Subacute effusive-constrictive pericarditis in a patient with COVID-19

Diaconu, Rodica; Popescu, Lucian; Voicu, Anda; Donoiu, I

doi:10.1136/bcr-2021-242443

Cited by 14 publications

(10 citation statements)

References 21 publications

(25 reference statements)

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“…Though an early case of CP with COVID-19 has been described in medical literature [ 82 ], there is uncertainty about the risk of progression of COVID pericarditis into CP as the natural history of CP usually extends over years to even decades. There are reports of transient or effusive-constrictive pericarditis with COVID-19 infection or vaccination [ 83 , 84 ]; however, the real impact of this infection on CP is unknown.…”

Section: Covid-19 and Constrictive Pericarditismentioning

confidence: 99%

Multimodality Imaging of Constrictive Pericarditis: Pathophysiology and New Concepts

et al. 2022

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Purpose of Review The unique pathophysiological changes of constrictive pericarditis (CP) can now be identified with better imaging modalities, thereby helping in its early diagnosis. Through this review, we outline the pathophysiology of CP and its translation into symptomology and various imaging findings which then are used for both diagnosis and guiding treatment options for CP. Recent Findings Multimodality imaging has provided us with the capability to recognize early stages of the disease and identify patients with a potential for reversibility and can be treated with medical management. Additionally, peri-procedural planning and prediction of post-operative complications has been made possible with the use of advanced imaging techniques. Summary Advanced imaging has the potential to play a greater role in identification of patients with reversible disease process and provide peri-procedural risk stratification, thereby improving outcomes for patients with CP.

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Section: Covid-19 and Constrictive Pericarditismentioning

confidence: 99%

Multimodality Imaging of Constrictive Pericarditis: Pathophysiology and New Concepts

et al. 2022

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“…Although coronavirus disease 2019 (COVID-19) has been extensively studied, the pathogenesis of the interplay between COVID-19 and cardiovascular disease remains largely unclear. During the pandemic, several cases of acute pericarditis, pericardial effusion, and cardiac tamponade allegedly related to COVID-19 have been described [2], but only three cases of constrictive or effusive-constrictive pericarditis in SARS-CoV-2 infection have already been reported [7][8][9]. Specifically, in two cases the patients developed constrictive-effusive pericarditis during the acute phase of COVID-19, and subsequently died of severe respiratory failure [8,9].…”

Section: Discussionmentioning

confidence: 99%

“…During the pandemic, several cases of acute pericarditis, pericardial effusion, and cardiac tamponade allegedly related to COVID-19 have been described [2], but only three cases of constrictive or effusive-constrictive pericarditis in SARS-CoV-2 infection have already been reported [7][8][9]. Specifically, in two cases the patients developed constrictive-effusive pericarditis during the acute phase of COVID-19, and subsequently died of severe respiratory failure [8,9]. In the third case, pericardial effusion with cardiac tamponade was observed in a patient with several in-hospital complications, four months after COVID-19; the patient ultimately needed a pericardiocentesis [7].…”

Section: Discussionmentioning

confidence: 99%

A case of transient constrictive pericarditis after COVID-19

Talerico

Gligorova

Cicogna

et al. 2022

Journal of Cardiology Cases

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“…2D imaging has an excellent ability to detect effusion, enlarged atrial size, interventricular septum bounce, and a dilated IVC, which are sensitive and specific signs for the initial diagnosis of ECP. The echo-Doppler findings are diagnostically helpful, and it has been proposed that the presence of constrictive pericarditis echocardiographic Doppler features after pericardiocentesis would help clarify the diagnosis of ECP[ 8 , 9 ]. The key characteristic performance features of ECP include “annulus reversus,” restrictive mitral inflow (E/A > 2), greater than 25% respiratory variation in the peak mitral inflow velocity (E)[ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Pseudomonas aeruginosa-related effusive-constrictive pericarditis diagnosed with echocardiography: A case report

Chen¹,

Mei²,

Yu³

et al. 2022

WJCC

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BACKGROUND Effusive-constrictive pericarditis (ECP) is an uncommon pericardial syndrome. Careful echocardiographic examination may provide helpful information not only for diagnosing but also for managing ECP. ECP has various etiologies; however, Pseudomonas aeruginosa ( P . aeruginosa) infection has not been reported as a cause to date. Herein, we present a rare case of ECP caused by P . aeruginosa infection, which was followed up using echocardiography. CASE SUMMARY A 30-year-old man was admitted to our hospital with a 2-mo history of cough, dyspnea, bloating, palpitations, and lower-extremity edema. The patient was initially diagnosed with pericardial effusion by transthoracic echocardiography. Drainage of pericardial effusion was performed to relieve the clinical symptoms. A follow-up echocardiogram showed that the pericardial effusion had decreased; however, the right atrial pressure continued to increase, and signs of constrictive pericarditis were observed upon a more comprehensive inspection. Therefore, the diagnosis of ECP was established based on the comprehensive pre- and post-pericardiocentesis echocardiographic findings. An urgent pericardectomy was subsequently performed, which significantly relieved the patient's clinical symptoms, and the signs of pericardial constriction on echocardiography improved. Pericardial effusion and pericardial culture showed growth of P . aeruginosa . CONCLUSION ECP induced by P . aeruginosa infection remains a rare disease. The presence of echocardiographic features of constrictive pericarditis after pericardiocentesis therapy is highly indicative of ECP.

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Subacute effusive-constrictive pericarditis in a patient with COVID-19

Cited by 14 publications

References 21 publications

Multimodality Imaging of Constrictive Pericarditis: Pathophysiology and New Concepts

Multimodality Imaging of Constrictive Pericarditis: Pathophysiology and New Concepts

A case of transient constrictive pericarditis after COVID-19

Pseudomonas aeruginosa-related effusive-constrictive pericarditis diagnosed with echocardiography: A case report

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