Pericardial constriction with calcified cystic mass compressing the right ventricle and right coronary artery

Sliman, Hussein; Sharoni, Erez; Adawi, Salim; Leviner, Dror B.; Karkabi, Basheer; Zissman, Keren; Zafrir, Barak

doi:10.1016/j.jccase.2021.02.010

Cited by 1 publication

(1 citation statement)

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“…Most pericardial calcifications removed by pericardiectomy were found on the inferior and diaphragmatic surface, anterior right ventricular surface area, and atrioventricular groove posteriorly and over the infundibulum anteriorly (4,5). While a few cases of pericardial calcification in localized areas have not undergone surgery, lesions of fibrotic or calcified pericardium have been retained in situ (6)(7)(8). Here, we present a rare case of a middle-aged woman who had calcified annular constrictive pericarditis with localized strangulation in the mid-segment of the left ventricle (LV) lateral wall and a "gourd-shaped" heart.…”

Section: Introductionmentioning

confidence: 99%

Case Report: “Gourd-Shaped” Heart Strangled by Localized Annular Calcification of the Left Ventricle: A Rare Case of Constrictive Pericarditis

Yang

Wang

et al. 2022

Front. Cardiovasc. Med.

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We report a rare case of a 43-year-old woman with calcific annular constrictive pericarditis (CP) encircling the basal segment of the right ventricle and the mid-segment of the left ventricle (LV) lateral wall. Over time, localized calcification has caused LV to be tightly strangled and shaped like a gourd. However, multimodality imaging confirmed no significantly clinical constriction associated with decreased cardiac movement and function. Additionally, cardiac magnetic resonance feature tracking confirmed the relatively preserved diastolic function and the characteristic “plateau” pattern of CP. The treatment strategy of this case is challenging and dialectical.

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