Limits...
Ring-shaped calcific constrictive pericarditis strangling the heart: a case report.

Lee MS, Choi JH, Kim YU, Kim SW - Int J Emerg Med (2014)

Bottom Line: Constrictive pericarditis is caused by fibrosis and calcification of the pericardium, processes that inhibit diastolic filling of the heart.For the diagnosis of constrictive pericarditis, a combined approach is used to evaluate the morphologic pericardial abnormalities in conjunction with assessment of the functional and hemodynamic changes.We report novel findings of chest computed tomography (CT) and chest roentgenogram with respect to a ring-shaped pericardial calcification on atrioventricular groove causing strangulation of the heart in the patient with constrictive pericarditis, which is anatomically rarer than other severe cases of constrictive pericarditis encasing the entire heart.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Diagnostic Radiology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, 690-767, South Korea.

ABSTRACT
Constrictive pericarditis is caused by fibrosis and calcification of the pericardium, processes that inhibit diastolic filling of the heart. For the diagnosis of constrictive pericarditis, a combined approach is used to evaluate the morphologic pericardial abnormalities in conjunction with assessment of the functional and hemodynamic changes. We report novel findings of chest computed tomography (CT) and chest roentgenogram with respect to a ring-shaped pericardial calcification on atrioventricular groove causing strangulation of the heart in the patient with constrictive pericarditis, which is anatomically rarer than other severe cases of constrictive pericarditis encasing the entire heart.

No MeSH data available.


Related in: MedlinePlus

A chest CT revealing dense calcification (arrow) along atrioventricular groove, and pleural effusion (PE).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4306079&req=5

Figure 2: A chest CT revealing dense calcification (arrow) along atrioventricular groove, and pleural effusion (PE).

Mentions: A chest roentgenogram (Figure 1) showed pericardial calcification (arrows). A chest CT (Figure 2) revealed massive calcification (arrows) developed along the atrioventricular groove between the right atrium (RA) and right ventricle (RV) and pleural effusion. A reconstructed chest CT (Figure 3) definitely demonstrated a ring-shaped massive calcification (arrows) along atrioventricular groove causing strangulation of the heart. The patient underwent an extensive pericardial resection through a median sternotomy not using a cardiopulmonary bypass. The calcification of the atrioventricular groove was removed carefully to prevent an injury of the right coronary artery. Histologic study demonstrated calcification and non-specific chronic inflammation with fibrosis. Patient's symptoms of the heart failure improved 3 months after the operation.


Ring-shaped calcific constrictive pericarditis strangling the heart: a case report.

Lee MS, Choi JH, Kim YU, Kim SW - Int J Emerg Med (2014)

A chest CT revealing dense calcification (arrow) along atrioventricular groove, and pleural effusion (PE).
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4306079&req=5

Figure 2: A chest CT revealing dense calcification (arrow) along atrioventricular groove, and pleural effusion (PE).
Mentions: A chest roentgenogram (Figure 1) showed pericardial calcification (arrows). A chest CT (Figure 2) revealed massive calcification (arrows) developed along the atrioventricular groove between the right atrium (RA) and right ventricle (RV) and pleural effusion. A reconstructed chest CT (Figure 3) definitely demonstrated a ring-shaped massive calcification (arrows) along atrioventricular groove causing strangulation of the heart. The patient underwent an extensive pericardial resection through a median sternotomy not using a cardiopulmonary bypass. The calcification of the atrioventricular groove was removed carefully to prevent an injury of the right coronary artery. Histologic study demonstrated calcification and non-specific chronic inflammation with fibrosis. Patient's symptoms of the heart failure improved 3 months after the operation.

Bottom Line: Constrictive pericarditis is caused by fibrosis and calcification of the pericardium, processes that inhibit diastolic filling of the heart.For the diagnosis of constrictive pericarditis, a combined approach is used to evaluate the morphologic pericardial abnormalities in conjunction with assessment of the functional and hemodynamic changes.We report novel findings of chest computed tomography (CT) and chest roentgenogram with respect to a ring-shaped pericardial calcification on atrioventricular groove causing strangulation of the heart in the patient with constrictive pericarditis, which is anatomically rarer than other severe cases of constrictive pericarditis encasing the entire heart.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Diagnostic Radiology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, 690-767, South Korea.

ABSTRACT
Constrictive pericarditis is caused by fibrosis and calcification of the pericardium, processes that inhibit diastolic filling of the heart. For the diagnosis of constrictive pericarditis, a combined approach is used to evaluate the morphologic pericardial abnormalities in conjunction with assessment of the functional and hemodynamic changes. We report novel findings of chest computed tomography (CT) and chest roentgenogram with respect to a ring-shaped pericardial calcification on atrioventricular groove causing strangulation of the heart in the patient with constrictive pericarditis, which is anatomically rarer than other severe cases of constrictive pericarditis encasing the entire heart.

No MeSH data available.


Related in: MedlinePlus