Constrictive Pericarditis Case with Liver Cirrhosis

Yıl 2022, Cilt: 17 Sayı: 2, 236 - 239, 15.07.2022

Murat Kerkütlüoğlu Enes Çelik Bayram Öztürk Hakan Güneş

https://doi.org/10.17517/ksutfd.594244

Öz

Abstract
Constrictive Pericarditis (CP) is a form of diastolic heart failure that occurs when non-elastic pericardium prevents heart filling. CP should be considered in the differential diagnosis of unexplained heart failure, especially in patients with heart failure with preserved ejection fraction. Although previous cardiac
surgery and radiation therapy are the most frequently observed risk factors for CP development, most cases are still considered idiopathic. Diagnosis can be difficult and often requires echocardiographic evaluation supported by cardiac imaging and hemodynamic catheterization. Complete surgical pericardiectomy is the only effective treatment for chronic CP. A subacute subset of patients with subacute inflammatory CP, usually diagnosed by cardiac magnetic resonance imaging, is able to respond to anti-inflammatory treatments.

Anahtar Kelimeler

Cirrhosis, Constrictive pericarditis, Heart failure

Karaciğer Sirozu Tanısı ile Takip Edilen Konstriktif Perikardit Olgusu

Öz

Özet
Konstriktif perikardit (KP), elastik olmayan perikardın, kalp dolumunu engellemesi nedeniyle ortaya çıkan bir diyastolik kalp yetmezliği şeklidir. KP, açıklanamayan kalp yetmezliğinin ayırıcı tanısında, özellikle korunmuş sol ventrikül ejeksiyon fraksiyonlu kalp yetmezliği hastalarında düşünülmelidir. KP gelişimi
için risk faktörleri; önceden kalp ameliyatı ve radyasyon tedavisini içerir, ancak çoğu vaka halen idiyopatik olarak kabul edilmektedir. Teşhisi zor olabilir ve sıklıkla kardiyak görüntüleme ve hemodinamik kateterizasyon ile desteklenen ekokardiyografik değerlendirme gerektirir. Komplet cerrahi perikardiyektomi, kronik KP için tek etkili tedavi yöntemidir. Genellikle kardiyak manyetik rezonans görüntüleme ile tanımlanan subakut enflamatuar KP’li hasta alt grubu, anti-enflamatuar tedavilere cevap verebilmektedir.

Anahtar Kelimeler

Kalp yetmezliği, Konstriktif perikardit, Siroz

Kaynakça

• Maisch B. Management of pericarditis and pericardial effusion, constrictive and effusive-constrictive pericarditis Herz. 2018;43:663-678.
• Spodick DH. Pericardial diseases. In: Braunwald E, Zipes DP, Libby P (eds). Heart Disease A Textbook of Cardiovascular Medicine. 6th ed. Philadelphia: WB Saunders Comp, 2001;1823- 1876.
• Forrest P. Anaesthesia and right ventricular failure. Anaesth Intensive Care 2009;37:370-385.
• Depboylu BC, Mootoosamy P, Vistarini N, Testuz A, El-Hamamsy I, Cikirikcioglu M. Surgical Treatment of Constrictive Pericarditis. Tex Heart Inst J. 2017 Apr 1;44(2):101-106.
• Johnen J, Radermecker MA, Defraigne JO. Constrictive pericarditis: case report and review. Rev Med Liege. 2012 Mar;67(3):107- 112.
• Adler Y, Charron P, Imazio M, Badano L, Barón-Esquivias G, Bogaert J,et al. European Society of Cardiology (ESC). 2015 ESC Guidelines for the diagnosis and management of pericardial diseases. The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2015 ;36:2921-2964.
• Tabata T, Kabbani SS, Murray RD, Thomas JD, Abdalla I, Klein AL: Difference in the respiratory variation between pulmonary venous and mitral inflow Doppler velocities in patients with constrictive pericarditis with and without atrial fibrillation. J Am Coll Cardiol. 2001;37:1936-1942.
• Akhter MW, Nuno IN, Rahimtoola SH: Constrictive pericarditis masquerading as chronic idiopathic pleural effusion: importance of physical examination. Am J Med. 2006;119:1-4.
• Mookadam F, Jiamsripong P, Raslan SF, Panse PM, Tajik AJ. Constrictive pericarditis and restrictive cardiomyopathy in the modern era. Future Cardiol. 2011 Jul;7(4):471-483.
• Shiraishi M, Yamaguchi A, Muramatsu K, Kimura N, Yuri K, Matsumoto H et al. Validation of Waffle procedure for constrictive pericarditis with epicardial thickening. Gen Thorac Cardiovasc Surg 2015;63:30-37.
• Maleki M, Vakilian F, Amin A. Liver diseases in heart failure. Heart Asia 2011;3:143-149.