Constrictive pericarditis

Case contributed by Dr Abdallah Alqudah

Presentation

SOB, cough, generalized weakness.

Patient Data

Age: 60 years
Gender: Male
X-ray

Diffuse pericardial calcification seen along the left lateral and inferior wall of the heart.

There is widening of the carinal angle suggesting left atrial enlargement.

CT

Diffuse pericardial calcification with dilatation of the right atrium and IVC with a relatively small sized right ventricle. The maximum pericardial thickness measures about 1.4 cm.

Case Discussion

The patient's echocardiogram showed an ejection fraction of approximately 50%, left ventricular impairment, bi-atrial enlargement and grade I mitral regurgitation. 

The constellation of CT scan, x-ray and echo-cardiogram findings in addition to patient's presentation suggests constrictive pericarditis.

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Case information

rID: 56081
Case created: 10th Oct 2017
Last edited: 16th Nov 2017
System: Cardiac
Inclusion in quiz mode: Excluded

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