A classical case report of constrictive pericarditis, highlighting the role of magnetic resonance imaging and haemodynamic assessment.

ABSTRACT:

Background

Constrictive pericarditis is a rare complication of pericarditis and is difficult to diagnose due to non-specific presentation. It mostly presents with right-sided heart failure as a consequence of a rigid pericardium that encases the heart causing impaired diastolic filling.

Case summary

We present the case of a patient with signs and symptoms of dyspnoea and right-sided heart failure who was initially diagnosed with heart failure with preserved ejection fraction (HFpEF) but remained symptomatic despite being euvolaemic after treatment. A septal bounce and shudder on echocardiogram prompted further investigation. Eventually, cardiac magnetic resonance (CMR) imaging and invasive biventricular pressure measurements led to the diagnosis of constrictive pericarditis.

SUBMITTER: Conradi PM 

PROVIDER: S-EPMC10858677 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature