A Girl With Right Heart Failure Related to Effusive-Constrictive Pericarditis

Chen, Meng-Yu; Chen, Yih‐Sharng; Chen, Shyh-Jye; Lu, Chun‐Wei

doi:10.1007/s00246-011-9927-6

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…8 El signo ecocardiográfico más específico es la disquinesia del tabique interventricular, y se observa también engrosamiento pericárdico, dilatación y ausencia de colapso de la VCI en inspiración, variaciones respiratorias del flujo de la válvula mitral (> 25 %) y tricuspídea (> 40 %) y dilatación biauricular. 9 Los estudios por imágenes, como la resonancia magnética cardíaca y la tomografía computada, son la clave del diagnóstico. 10 En ellos, puede evidenciarse engrosamiento pericárdico (es patológico un espesor mayor de 2 mm) y calcificaciones pericárdicas.…”

Section: Discussionunclassified

Hepatomegalia como forma de presentación en pericarditis constrictiva. Caso clínico pediátrico

et al. 2019

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Presentación de casos clínicos RESUMENLa pericarditis constrictiva es una entidad poco frecuente en pediatría, en la cual existe una limitación para la diástole cardíaca por fibrosis del pericardio. El origen etiopatogénico de esta patología es múltiple, encontrándose en primer lugar, la pericarditis constrictiva idiopática y, en segundo, la infección por Mycobacterium tuberculosis. El diagnóstico constituye un desafío clínico, ya que requiere de un alto grado de sospecha. Suele presentarse de forma oligosintomática. La presencia de edema, ascitis y alteración de la función hepática suele orientar el estudio hacia una enfermedad hepática primaria. Una cuidadosa historia clínica y examen físico, junto con estudios por imágenes adecuados, constituyen las piedras angulares del diagnóstico. El tratamiento quirúrgico realizado de forma oportuna resulta curativo en la gran mayoría de los pacientes. Se presenta el caso de un paciente de 16 años que inicia estudios por hallazgo de hepatomegalia asociada a disnea grado 1-2 en un control de salud habitual. ABSTRACTConstrictive pericarditis is a rare entity in pediatrics in which there is a limitation for cardiac diastole due to fibrosis of the pericardium. The etiopathogenic origin of this pathology is multiple, finding idiopathic constrictive pericarditis firstly and Mycobacterium tuberculosis infection secondly. Diagnosis is a clinical challenge since it requires a high degree of suspicion. It usually presents as oligosymptomatic or with signs and symptoms of low cardiac output. The presence of edema, ascites and impaired liver function usually guides the study towards primary liver disease. A careful clinical history and physical examination together with adequate imaging studies are the cornerstones of the diagnosis. Surgical treatment is curative in the vast majority of patients. We present the case of a 16-yearold patient with hepatomegaly and dyspnea grade 1-2 found in a routine health check-up. Hepatomegalia como forma de presentación en pericarditis constrictiva. Caso clínico pediátricoHepatomegaly as a form of presentation in constrictive pericarditis. A pediatric clinical case

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Section: Discussionunclassified

Hepatomegalia como forma de presentación en pericarditis constrictiva. Caso clínico pediátrico

et al. 2019

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“…In constrictive pericarditis, the pericardium looses elasticity as a result of progress fibrosis or dystrophic calcification occasioned by pericardial inflammation [43] and basically, in this condition, the cardiac compression ultimately leads to heart failure from impaired diastolic filling. Effusive-constrictive pericarditis has both components, which is characterized by constriction of visceral pericardium with a coexisting tense pericardial effusion [45]. The hallmark of effusive-constrictive pericarditis is the persistence of elevated right atrial pressure after intrapericardial pressure has been reduced to normal levels by removal of pericardial fluid [46].…”

Section: Pathophysiologymentioning

confidence: 99%

Epidemiology and Pathophysiology of Acquired Heart Failures Amenable to Surgical Interventions in the Sub-Saharan Africa

Okonta¹

2014

WJCS

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Heart failure (HF) is an important cause of morbidity and mortality in sub-Saharan Africa and indeed worldwide. The management of this condition has largely been thought to be within the domain of the Physician with the Surgeon having little or no role to play. The commonest cause of HF that may require surgical intervention is rheumatic valvular heart disease especially in the young age group while ischaemic heart disease still remains at the low rung of the ladder and interestingly, hypertrophic cardiomyopathy is becoming common. Most of the literatures reviewed failed to identify pericardial diseases, though it ranked topmost in the face of tuberculosis and HIV infections in the sub-region, and the other non-cardiac structures as important causes of HF which is amenable to surgical intervention. Equally, what have not been clearly identified are the surgical aspects; indeed its sub-classifications into heart and non-heart causes have hitherto not been documented. Even though these lists from this review are not exhaustive of the numerous unidentified causes of surgical HF, this would act as stimulus for further and extensive documentation of guideline for the recognition of these sub-classifications of HF amenable to surgery.

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