关键词: constrictive pericarditis fibrotic pericardium pericardial constriction pericardial disease

来  源:   DOI:10.1002/ccr3.9277   PDF(Pubmed)

Abstract:
UNASSIGNED: Constrictive Pericarditis is a rare fibrotic conversion of the pericardium that results in non-specific clinical symptoms such as hepatomegaly, ascites, pleural effusions, and lower extremity edema. A multi-modal diagnostic approach with cardiac imaging tools, cardiac hemodynamic measurements, and tissue biopsy can be used to diagnose Constrictive Pericarditis.
UNASSIGNED: Constrictive Pericarditis is a rare complication resulting in the fibrotic conversion of the pericardium secondary to idiopathic, infective, post-surgical, or post-radiation etiologies. The rigid and restrictive nature of the pericardium can result in non-specific symptoms of volume overload that can mimic liver cirrhosis or congestive heart failure. We present the case of a 73-year-old female with constrictive pericarditis who presented with vague symptoms of abdominal pain, abdominal bloating, and bilateral lower extremity edema. This case report highlights the clinical manifestation, invasive, and non-invasive diagnostic work-up, and management of constrictive pericarditis.
摘要:
缩窄性心包炎是一种罕见的心包纤维化转化,可导致肝肿大等非特异性临床症状,腹水,胸腔积液,和下肢水肿。一种具有心脏成像工具的多模式诊断方法,心脏血液动力学测量,组织活检可用于诊断缩窄性心包炎。
缩窄性心包炎是一种罕见的并发症,可导致心包纤维化转化继发于特发性,感染,手术后,或辐射后病因。心包的刚性和限制性可导致容量超负荷的非特异性症状,其可模拟肝硬化或充血性心力衰竭。我们介绍了一个73岁女性患有缩窄性心包炎的病例,该病例表现为腹部疼痛的模糊症状,腹胀,双侧下肢水肿。此病例报告突出临床表现,侵入性,和非侵入性诊断工作,以及缩窄性心包炎的治疗。
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