Apport de l’imagerie cardiaque dans le diagnostic des péricardites chroniques constrictives

Raissuni, Zainab; Lachhab, Amal; Haddour, Laila; Doghmi, Nawal; Cherti, Mohamed

doi:10.1016/j.ancard.2013.10.001

Cited by 6 publications

(1 citation statement)

References 27 publications

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“…The advantage of MRI resides in the fact that it is a non-invasive exploration since it does not use ionizing radiation and does not require the use of nephrotoxic contrast medium. In PCC, MRI provides a positive and especially topographic diagnosis of the constriction lesions in order to guide the surgical procedure (6). In practice, there are two categories of magnetic resonance imaging abnormalities: morphological abnormalities (pericardial thickening > 4 to 6 mm; pericardial calcifications, vena cava and suprahepatic veins are dilated with reduced inferior vena cava compliance on inspiration, moderate dilation of the atria, ventricles are usually small in volume with typically a tubularized appearance of the VD, pericardial effusion) and functional abnormalities: septal fontanelization and pathologic ventricular coupling (6) In our patient's case, we did not perform a cardiac MRI because the transthoracic echocardiography as well as the thoracic CT…”

Section: Cardiac Mrimentioning

confidence: 99%

The Insidious Course of Chronic Constrictive Pericarditis: A Case Report

et al. 2023

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Chronic constrictive pericarditis is an inflammatory disease of the pericardium, characterized by a fibro-calcareous pericardial thickening. This thickening is responsible for an impairment of ventricular filling, thus defining adiastole (1). This almost always affects both ventricles, increasing interventricular interdependence and leading to equalization of right and left filling pressures. The etiology of the condition has changed dramatically over time (2). Tuberculosis, once a common cause, has given way to a multitude of other causes. The clinical picture is often non-specific. The diagnosis may be difficult in some cases. The diagnosis is made mainly by chest X-ray, cardiac echo-Doppler and cardiac catheterization. Subtotal pericardectomy is necessary in severe forms of the disease (1). We report the medical observation of a 37-year-old patient admitted to our department for management of predominantly right heart failure.

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Section: Cardiac Mrimentioning

confidence: 99%