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2014, Number 2

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Anales de Radiología México 2014; 13 (2)

Constrictive pericarditis, a diagnostic challenge. A case report

Berríos-Bárcenas E, Meave-González A, Alexanderson-Rosas E
Full text How to cite this article

Language: Spanish
References: 5
Page: 132-135
PDF size: 663.99 Kb.


Key words:

constrictive pericarditis, magnetic resonance, case report.

ABSTRACT

Diagnosis of diseases with restrictive pattern of relaxation represents a clinical challenge in everyday practice. Traditionally, diagnosis was based on echocardiograph data and invasive measurement of intracavitary pressures. However, the emergence of cardiac magnetic resonance has created a different scenario where non-invasive evaluation is used increasingly. We present the case of a peasant, 51 years of age, who presented dyspnea, edema of lower limbs, and nausea. With echocardiogram, myocardial perfusion by nuclear medicine, cardiac catheterization, cardiac magnetic resonance, and simple tomography the patient was diagnosed with constrictive pericarditis. The patient underwent partial pericardiectomy and his evolution has been satisfactory.


REFERENCES

  1. Yared K, Baggish A, Picard M, et al. Multimodality imaging of pericardial diseases. J Am Coll Cardiol Img 2010;3:650–60.

  2. Zurick A, Bolen M, Know D, et al. Pericardial Delayed Hyperenhancement With CMR Imaging in Patients With Constrictive Pericarditis Undergoing Surgical Pericardiectomy. Am Coll Cardiol Img 2011;4:1180–91.

  3. Bogaert J, Francone M. Cardiovascular magnetic resonance in pericardial diseases. Journal of Cardiovascular Magnetic Resonance 2009;11:14.

  4. Thavendiranathan P, Verhaert D, Walls M, et al. Simultaneous Right and Left Heart Real-Time, Free-Breathing CMR Flow Quantification Identifies Constrictive Physiology. J Am Coll Cardiol Img 2012;5:15–24.

  5. Hendel R, Patel M, Kramer C, et al. ACCF/ACR/SCCT/SCMR/ ASNC/NASCI/SCAI/SIR 2006 Appropriateness Criteria for Cardiac Computed Tomography and Cardiac Magnetic Resonance Imaging. J Am Coll Cardiol. 2006;48:7.




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Anales de Radiología México. 2014;13