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Pericarditis constrictiva con necrosis caseosa: una presentación rara y poco reconocida
Plínio José Whitaker Wolf1, Edileide Barros Correia1, Marcos de Oliveira Vasconcellos1
1Instituto Dante Pazzanese de Cardiologia, São Paulo, SP - Brasil.
Arquivos brasileiros de cardiologia
|December 19, 2025
Resumen
La necrosis caseosa, una afección de la válvula mitral, también puede causar pericarditis constrictiva. Este estudio detalla siete casos de pericarditis constrictiva relacionados con este raro proceso degenerativo.
Área de la Ciencia:
- Cardiología; Patología
Sus antecedentes:
- La necrosis caseosa afecta típicamente a la válvula mitral, causando la formación de pseudotumores.
- Su asociación con la pericarditis constrictiva es poco comprendida.
Objetivo del estudio:
- Describir la pericarditis constrictiva asociada con necrosis caseosa.
- Resaltar esta rara condición en la patología cardíaca.
Principales métodos:
- Serie de casos de siete pacientes.
- Evaluación clínica, incluyendo clase funcional y signos de síndrome restrictivo.
- Tomografía computarizada de tórax para calcificación pericárdica y necrosis.
- Confirmación quirúrgica mediante pericardiectomía.
Principales resultados:
- Siete pacientes (6 hombres, edad media 42±14) presentaron pericarditis constrictiva.
- Todos los pacientes estaban en clase funcional III/IV con síndrome restrictivo.
- La tomografía computarizada de tórax reveló intensa calcificación pericárdica con necrosis caseosa.
Conclusiones:
- La necrosis caseosa puede asociarse con la pericarditis constrictiva.
- Este hallazgo, aunque raro, debe considerarse en los diagnósticos cardíacos.
- La pericardiectomía confirmó el diagnóstico en los pacientes afectados.
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