A case of Effusive-Constrictive Chronic Pericarditis (and Pericardiectomy)

A case of Effusive-Constrictive Chronic Pericarditis (and Pericardiectomy)

A clinical case of a young female with effusive-constrictive pericarditis undergoing surgical pericardiectomy

April 4, 2022
Pages 1 – 7

Topics:

  • Pericardium
  • Effusive-constrictive pericarditis
  • Surgical pericardiectomy
  • Doppler echocardiographic signs of constriction
  • Doppler echocardiography
  • Pulsed Doppler mitral valve flow
  • Tissue Doppler imaging
12 lead ECG with diffuse T wave inversion

17 years-old female. Since 3 years face, abdomen and ankle edemas not related to allergic reactions. No history of tuberculosis.
BP= 100/60 mmHg. Hepatomegaly. Auscultation: mild systolic murmur and III tone. Laboratory: Mildly increased GGT and hypoalbuminemia.
ECG: sinus rhythm, atrial dilatation and diffuse T wave inversion . Abdomen: mild supra-hepatic effusion.
Chest X-ray: occluded left costo-phrenic angle and signs of congestion.

Figure 1. ECG

Chest Xray antero-posterior view signs of congestion
Figure 2. Chest X-Ray, AP
Chest Xray lateral view signs of congestion
Figure 3. Chest X-Ray, Lateral

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