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A classic diagnosis with a new 'spin'.

Younger JF, Walsh SJ, Harbinson MT, Herity NA - Ulster Med J (2008)

Bottom Line: We describe a case of pericardial constriction following viral pericarditis and illustrate the use of cardiac magnetic resonance imaging in the diagnostic process.The advantages of cardiac magnetic resonance in the investigation of pericardial disease are briefly explained.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Belfast City Hospital Lisburn Road, Belfast, Northern Ireland, BT9 7AB, UK. jonnyfyounger@hotmail.com

ABSTRACT
We describe a case of pericardial constriction following viral pericarditis and illustrate the use of cardiac magnetic resonance imaging in the diagnostic process. The advantages of cardiac magnetic resonance in the investigation of pericardial disease are briefly explained.

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Related in: MedlinePlus

The four chamber view of the heart below is a still frame taken from cine sequence. The moving images show abnormal septal motion (‘septal bounce’) which is more commonly demonstrated by echo in patients with pericardial constriction. In addition there are bilateral pleural effusions and evidence of pericardial thickening (arrow).LA=Left Atrium; LV=Left Ventricle; RA=Right Atrium; RV=Right Ventricle; V=Vertebral Body; *=Pleural Effusion
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fig3: The four chamber view of the heart below is a still frame taken from cine sequence. The moving images show abnormal septal motion (‘septal bounce’) which is more commonly demonstrated by echo in patients with pericardial constriction. In addition there are bilateral pleural effusions and evidence of pericardial thickening (arrow).LA=Left Atrium; LV=Left Ventricle; RA=Right Atrium; RV=Right Ventricle; V=Vertebral Body; *=Pleural Effusion

Mentions: A cardiac MRI scan (CMR) was performed using a 1.5 Tesla Signa scanner (General Electric Medical Systems, Amersham, UK) and images are shown in Figures 1–3. The thickened pericardial layer is demonstrated as a black line between the brighter fat layers3. Note that the width of the pericardium is variable, being thicker in some parts than others. Additional MRI sequences produced moving cine images, which showed abnormal septal motion, with the characteristic ‘septal bounce’, resulting from inter-dependence of ventricular pressures.


A classic diagnosis with a new 'spin'.

Younger JF, Walsh SJ, Harbinson MT, Herity NA - Ulster Med J (2008)

The four chamber view of the heart below is a still frame taken from cine sequence. The moving images show abnormal septal motion (‘septal bounce’) which is more commonly demonstrated by echo in patients with pericardial constriction. In addition there are bilateral pleural effusions and evidence of pericardial thickening (arrow).LA=Left Atrium; LV=Left Ventricle; RA=Right Atrium; RV=Right Ventricle; V=Vertebral Body; *=Pleural Effusion
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2516443&req=5

fig3: The four chamber view of the heart below is a still frame taken from cine sequence. The moving images show abnormal septal motion (‘septal bounce’) which is more commonly demonstrated by echo in patients with pericardial constriction. In addition there are bilateral pleural effusions and evidence of pericardial thickening (arrow).LA=Left Atrium; LV=Left Ventricle; RA=Right Atrium; RV=Right Ventricle; V=Vertebral Body; *=Pleural Effusion
Mentions: A cardiac MRI scan (CMR) was performed using a 1.5 Tesla Signa scanner (General Electric Medical Systems, Amersham, UK) and images are shown in Figures 1–3. The thickened pericardial layer is demonstrated as a black line between the brighter fat layers3. Note that the width of the pericardium is variable, being thicker in some parts than others. Additional MRI sequences produced moving cine images, which showed abnormal septal motion, with the characteristic ‘septal bounce’, resulting from inter-dependence of ventricular pressures.

Bottom Line: We describe a case of pericardial constriction following viral pericarditis and illustrate the use of cardiac magnetic resonance imaging in the diagnostic process.The advantages of cardiac magnetic resonance in the investigation of pericardial disease are briefly explained.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Belfast City Hospital Lisburn Road, Belfast, Northern Ireland, BT9 7AB, UK. jonnyfyounger@hotmail.com

ABSTRACT
We describe a case of pericardial constriction following viral pericarditis and illustrate the use of cardiac magnetic resonance imaging in the diagnostic process. The advantages of cardiac magnetic resonance in the investigation of pericardial disease are briefly explained.

Show MeSH
Related in: MedlinePlus