A case report of pericardial constriction with coexisting severe left main coronary artery disease.

ABSTRACT:

Background

Constrictive pericarditis (CP) is a rare condition in which the pericardium becomes progressively fibrotic and non-compliant leading to impaired ventricular filling and overt heart failure. While CP shares many clinical and haemodynamic similarities with restrictive cardiomyopathy, differentiation of these diseases is crucial as CP is potentially curative through pericardiectomy. Here, we present a case of proven pericardial constriction with atypical haemodynamics in a patient presenting with heart failure and severe left main coronary artery disease (CAD).

Case summary

A 69-year-old female with a history of hypertension and paroxysmal atrial fibrillation presented with persistent heart failure refractory to diuretics. Ischaemic and infiltrative work-up were foun

SUBMITTER: Ostad Karampour S 

PROVIDER: S-EPMC9290554 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature