Irish journal of medical science · 2025
A cursed duet-a case of tuberculous effusive-constrictive pericarditis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Hartnett Jack, Connolly Niall, Murphy Ross, Maree Andrew O
Аннотация
INTRODUCTION: Effusive constrictive pericarditis (ECP) is a syndrome of combined pericardial effusive and constrictive physiology. Historically, it was a rare diagnosis which required invasive cardiac catheterisation confirmation post drainage of the pericardial effusion. However, the emergence of reliable echocardiographic features of constrictive disease has improved diagnostic yield.
CASE: We present a case of a 34-year-old patient with a pericardial effusion secondary to tuberculous pericarditis which demonstrated constrictive features on echocardiogram pre-pericardiocentesis and on invasive cardiac catheterisation measurements post pericardiocentesis - consistent with ECP. Ultimately this patient required a pericardiectomy for refractory symptoms of right heart failure despite pericardiocentesis.
DISCUSSION: We utilise this case to highlight the rare clinical entity of ECP but also to demonstrate the complex haemodynamics which govern pericardial effusions, constrictive pericarditis and ECP.
CASE: We present a case of a 34-year-old patient with a pericardial effusion secondary to tuberculous pericarditis which demonstrated constrictive features on echocardiogram pre-pericardiocentesis and on invasive cardiac catheterisation measurements post pericardiocentesis - consistent with ECP. Ultimately this patient required a pericardiectomy for refractory symptoms of right heart failure despite pericardiocentesis.
DISCUSSION: We utilise this case to highlight the rare clinical entity of ECP but also to demonstrate the complex haemodynamics which govern pericardial effusions, constrictive pericarditis and ECP.