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Identifying Constrictive Pericarditis With Multimodality Imaging: A Diagnostic Challenge.


ABSTRACT:

Background

Constrictive pericarditis is a chronic inflammatory process characterized by scarring, fibrosis, and calcification of the pericardium which often progresses to diastolic dysfunction, low cardiac output, and heart failure.

Case summary

We report a case of a 35-year-old man presenting with dyspnea, orthopnea, and edema for 9 months who was ultimately diagnosed with idiopathic constrictive pericarditis. He underwent successful pericardiectomy with relief of symptoms and volume overload.

Discussion

Constrictive pericarditis is a potentially curable form of heart failure with pericardiectomy. Diagnosis is confirmed by echocardiography, cardiac computed tomography, cardiac magnetic resonance imaging, and invasive hemodynamic evaluation. The clinical diagnosis in

SUBMITTER: Anderson TM 

PROVIDER: S-EPMC12789778 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature