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Related Experiment Videos

Constrictive pericarditis presenting as unexplained recurrent pleural effusion: a case report

M Cecconi1, M Manfrin, U Berrettini

  • 1Divisione di Cardiologia II, Azienda Ospedaliera GM Lancisi, Ancona.

Cardiologia (Rome, Italy)
|December 22, 1998
PubMed
Summary
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Constrictive pericarditis can rarely mimic pleural effusion, posing diagnostic challenges. Surgical pericardiectomy resolved both the effusion and congestion in a challenging case.

Area of Science:

  • Cardiology
  • Pulmonology
  • Internal Medicine

Background:

  • Constrictive pericarditis (CP) can present atypically, complicating diagnosis.
  • Recurrent pleural effusion of unknown origin may mask underlying cardiac conditions.

Observation:

  • A case of subacute constrictive pericarditis presented with recurrent pleural effusions and initially non-diagnostic echocardiography.
  • The patient was initially misdiagnosed with primary pulmonary or pleural disease.

Findings:

  • Systemic congestion signs, computed tomography, Doppler echocardiography, and cardiac catheterization confirmed constrictive pericarditis.
  • Pericardiectomy led to complete resolution of pleural effusion and systemic congestion.

Implications:

Related Experiment Videos

  • Highlights the importance of considering constrictive pericarditis in unexplained pleural effusions.
  • Demonstrates the efficacy of pericardiectomy in managing atypical presentations of constrictive pericarditis.