The Role of Multimodality Imaging in the Management of Pericardial Disease

Verhaert, David; Gabriel, Ruvin; Johnston, Douglas; Lytle, Bruce W.; Desai, Milind Y.; Klein, Allan L.

doi:10.1161/circimaging.109.921791

Cited by 184 publications

(154 citation statements)

References 27 publications

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“…CT and magnetic resonance imaging (MRI) enable direct visualization of the pericardium and are useful tool for diagnosis [16][17][18][19]. Each of these methods detects an increase in pericardial thickness of greater than 2mm in diameter.…”

Section: Discussionmentioning

confidence: 99%

“…In fact, myocardial fibrosis often exists in constrictive pericarditis [21]. MRI can give us information about pericardial inflammation and pericardial-myocaldial adherence as well as myocardial fibrosis [17].…”

Section: Discussionmentioning

confidence: 99%

“…For this purpose, patients with newly diagnosed constrictive pericarditis could be treated conservatively and further diagnostic examination using MRI may be useful [17][18].…”

Section: Discussionmentioning

confidence: 99%

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Surgical experience with chronic constrictive pericarditis

Ariyoshi

Hashizume

Taniguchi

et al. 2012

Gen Thorac Cardiovasc Surg

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ObjectiveConstrictive pericarditis is a disease characterized by marked thickening of the pericardium which causes restriction of diastolic cardiac function. The purpose of this report is to review the outcome of pericardiectomy for constrictive pericarditis and to discuss its problems. MethodsSixteen consecutive patients who underwent pericardiectomy for constrictive pericarditis in our institution between March 2000 and June 2011 were reviewed. All patients underwent decortication including at least the anterior surface from the right atrium to the left phrenic nerve and the diaphragmatic surface of the heart. The epicardium was concomitantly resectioned because it was usually sclerotic and constrictive. ResultsPostoperatively, mean central venous pressure decreased to 8.8±3.1 mmHg and was significantly lower than the preoperative value 15.3±3.7 mmHg (p<0.001).The mean postoperative duration of hospitalization was 25.6±13.5 days. There were 2 in-hospital deaths and early mortality rate was 12.5%; however, excluding hospital T. Ariyoshi -3 deaths, there were no significant postoperative complications and all survivors recovered and maintained good cardiac function during the mean follow-up period of 3.7±2.8 years. ConclusionFor an acceptable outcome, surgical intervention should be performed at an appropriate time and the pericardiectomy should have proper scope and depth to prevent irreversible changes in the heart, liver, and other organs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Surgical experience with chronic constrictive pericarditis

Ariyoshi

Hashizume

Taniguchi

et al. 2012

Gen Thorac Cardiovasc Surg

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“…16,17 Lipomas have high signal intensity on T 1 -weighted sequences with a signal reduction by fat suppressed inversion recovery sequences. 6,10,18,52 Fibromas have low signal intensity on T 2 -weighted sequences and have no or heterogenous enhancement with gadolinium due to poor vascularization. 10,18,49,51 Angiosarcomas have heterogenous medium-and high-signal intensity on T 1 -and T 2 -weighted sequences with heterogenous enhancement with gadolinium contrast.…”

Section: Cardiac Magnetic Resonance Imagingmentioning

confidence: 99%

“…3 As with pericardial masses, cross-sectional imaging modalities, such as cCT and cMRI, have proven superior to echocardiography for the identification and characterization of pericardial cysts and diverticula as well as their relation to adjacent structures. 52 …”

Section: Echocardiographymentioning

confidence: 99%

Pericardial Masses, Cysts and Diverticula: A Comprehensive Review Using Multimodality Imaging

Tower‐Rader

Kwon

2017

Progress in Cardiovascular Diseases

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Advances in Imaging and Targeted Therapies for Recurrent Pericarditis

et al. 2022

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ImportancePericarditis is the most common form of pericardial disease. Recurrence of pericarditis affects 15% to 30% of patients after the initial episode of pericarditis. Up to 50% of patients with the first recurrence have additional recurrences. These patients often progress to have colchicine-resistant and corticosteroid-dependent disease. Rapidly evolving cardiac magnetic resonance imaging techniques and novel targeted therapies have paved the way for imaging-guided therapy for recurrent pericarditis. However, the optimal application of these recent advances remains unclear.ObservationsA search was conducted using the PubMed and Cochrane databases for English-language studies, management guidelines, meta-analyses, and review articles published until April 2022 on recurrent pericarditis. Following the 2015 European Society of Cardiology guidelines for the diagnosis and management of pericardial diseases, new clinical trials and registry data have emerged that demonstrate the efficacy of interleukin-1 blockers in recurrent pericarditis. In addition, new observational data have come to light supporting the use of cardiac magnetic resonance imaging in the diagnosis, risk stratification, and management of such patients.Conclusions and RelevanceAdvances in imaging and targeted therapies have led to a paradigm shift in the management of recurrent pericarditis. This narrative review summarizes the established and emerging data on the diagnosis and treatment of recurrent pericarditis with special emphasis on the role of cardiac magnetic resonance imaging and interleukin-1 blockers in the current era of tailored therapy for recurrent pericarditis.

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The Role of Multimodality Imaging in the Management of Pericardial Disease

Cited by 184 publications

References 27 publications

Surgical experience with chronic constrictive pericarditis

Surgical experience with chronic constrictive pericarditis

Pericardial Masses, Cysts and Diverticula: A Comprehensive Review Using Multimodality Imaging

Advances in Imaging and Targeted Therapies for Recurrent Pericarditis

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