Cardiovasc Imaging Asia.
2024 Oct;8(4):84-87. 10.22468/cvia.2024.00101.
The Shielded Heart: A Case of Calcified Constrictive Pericarditis
- Affiliations
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- 1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada - Dr. Sardjito General Hospital, Yogyakarta, Indonesia
- 2Division of Thoracic, Cardiac, and Vascular Surgery, Department of Surgery, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada - Dr. Sardjito General Hospital, Yogyakarta, Indonesia
- 3Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
- KMID: 2561306
- DOI: http://doi.org/10.22468/cvia.2024.00101
Abstract
- Pericardial calcification (PC) is a very rare condition, usually caused by infection, trauma, or chronic inflammation. The clinical consequence of PC presents as constrictive pericarditis, which causes severe diastolic dysfunction. We present a case of a 42-year-old male patient with a history of tuberculosis pericardial effusion about 20 years ago who presented with constrictive pericarditis with signs and symptoms of right heart failure. Non-invasive multimodalities imaging including chest X-ray, echocardiography, and cardiac computed tomography showed a PC on the right-anterior side of the heart causing constrictive pericarditis. The patient successfully underwent a pericardiectomy procedure, and the symptoms improved 3 months after surgery.
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