Pericardial constriction with calcified cystic mass compressing the right ventricle and right coronary artery.
Constrictive pericarditis
Coronary arteries
Cystic mass
Pericardiectomy
Journal
Journal of cardiology cases
ISSN: 1878-5409
Titre abrégé: J Cardiol Cases
Pays: Japan
ID NLM: 101549579
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
06
01
2021
revised:
05
02
2021
accepted:
16
02
2021
entrez:
1
9
2021
pubmed:
2
9
2021
medline:
2
9
2021
Statut:
epublish
Résumé
Constrictive pericarditis is characterized by fibrosis and calcification of the pericardium that progressively impair the diastolic filling of the heart, causing heart failure. Uncommonly, pericardial constriction may be localized leading to a focal cystic mass formation that may compress nearby cardiac structures. We describe a unique case of a patient presenting with right heart failure due to idiopathic calcific constrictive pericarditis that was associated with a large pericardial cystic mass compressing the right ventricular free wall. This led to reduced cardiac output and possibly severe focal stenosis of the proximal right coronary artery that was resolved after pericardiectomy, the only definitive treatment for chronic progressive constrictive pericarditis. <
Identifiants
pubmed: 34466174
doi: 10.1016/j.jccase.2021.02.010
pii: S1878-5409(21)00023-2
pmc: PMC8380945
doi:
Types de publication
Case Reports
Langues
eng
Pagination
118-121Informations de copyright
© 2021 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare that there is no conflict of interest.
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