Pericardiectomy – ABC CARDIOL

ABCIC

Case Report

Important Constrictive Pericarditis in a Patient with Schistosomiasis: A Case Report

Djair Brindeiro Filho et al. José Maria Del Castillo Fábio Antonio Amando Granja

Introduction

Schistosomiasis mansoni (SM) is one of the most common causes of pulmonary hypertension and is often associated with the hepatosplenic form of the disease. However, constrictive pericarditis (CP) is not cited in the medical literature as a consequence of SM.^, One single case report, published in 1979, associating CP with schistosomiasis, presented the etiologic agent of Schistosoma haematobium. The present study described a rare case of CP in a patient with chronic hepatosplenic SM, with a significant improvement in the parameters of ventricular filling and myocardial deformation after surgery, illustrating the importance of the echocardiogram in the detection of complications caused by this disease.

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ABCIC

Case Report

Recurrent Constrictive Pericarditis after Pericardiectomy: Case Report

Eduardo Cavalcanti Lapa Santos et al. Brivaldo Markman Filho Sandro Gonçalves de Lima Andréa Bezerra de Melo da Silveira Lordsleem … Arthur Cesário Holanda Fernanda Mariz Queiroga Pedrosa

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ABC

Original Article

Importance of Clinical and Laboratory Findings in the Diagnosis and Surgical Prognosis of Patients with Constrictive Pericarditis

Fábio Fernandes et al. Dirceu Thiago Pessoa de Melo Felix José Alvarez Ramires Ricardo Ribeiro Dias … Marcio Tonini Vinicius dos Santos Fernandes Carlos Eduardo Rochitte Carlos Henrique Valente Moreira Charles Mady

Abstract

Background:

International studies have reported the value of the clinical profile and laboratory findings in the diagnosis of constrictive pericarditis. However, Brazilian population data are scarce.

Objective:

To assess the clinical characteristics, sensitivity of imaging tests and factors related to the death of patients with constrictive pericarditis undergoing pericardiectomy.

Methods:

Patients with constrictive pericarditis surgically confirmed were retrospectively assessed regarding their clinical and laboratory variables. Two methods were used: transthoracic echocardiography and cardiac magnetic resonance imaging. Mortality predictors were determined by use of univariate analysis with Cox proportional hazards model and hazard ratio. All tests were two-tailed, and an alpha error ≤ 5% was considered statically significant.

Results:

We studied 84 patients (mean age, 44 ± 17.9 years; 67% male). Signs and symptoms of predominantly right heart failure were present with jugular venous distention, edema and ascites in 89%, 89% and 62% of the cases, respectively. Idiopathic etiology was present in 69.1%, followed by tuberculosis (21%). Despite the advanced heart failure degree, low BNP levels (median, 157 pg/mL) were found. The diagnostic sensitivities for constriction of echocardiography and magnetic resonance imaging were 53.6% and 95.9%, respectively. There were 9 deaths (10.7%), and the risk factors were: anemia, BNP and C reactive protein levels, pulmonary hypertension >55 mm Hg, and atrial fibrillation.

Conclusions:

Magnetic resonance imaging had better diagnostic sensitivity. Clinical, laboratory and imaging markers were associated with death.

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Important Constrictive Pericarditis in a Patient with Schistosomiasis: A Case Report

Introduction

Recurrent Constrictive Pericarditis after Pericardiectomy: Case Report

Importance of Clinical and Laboratory Findings in the Diagnosis and Surgical Prognosis of Patients with Constrictive Pericarditis

Abstract

Background:

Objective:

Methods:

Results:

Conclusions:

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