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

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