Konstriktif Perikardit- Kalp Yetersizliğinin nadir ancak önemli bir nedeni: Olgu Sunumu

Year 2014, , 139 - 143, 01.09.2014

Sabiye Yılmaz İbrahim Kocayiğit Levend Ediş Yasemin Gündüz Nurgül Keser

https://doi.org/10.5505/sakaryamj.2014.37167

Abstract

Konstriktif perikardit (KP) yaygın olmayan kardiyak bir hastalıktır. Klinik bulgular belirsiz, çeşitli ve özgül olmadığından tanısı sıklıkla güçlükle konulabilmektedir. Konstriktif perikardit ilerleyici bir hastalıktır. Erken tanı konulup müdahele edildiğinde tedavi olasılığı çok yüksek olduğundan hastalığın farkındalığı ve durumun anlaşılması önemlidir. Biz yazımızda iki yıldır spesifik olmayan semptom ve bulgulara sahip, KP' in ekokardiyografik ve hemodinamik bulgularının izlendiği ve sonunda idiyopatik konstriktif perikardit tanısı koyduğumuz orta yaşlı kadın hastayı sunduk. Bu yazıda konstriktif perikarditin etyolojisi, klasik klinik öykü ve fizik muayene bulgularına değindik. Radyolojik, elektrokardiyografik, ekokardiyografik, anjiyografik bulguları tartıştık ve hemodinamik bulguları gözden geçirdik.

Keywords

konjestif kalp yetmezliği, konstriktif perikardit, ekokardiyografi, perikardiektomi

Constrictive Pericarditis – A Rare but Important Cause of Cardiac Failure: A Case Report

Abstract

Constrictive pericarditis (CP) is an uncommon cardiac disease which is often difficult to diagnose because of its vague, various and nonspecific clinical clinical presentations. An awareness and understanding of this condition is important, as it is a progressive condition and the likelihood of cure depends very much on its early identification and treatment. We report a case of a middle-aged female who had non-specific symptoms and signs for two years before she was eventually diagnosed to have idiopathic constrictive pericarditis. Although our case was not severely symptomatic, echocardiographic and hemodynamic findings of constrictive pericarditis were observed. İn this review etiologies, classical clinical history and physical examination findings of constrictive pericarditisare described. Radiologic, electrocardiographic, echocardiographic and angiographic findings are discussed. The hemodynamics of constrictive pericarditis are reviewed.

Keywords

congestive cardiac failure, constrictive pericarditis; echocardiogram; pericardiectomy

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