Pericardial Disease

An unusual cause of refractory ascites with cirrhosis

“…The most frequent causes are chronic idiopathic pericarditis, mediastinal radiation, after cardiac surgery and tuberculous pericarditis. 3,4 Tuberculosis remains an important cause of constrictive pericarditis in developing countries till date. 5 It commonly presents with cardiac manifestations which involve features of elevated systemic venous pressures and low cardiac output.…”

“…Even though work up for tuberculosis was negative, based on clinical features and previous series which showed that tuberculosis is the most common cause of constrictive pericarditis, tuberculosis as the cause of constrictive pericarditis was kept. 3,4 Anti tuberculous treatment (ATT) as per Revised National Tuberculosis Control Program (RNTCP) guidelines was started along with oral steroids and diuretics. Child showed response to the treatment and was later referred to cardiac surgery department for further management (pericardectomy).…”

Cardiovascular MRI for the assessment of heart failure: Focus on clinical management and prognosis

“…The differential diagnosis of HF, especially of restrictive CMP, and CP may be challenging, because symptoms, clinical signs, and some of the above-mentioned morphological characteristics may be similar (92,93). The identification of specific hemodynamic features and a thickening of the pericardium are valuable diagnostic clues for differentiating CP from restrictive CMP (92). Typical and almost pathognomonic hemodynamic features of CP consist in augmented ventricular coupling, resulting in increased respiratory variation of the left and right chamber pressures.…”

8. Doença pericárdica

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bacterianas das colagenoses, trombofilias e doenças consumptivas (marânticas), levando-se em consideração o contexto clínico do paciente.A massa pode ser um achado ocasional em exame de rotina, ou ser suspeitada em vigência de processos embólicos múltiplos, neurológicos ou periféricos, febre prolongada, variações ascultatorias de sopros cardíacos, ou possibilidade de malignidade com acometimento de câmaras cardíacas ou de espaços pericárdicos.Os tumores primários mais comuns do adulto são de natureza benigna [1][2][3] ,representados pelo mixoma (75% no AE e 15%-20% no AD) e menos frequentemente pelo fibroelastoma 4 -este último correspondendo a cerca de 10% dos tumores primários, ambos com potencial emboligênico, quando pedunculados e móveis. Os tumores primários malignos do coração são mais raros, correspondendo a cerca de 25% de todos os tumores primários do coração, sendo mais frequentes os sarcomas (95%) e os linfomas (5%).

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“…Os tumores primários mais comuns do adulto são de natureza benigna [1][2][3] ,representados pelo mixoma (75% no AE e 15%-20% no AD) e menos frequentemente pelo fibroelastoma 4 -este último correspondendo a cerca de 10% dos tumores primários, ambos com potencial emboligênico, quando pedunculados e móveis. Os tumores primários malignos do coração são mais raros, correspondendo a cerca de 25% de todos os tumores primários do coração, sendo mais frequentes os sarcomas (95%) e os linfomas (5%).…”