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

Year 2014, , 139 - 143, 01.09.2014
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.

References

  • Myers RBH, Spodick D. Constrictive pericarditis: clinical and pathophysiologic characteristics. Am Heart J 1999; 138:219-32.
  • Lieng LH, Oh JK, Schaff HV, Danielson GK, Mahoney DW, Seward JB, et al. Constrictive pericarditis in the modern era. Evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation 1999; 100:1380-6.
  • Nataf P, Cacoub P, Dorent R, Jault F, Bors V, Pavie A, et al. Results of subtotal pericardiectomy for constrictive pericarditis. Eur J Cardiothorac Surg 1993; 7: 252-6.
  • Lorrell BH. Pericardial diseases. In: Braunwald E, editor. Heart disease. A textbook of cardiovascular medicine. 5th ed. Philadelphia: W. B. Saunders; 1997. p. 1496-505.
  • Bergman M, Vitrai J, Salman H. Constrictive pericarditis: A reminder of a not so rare disease. Eur J Intern Med 2006;17: 457-64.
  • Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD, et al. Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation 2003;108:1852-7
  • Moncada R, Baker M, Salinas M, Demos TC, Churchill R, Love L, et al. Diagnostic role of computed tomography in pericardial heart disease: congenital defects, thickening, neoplasms, and effusions. Am Heart J 1982;103:263-82.
  • Nishimura RA. Constrictive pericarditis in the modern era: a diagnostic dilemma. Heart 2001; 86: 619-23.
  • Ha JW, Ommen SR, Tajik AJ, Barnes ME, Ammash NM, Gertz MA, et al. Differentiation of constrictive pericarditis from restrictive cardiomyopathy using mitral annular velocity by tissue Doppler echocardiography. Am J Cardiol 2004; 94: 316-9.
  • Oakley CM. Pericardial diseases. In: Julian DG, Camm AJ, Fox KM, et al, editors. Diseases of the heart, 2nd edition. London: Saunders, 1996:558- 77.
  • Troughton RW, Asher CR, Klein AL. Pericarditis. Lancet 2004;363:717-27.
  • Bush CA, Stang JM, Wooley CF, Kilman JW. Occult constrictive pericardial disease. Diagnosis by rapid volume expansion and correction by pericardiectomy. Circulation 1977; 56: 924-30.
  • Shabetai R. Constrictive pericarditis. Hemodynamic comparisons with tamponade and restrictive cardiomyopathy. In: The pericardium. Norwell, MA: Kluwer Academic Publishers; 2003. p. 191-251.
  • Yang HS, Song JK, Song JM, Kang DH, Lee CW, Nam GB, et al. Clinical characteristics of constrictive pericarditis diagnosed by echo-Doppler technique in Korea. J Korean Med Sci 2001;16: 558-66
  • DeValeria PA, Baumgartner WA, Casale AS, Greene PS, Cameron DE, Gardner TJ, et al. Current indications, risks and outcomes after pericardiectomy. Ann Thorac Surg 1990; 52: 219-24.
  • Ni Y, von Segresser LK, Turina M. Futility of pericardiectomy for postirradiation constrictive pericarditis? Ann Thorac Surg 1990; 49: 445-8

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

Year 2014, , 139 - 143, 01.09.2014
https://doi.org/10.5505/sakaryamj.2014.37167

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.

References

  • Myers RBH, Spodick D. Constrictive pericarditis: clinical and pathophysiologic characteristics. Am Heart J 1999; 138:219-32.
  • Lieng LH, Oh JK, Schaff HV, Danielson GK, Mahoney DW, Seward JB, et al. Constrictive pericarditis in the modern era. Evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation 1999; 100:1380-6.
  • Nataf P, Cacoub P, Dorent R, Jault F, Bors V, Pavie A, et al. Results of subtotal pericardiectomy for constrictive pericarditis. Eur J Cardiothorac Surg 1993; 7: 252-6.
  • Lorrell BH. Pericardial diseases. In: Braunwald E, editor. Heart disease. A textbook of cardiovascular medicine. 5th ed. Philadelphia: W. B. Saunders; 1997. p. 1496-505.
  • Bergman M, Vitrai J, Salman H. Constrictive pericarditis: A reminder of a not so rare disease. Eur J Intern Med 2006;17: 457-64.
  • Talreja DR, Edwards WD, Danielson GK, Schaff HV, Tajik AJ, Tazelaar HD, et al. Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation 2003;108:1852-7
  • Moncada R, Baker M, Salinas M, Demos TC, Churchill R, Love L, et al. Diagnostic role of computed tomography in pericardial heart disease: congenital defects, thickening, neoplasms, and effusions. Am Heart J 1982;103:263-82.
  • Nishimura RA. Constrictive pericarditis in the modern era: a diagnostic dilemma. Heart 2001; 86: 619-23.
  • Ha JW, Ommen SR, Tajik AJ, Barnes ME, Ammash NM, Gertz MA, et al. Differentiation of constrictive pericarditis from restrictive cardiomyopathy using mitral annular velocity by tissue Doppler echocardiography. Am J Cardiol 2004; 94: 316-9.
  • Oakley CM. Pericardial diseases. In: Julian DG, Camm AJ, Fox KM, et al, editors. Diseases of the heart, 2nd edition. London: Saunders, 1996:558- 77.
  • Troughton RW, Asher CR, Klein AL. Pericarditis. Lancet 2004;363:717-27.
  • Bush CA, Stang JM, Wooley CF, Kilman JW. Occult constrictive pericardial disease. Diagnosis by rapid volume expansion and correction by pericardiectomy. Circulation 1977; 56: 924-30.
  • Shabetai R. Constrictive pericarditis. Hemodynamic comparisons with tamponade and restrictive cardiomyopathy. In: The pericardium. Norwell, MA: Kluwer Academic Publishers; 2003. p. 191-251.
  • Yang HS, Song JK, Song JM, Kang DH, Lee CW, Nam GB, et al. Clinical characteristics of constrictive pericarditis diagnosed by echo-Doppler technique in Korea. J Korean Med Sci 2001;16: 558-66
  • DeValeria PA, Baumgartner WA, Casale AS, Greene PS, Cameron DE, Gardner TJ, et al. Current indications, risks and outcomes after pericardiectomy. Ann Thorac Surg 1990; 52: 219-24.
  • Ni Y, von Segresser LK, Turina M. Futility of pericardiectomy for postirradiation constrictive pericarditis? Ann Thorac Surg 1990; 49: 445-8
There are 16 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Sabiye Yılmaz This is me

İbrahim Kocayiğit This is me

Levend Ediş This is me

Yasemin Gündüz This is me

Nurgül Keser This is me

Publication Date September 1, 2014
Submission Date September 7, 2015
Published in Issue Year 2014

Cite

AMA Yılmaz S, Kocayiğit İ, Ediş L, Gündüz Y, Keser N. Konstriktif Perikardit- Kalp Yetersizliğinin nadir ancak önemli bir nedeni: Olgu Sunumu. Sakarya Tıp Dergisi. September 2014;4(3):139-143. doi:10.5505/sakaryamj.2014.37167

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