Immunoglobulin G4-related constrictive pericarditis and the importance of a thorough workup: a case report.

ABSTRACT:

Background

Constrictive pericarditis remains a problematic diagnosis and a thorough investigation is critical. Among possible aetiologies, immunoglobulin-G4 (IgG4)-related pericardial disease is an unusual cause of pericardial constriction. We report a challenging diagnostic case of pericardial constriction due to IgG4-related disease.

Case presentation

A 68-year old male with a history of inferior myocardial infarction with right ventricle (RV) involvement was thrice-hospitalized due to marked ascites and peripheral oedema. Systemic congestion was initially attributed to RV dysfunction due to previous infarction. Yet, at the final admission, a re-assessment echocardiogram followed by cardiac computed tomography, magnetic resonance and right heart catheterization raised a po

SUBMITTER: Maltes S 

PROVIDER: S-EPMC8815176 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature