European heart journal. Case reports · 2026
Picture perfect constrictive pericarditis: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Bahrou Mohamad, Rafique Soomal, Missula Karthik, Salih Mohsin
Аннотация
BACKGROUND: Constrictive pericarditis (CP) is a rare complication of acute pericarditis, caused by pericardial fibrosis and calcification that impair diastolic filling. It leads to right-sided heart failure and requires multimodal imaging for diagnosis, including echocardiography, cardiac magnetic resonance imaging, and right heart catheterization.
CASE SUMMARY: A 75-year-old male with a recent history of pneumonia and chest pain presented with dyspnoea and oedema. Echocardiography showed a septal bounce; CT revealed pericardial calcification; and right heart catheterization demonstrated equalized diastolic pressures with a square root sign. Magnetic resonance imaging confirmed CP. The patient was managed medically and referred for pericardiectomy.
DISCUSSION: This case illustrates classic CP with hallmark clinical, imaging, and haemodynamic findings. It emphasizes the diagnostic value of multimodal evaluation and serves as a comprehensive example of this uncommon but critical condition.
CASE SUMMARY: A 75-year-old male with a recent history of pneumonia and chest pain presented with dyspnoea and oedema. Echocardiography showed a septal bounce; CT revealed pericardial calcification; and right heart catheterization demonstrated equalized diastolic pressures with a square root sign. Magnetic resonance imaging confirmed CP. The patient was managed medically and referred for pericardiectomy.
DISCUSSION: This case illustrates classic CP with hallmark clinical, imaging, and haemodynamic findings. It emphasizes the diagnostic value of multimodal evaluation and serves as a comprehensive example of this uncommon but critical condition.