Calcific constrictive pericarditis

Case contributed by Dr Subash Thapa

Presentation

11-year-old boy with shortness of breath with on and off fever.

Patient Data

Age: 11-year-old
Gender: Male

Chest X-ray

Modality: X-ray

Cardiac shadow is enlarged appearing rounded, globular appearance with no particular chamber enlargement. There is curvilinear radiodense shadow involving the antero-lateral margin of the cardiac border.

The lung field appears normal.

Case Discussion

Pericardial calcification in the setting of heart failure is highly suggestive of constrictive pericarditis

Calcification occurs among half of the patients with constrictive pericarditis; it often has a characteristic distribution involving the front and the lateral aspects of the heart but not at the back of the heart as fluid cannot collect around the insertion of the pulmonary veins 1.

Lungs are clear due to constriction over the right heart 1.

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Case Information

rID: 40936
Case created: 8th Nov 2015
Last edited: 11th Jan 2016
System: Cardiac
Inclusion in quiz mode: Included

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