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"Malignant" Chronic Constrictive Pericarditis.

A 32-year-old woman who suffered from acute myopericarditis after an upper respiratory infection when she was 15 years old was diagnosed 4 years later with restrictive cardiomyopathy Ten years later she became symptomatic, with episodes of right-sided heart failure, lower extremity edema, hepatosplenomegaly, and mild ascites. Echocardiography revealed normal right and left ventricular function without tricuspid regurgitation but with severe dilation of both atrial chambers. Cardiac catheterization revealed the presence of the square root sign with equalization of right and left ventricular end-diastolic pressures, together with modest elevation in right ventricular systolic pressure (40 mmHg) and absence of respiratory variations. Finally contrastenhanced thoracic computed tomography revealed severe concentric pericardial calcification with partial infiltration of the myocardial free wall of the right ventricle with a maximum width of 10 mm (Figure 1, 2). The patient was finally diagnosed with constrictive pericarditis. Our multidisciplinary team decided to inform the patient to undergo cardiac transplantation. Informed Consent: Written informed consent was obtained from the patients who participated in this study.

Peer-review: Externally peer-reviewed.

Author Contributions: Concept--A.A.A., J.A.B.G., J.M.M.G.; Design--A.A.A.; Supervision--J.A.B.G., J.M.M.G.; Resources--A.A.A., J.A.B.G., J.M.M.G.; Materials--A.A.A.; Data Collection and/or Processing--A.A.A.; Analysis and/or Interpretation--A.A.A.; Literature Search--A.A.A.; Writing Manuscript--A.A.A.; Critical Review--A.A.A.; Other - A.A.A.

Conflict of Interest: Authors have no conflict of interest to declare.

Financial Disclosure: The authors declared that this study has received no financial support.

Ali Ayaon Albarran, Jose Antonio Blazquez Gonzalez, Jose Maria Mesa Garcia

ORCID IDs of the authors: A.A.A. 0000-0003-4879-077X; J.A.B.G. 0000-0002-8502-660X; J.M.M.G. 0000-0002-1785-7313. Department of Adult Cardiac Surgery, La Paz University Hospital, Madrid, Spain

Received: November 14, 2017

Accepted: November 20, 2017

Correspondence to: Ali Ayaon Albarran


DOI 10.5152/eurasianjmed.2018.17358

Caption: Figure 1. Sagittal contrast-enhanced thoracic computed tomography scan showing severe concentric pericardial calcification with partial infiltration of the myocardial free wall of the right ventricle with a maximum width of 10 mm

Caption: Figure 2. Volume rendering of the contrast-enhanced thoracic computed tomography scan. The red arrow shows the severe calcification of the myocardial free wall

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Title Annotation:Image of Interest
Author:Albarran, Ali Ayaon; Gonzalez, Jose Antonio Blazquez; Garcia, Jose Maria Mesa
Publication:The Eurasian Journal of Medicine
Article Type:Case study
Date:Jun 1, 2018
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