Calcific constrictive pericarditis

Case contributed by Dr Julian L. Wichmann

Presentation

Shortness of breath and hypotension. History of terminal renal failure.

Patient Data

Age: 30 years
Gender: Male

Extensive calcifications of the pericardium.

Extensive calcifications of the pericardium.

Case Discussion

Pericardial calcifications are common in patients with constrictive pericarditis. While its etiology is mostly idiopathic, it is linked to postsurgical and post-radiation changes. Prior radiation and abnormal left ventricular function are predictors of poor overall survival. The pericardial calcifications per se have no impact on patient's survival 2.

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