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
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