Constrictive pericardial disease

 

Doctor's Information

Name : Morteza
Family : Sanei Taheri
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Samira Shahhamzei

 

Patient's Information

Gender : Male
Age : 36

 

Case Section

Cardiovascular

 

Clinical Summary

36 y/o male with Dyspenea ,generalized edema and abdominal pain

 

Images

 

Imaging Procedures and Findings

Enhanced CT demonstrates Bilateral pleural effusion , pericardial calcification and dilated IVC and SVC with contrast layering in them . Note the enlarged both atrium and caudate lobe with flattening of both cardiac ventricles

 

Discussion

The most common causes of constrictive pericarditis is postpericardiotomy. Clinical findings include ankle edema , ascites, neck vein distention , pulsus paradoxus , pericardial diastolic knock. CT demonstrates pericardial thickening (>3mm) , calcification of pericardium , contrast reflux in coronary sinus and IVC , bowed inter ventricular septum , flattening of RV , enlarged RA , ascites and pleural effusion . the most differential diagnosis is restrictive cardiomyopathy , that dosen??t have thick pericardium.

 

Final Diagnosis

Constrictive pericardial disease

 

References

Brant WE, Helms CA. Fundamentals of Diagnostic Radiology, 3rd edition. P648-649

 

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