Aetiology of chronic constrictive pericarditis.

Blake, Sean; Bonar, S. Fiona; O'Neill, Hilary; Hanly, Patrick J.; Drury, Ivo; M, Flanagan; Garrett, J. R.

doi:10.1136/hrt.50.3.273

Cited by 39 publications

(3 citation statements)

References 15 publications

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“…Nor did any develop constrictive pericarditis. 15 That may be explained in part because we did not encounter any instance of tuberculous effusion, an aetiology which is well known to result in constrictive pericarditis 16 (see addendum). Despite previous reports of development of constriction subsequent to bacterial pericarditis, 7,8,17 we have not yet encountered this complication, which may occur even without evidence of earlier pericardial disease.…”

Section: Discussionmentioning

confidence: 97%

Large pericardial effusions of inflammatory origin in childhood

Mok

Menahem

2003

Cardiol Young

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Section: Discussionmentioning

confidence: 97%

Large pericardial effusions of inflammatory origin in childhood

Mok

Menahem

2003

Cardiol Young

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“…14,15 We screened our patient for the rarer cause of tuberculosis. 16 We found only 2 reports of constrictive pericarditis associated with CS. The first patient was a young man whose presentation was similar to that of our patient.…”

Section: Fig 5 Cardiovascular Magnetic Resonance Image Shows Late Enhancement In the Anteroseptal And Basal Inferolateral Segments Of Thementioning

confidence: 89%

Cardiac Sarcoidosis Presenting as Constrictive Pericarditis

Darda

Zughaib

Alexander

et al. 2014

Texas Heart Institute Journal

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In patients with cardiac sarcoidosis, the sarcoid granulomas usually involve the myocardium or endocardium. The disease typically presents as heart failure with ventricular arrhythmias, conduction disturbances, or both. Constrictive pericarditis has rarely been described in patients with sarcoidosis: we found only 2 reports of this association. We report the case of a 57-year-old man who presented with clinical and hemodynamic features of constrictive pericarditis, of unclear cause. He was admitted for treatment of recurrent pleural effusion. After a complicated hospital course, he underwent pericardiectomy. His clinical and hemodynamic conditions improved substantially, and he was discharged from the hospital in good condition. The pathologic findings, the patient's clinical course, and his response to pericardiectomy led to our diagnosis of cardiac sarcoidosis presenting as constrictive pericarditis. In addition to the patient's case, we discuss the nature and diagnostic challenges of cardiac sarcoidosis. Increased awareness of this disease is necessary for its early detection, appropriate management, and potential cure.

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“…In group A 50% were tuberculous while in B, no evidence of TB. Some authors reported up to 60% tuberculous cases in the classic type (16,17,18) .…”

Section: Discussionmentioning

confidence: 99%

Transient Constrictive Pericarditis: A Recent 2 Countries Study

Omar¹,

Mahmoud²,

Dawoud³

et al. 2021

The Egyptian Journal of Hospital Medicine

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Background: Constrictive pericarditis (CP) is a disease of the pericardium that leads to impaired diastolic filling of the heart. The treatment of such a disease entity is known to be purely surgical by pericardiectomy. Patients and methods: This is a prospective, analytical non-randomized study conducted during the period from January 2014 to November 2020. 34 cases of constrictive pericarditis were referred to us for management; 12 of them (35.29%) had a classic picture of definite constrictive pericarditis with areas of calcifications and typical symptoms of constrictive pericarditis (group A). 22 cases (64.71%) had typical symptoms but they responded to medical treatment with complete resolution of the pathology and symptoms (group B). Results: In group A, the mean age was 37 ± 12.3 years. They were treated with pericardiectomy via median sternotomy. 2 cases had persistent symptoms; there was no mortality operative or post-operative. 4 of them were TB positive. In group B, the mean age was 42 ± 14.1years. All were treated medically and resolved totally. All were preceded with influenza like symptoms or chest infection with bilateral pleural effusion and all were TB negative. Biopsies were taken from the pericardium revealing nonspecific reaction. Conclusion:There was an entity of constrictive pericarditis, which is known as transient constrictive pericarditis. It is a different pathology which is mostly autoimmune. It responds to medical treatment. There was no calcification, it might be recurrent and is associated with variable amounts of pericardial effusion and bilateral pleural effusions.

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Aetiology of chronic constrictive pericarditis.

Cited by 39 publications

References 15 publications

Large pericardial effusions of inflammatory origin in childhood

Large pericardial effusions of inflammatory origin in childhood

Cardiac Sarcoidosis Presenting as Constrictive Pericarditis

Transient Constrictive Pericarditis: A Recent 2 Countries Study

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