2022, Number 4
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CorSalud 2022; 14 (4)
Constrictive pericarditis diagnosis from multimodality imaging. Apropos of eight cases
Hechavarría PS, Zorio VB, Rodríguez RV, Álvarez PR, González VA, Bencomo RL
Language: Spanish
References: 13
Page: 393-399
PDF size: 624.72 Kb.
ABSTRACT
Constrictive pericarditis is a reversible cause of heart failure, characterized by the limitation of ventricular diastolic filling, due to cardiac compression caused by an abnormally stiff pericardium. It should always be considered in patients with symptoms of right ventricular dysfunction. Its most frequent causes are: idio-pathic, following acute pericarditis, cardiac surgery or mediastinal radiotherapy; uremia and human immunodeficiency virus infection. Echocardiography is the main tool in the initial diagnosis. Magnetic resonance imaging and cardiac com-puted tomography —in multimodality imaging— provide additional and conclusive anatomical information for the noninvasive diagnosis. Pericardiectomy is the de-finitive treatment. In this article is presented a series of eight patients diagnosed at the Instituto de Cardiología y Cirugía Cardiovascular of Havana, Cuba, from 2017 to the present.
REFERENCES
Ling LH, Oh JK, Schaff HV, Danielson GK, Ma-honey DW, Seward JB, Tajik AJ. Constrictive pericarditis in the modern era: evolving clinical spectrum and impact on outcome after pericar-diectomy. Circulation. 1999;100(13):1380-6. [DOI]
Porta-Sánchez A, Sagristà-Sauleda J, Ferreira-Gon-zález I, Torrents-Fernández A, Roca-Luque I, Gar-cía-Dorado D. Pericarditis constrictiva: espectro etiológico, presentaciones clínicas, factores pro-nósticos y seguimiento a largo plazo. Rev Esp Cardiol. 2015;68(12):1092-100. [DOI]
Quispe R, Villablanca PA, García M. Pericarditis constrictiva: multimodalidad. Rev Colomb Car-diol. 2019;26(S1):123-33. [DOI]
LeWinter MM, Hopkins WE. Pericardial Diseases. En: Mann DL, Zipes DP, Libby P, Bonow RO, eds. Braunwald's Heart Disease: A Textbook of Car-diovascular Medicine. 10th ed. Philadelphia: Saunders Elsevier; 2015. p: 1636-57.
Veress G, Feng D, Oh JK. Echocardiography in pericardial diseases: new developments. Heart Fail Rev. 2013;18(3):267-75. [DOI]
Welch TD, Ling LH, Espinosa RE, Anavekar NS, Wiste HJ, Lahr BD, et al. Echocardiographic dia-gnosis of constrictive pericarditis: Mayo Clinic criteria. Circ Cardiovasc Imaging. 2014;7(3):526-34. [DOI]
Ha JW, Oh JK, Ommen SR, Ling LH, Tajik AJ. Diagnostic value of mitral annular velocity for constrictive pericarditis in the absence of respir-atory variation in mitral inflow velocity. J Am Soc Echocardiogr. 2002;15(12):1468-71. [DOI]
Geske JB, Anavekar NS, Nishimura RA, Oh JK, Gersh BJ. Differentiation of constriction and re-striction: Complex cardiovascular hemodynam-ics. J Am Coll Cardiol. 2016;68(21):2329-47. [DOI]
Cheng H, Zhao S, Jiang S, Lu M, Yan C, Ling J, et al. The relative atrial volume ratio and late gado-linium enhancement provide additive informa-tion to differentiate constrictive pericarditis from restrictive cardiomyopathy. J Cardiovasc Magn Reson [Internet]. 2011 [citado 23 Jun 2021];13(1): 15. Disponible en: https://doi.org/10.1186/1532-429x-13-15
Talreja DR, Nishimura RA, Oh JK, Holmes DR. Constrictive pericarditis in the modern era: nov-el criteria for diagnosis in the cardiac catheteri-zation laboratory. J Am Coll Cardiol. 2008;51(3): 315-9. [DOI]
Nishimura RA. Constrictive pericarditis in the modern era: a diagnostic dilemma. Heart. 2001; 86(6):619-23. [DOI]
Haley JH, Tajik AJ, Danielson GK, Schaff HV, Mul-vagh SL, Oh JK. Transient constrictive pericardi-tis: causes and natural history. J Am Coll Cardiol. 2004;43(2):271-5. [DOI]
Feng D, Glockner J, Kim K, Martinez M, Syed IS, Araoz P, et al. Cardiac magnetic resonance imag-ing pericardial late gadolinium enhancement and elevated inflammatory markers can predict the reversibility of constrictive pericarditis after anti-inflammatory medical therapy: a pilot study. Cir-culation. 2011;124(17):1830-7. [DOI]