Forma inusitada de Pericardite Crônica Constritiva Idiopática

Godoy, Moacir Fernandes de; Francischi, Fábio Barros de; Pavarino, Paulo Roberto; Aurélio, Marcos; Oliveira, Barboza de; Jose, M. Tolosana; Soares, Ferreira

doi:10.1590/s0102-76382007000100005

Cited by 4 publications

(3 citation statements)

References 5 publications

(20 reference statements)

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“…In the last two decades, the evolution of non-invasive imaging examinations have facilitated the early recognition of Constrictive Pericarditis, with chest tomography having the highest specificity to show calcification and magnetic resonance imaging being the gold standard in the diagnosis of constrictive physiology, where it shows a thickening of the pericardium and dynamic abnormalities related to diastolic dysfunction. (GODOY et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Constrictive Pericarditis

Fonseca¹

2023

Ii International Seven Multidisciplinary Congress

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The pericardium is a fibrous membrane that surrounds the heart and is composed of two components: visceral pericardium and parietal pericardium. Under physiological conditions, it performs important functions, such as lubrication, which minimizes friction between the organ and adjacent structures, limits intrathoracic cardiac motion, aids in filling the cardiac chambers, and participates in the balancing between the right and left ventricles during diastole and systole interactions. Constrictive Pericarditis occurs when the pericardium is thickened, fibrotic and often calcified, significantly reducing its compliance and preventing adequate cardiac filling during diastole. This is a relatively rare condition, with varied causes. The main cause is idiopathic, followed by involvement after heart surgery or radiotherapy, and also - especially in developing countries - of infectious and parasitic etiology, especially tuberculosis. The diagnosis is often challenging, since this disease typically presents with insidious and chronic symptoms, predominantly with systemic venous congestion, mimicking other disorders such as restrictive cardiomyopathy. In the last two decades, the evolution of noninvasive imaging examinations have facilitated the early recognition of Constrictive Pericarditis. Echocardiogram (transthoracic and transesophageal), central and transvalvular pressure Doppler measurements, Magnetic Resonance Imaging and Catheterization are the main exams of choice for the diagnosis. Although drug treatment alleviates the symptoms of heart failure, severe cases may require pericardiotomy.

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Section: Discussionmentioning

confidence: 99%

Constrictive Pericarditis

Fonseca¹

2023

Ii International Seven Multidisciplinary Congress

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“…A RNM mostra um espessamento do pericárdio e anomalias dinâmicas relacionadas a disfunção diastólica. (GODOY et al, 2007). Esta é mais específica para a detecção de inflamação ativa, auxiliando na identificação de pacientes candidatos a tratamento clinico com antiinflamatorios.…”

Section: Relato De Casounclassified

Pericardite constritiva: relato de caso / Constrictive pericarditis: case report

Rebello¹,

Pagoto²,

Padilha³

2022

Braz. J. Hea. Rev.

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A pericardite constritiva se desenvolve a partir de um espessamento fibroso do pericárdio, sendo o estágio final de um processo inflamatório que envolve suas diferentes camadas. Resulta em restrição de enchimento de todas as câmaras cardíacas refletindo em quadro de insuficiência cardíaca. Relata-se um caso de pericardite constritiva secundária a manipulação cirúrgica prévia em região de mediastino anterior após timectomia.

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“…Likewise, it is also extremely important the caution in the diagnostic, particularly for the exclusion of another type of restrictive cardiomyopathy, which is the constrictive pericarditis, especially in unusual manifestations [10].…”

Section: Introductionmentioning

confidence: 99%

Transplante cardíaco em amiloidose primária

Baumgratz

Vila

Guilhen

et al. 2009

Rev Bras Cir Cardiovasc

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Cardiac amyloidosis is a disease that highly compromises the survival expectancy after the beginning of the symptomatic phase, usually with sudden death as the final event. The aggression to other organs, although, can make heart transplantation a disputable form of treatment taking into consideration the shortage of organ donors. The aim is to report the evolution with a survival of seven years after heart transplantation and in fair condition of a patient with amyloidosis. One year after the heart transplantation, the patient was referred to renal transplantation also in consequence of the disease aggression. The patient evolution was favorable compared to three other patients also from our service, who died early after the diagnosis. Even considering the multi-systemic nature of amyloidosis, we can accept that in selected patients the heart transplantation is justified, taking into account the very ill prognosis of the disease.Descriptors: Amyloidosis. Heart transplantation. Cardiomyopathies/surgery. Resumo

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Forma inusitada de Pericardite Crônica Constritiva Idiopática

Cited by 4 publications

References 5 publications

Constrictive Pericarditis

Constrictive Pericarditis

Pericardite constritiva: relato de caso / Constrictive pericarditis: case report

Transplante cardíaco em amiloidose primária

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