Back to Search
Start Over
A rare cause of effusive–constrictive pericarditis
- Source :
- ESC Heart Failure, Vol 8, Iss 5, Pp 4313-4317 (2021), ESC Heart Failure
- Publication Year :
- 2021
- Publisher :
- Wiley, 2021.
-
Abstract
- Effusive–constrictive pericarditis (ECP) is an uncommon diagnosis, frequently missed due to its heterogeneous presentation, but a potentially reversible cause of heart failure. A 62‐year‐old Caucasian male presented with remittent right heart failure and mild–moderate pericardial effusion. Following an initial diagnosis of idiopathic pericarditis, indomethacin was started, but the patient shortly relapsed, presenting with severe pericardial effusion and signs of cardiac tamponade, requiring pericardiocentesis. ECP was diagnosed on cardiac catheterization. Cardiac computed tomography showed non‐calcified, mildly thickened and inflamed parietal pericardium. Pericardiectomy was performed with symptoms remission. On histological examination of pericardium, chronic non‐necrotizing granulomatous inflammation was noted. Polymerase chain reaction assay was positive for non‐tuberculous mycobacteria. This case represents a rare finding of ECP with unusual presentation due to atypical mycobacteriosis in a non‐immunocompromised patient and in a non‐endemic area. Pericardiectomy can be an effective option in cases unresponsive to anti‐inflammatory treatment, even in the absence of significant pericardial thickening or calcification.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Case Report
Case Reports
030204 cardiovascular system & hematology
Pericardial effusion
03 medical and health sciences
Pericarditis
0302 clinical medicine
Non‐tuberculous mycobacteria
Cardiac tamponade
Non-tuberculous mycobacteria
medicine
Pericardium
Diseases of the circulatory (Cardiovascular) system
030212 general & internal medicine
Pericardiectomy
Cardiac catheterization
business.industry
Effusive–constrictive pericarditis
Pericardiocentesis
medicine.disease
medicine.anatomical_structure
Heart failure
RC666-701
Radiology
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 20555822
- Volume :
- 8
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- ESC Heart Failure
- Accession number :
- edsair.doi.dedup.....7799b6a005176887eae966e739b7efba