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ISSN 0188-2198 (Impreso)

2015, Número 3

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Rev Mex Cardiol 2015; 26 (3)


Pericarditis efusivo-constrictiva: revisión a propósito de un caso

Arceo-Navarro A, Harrison-Gómez C, Sánchez-Lezama F, Domínguez-Carrillo LG, Arredondo-Arzola V

Idioma: Ingles.
Referencias bibliográficas: 52
Paginas: 140-148
Archivo PDF: 269.60 Kb.


RESUMEN

Antecedentes: La pericarditis efusivo-constrictiva es un síndrome hemodinámico poco frecuente, en el cual el pericardio visceral constriñe al corazón con la presencia de líquido libre en el espacio pericárdico; fue descrito y caracterizado por Hancock en 1971. Se caracteriza por la presencia de presión elevada en la aurícula derecha persistente después de pericardiocentesis del derrame pericárdico; su etiología es diversa y su curso incierto, llegando a ser reversible o más frecuentemente requerir pericardiectomía extensa. Caso clínico: Masculino de 35 años sin antecedentes de importancia, con evolución de disnea progresiva y dolor torácico secundarios a infección de vías aéreas, en quien se efectuó diagnóstico de derrame pericárdico, manejado con colchicina y AINEs, evolucionando con disminución del derrame pero empeorando las alteraciones hemodinámicas, corroboradas por ecocardiografía. Con diagnóstico de pericarditis efusivo-constrictiva fue sometido a pericardiectomía con excelente evolución, clasificando el cuadro como idiopático después de múltiples pruebas diagnósticas en busca de la etiología. Conclusiones: La pericarditis efusivo-constrictiva es un síndrome poco frecuente que debe tenerse presente en la evolución de los pacientes con derrame pericárdico.


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