus Essen, Essen, Germany.
Insights
Multimodality imaging, including cardiac magnetic resonance (CMR) and computed tomography (CT), effectively diagnosed chronic constrictive pericarditis (CP). This approach guided successful surgical management, highlighting imaging
Area of Science:
- Cardiology
- Radiology
- Medical Imaging
Background:
- Chronic constrictive pericarditis (CP) presents diagnostic challenges.
- Electrocardiogram (ECG) abnormalities like T-wave inversions can be early indicators.
- Multimodality imaging is essential for accurate diagnosis and management planning.
Abstract:
This case highlights the use of multimodality imaging in the diagnosis and management of chronic constrictive pericarditis (CP) in a 37-year-old male with a history of T-wave inversions on electrocardiogram (ECG). The patient underwent adenosine stress cardiac magnetic resonance (CMR) due to suspicion of coronary artery disease (CAD). CMR revealed findings suggestive of chronic CP, including pericardial thickening and septal shudder, with computed tomography (CT) confirming the presence of pericardial calcification. The diagnosis was established through the combination of CMR and CT imaging. The patient underwent a successful pericardiectomy. This case emphasizes the crucial role of CMR and CT in diagnosing and guiding the management of CP.
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