Constrictive Pericarditis Caused by IgG4-Related Disease Requiring Pericardiectomy After Partial Response to Corticosteroids

Immunoglobulin G4–related disease is a systemic fibroinflammatory disease; pericardial involvement has occasionally been reported in publications. A 79-year-old man with biopsy-proven immunoglobulin G4–related disease with pleural involvement was admitted in acute heart failure, with imaging and hem...

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Autores principales: Yuriditsky, Eugene, Dwivedi, Aeshita, Narula, Navneet, Axel, Leon, Horowitz, James M., Vaynblat, Mikhail
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Mini-Focus Issue: Heart Failure
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302180/
https://www.ncbi.nlm.nih.gov/pubmed/34317017
http://dx.doi.org/10.1016/j.jaccas.2020.06.038
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author Yuriditsky, Eugene
Dwivedi, Aeshita
Narula, Navneet
Axel, Leon
Horowitz, James M.
Vaynblat, Mikhail
author_facet Yuriditsky, Eugene
Dwivedi, Aeshita
Narula, Navneet
Axel, Leon
Horowitz, James M.
Vaynblat, Mikhail
author_sort Yuriditsky, Eugene
collection PubMed
description Immunoglobulin G4–related disease is a systemic fibroinflammatory disease; pericardial involvement has occasionally been reported in publications. A 79-year-old man with biopsy-proven immunoglobulin G4–related disease with pleural involvement was admitted in acute heart failure, with imaging and hemodynamic studies consistent with constrictive pericarditis. He was treated with corticosteroids for 2 months with partial response manifest by decreases in pericardial thickening and immunoglobulin G4 levels. However, persistent constriction required pericardiectomy, leading to significant symptomatic improvement. (Level of Difficulty: Intermediate.)
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spelling pubmed-83021802021-07-26 Constrictive Pericarditis Caused by IgG4-Related Disease Requiring Pericardiectomy After Partial Response to Corticosteroids Yuriditsky, Eugene Dwivedi, Aeshita Narula, Navneet Axel, Leon Horowitz, James M. Vaynblat, Mikhail JACC Case Rep Mini-Focus Issue: Heart Failure Immunoglobulin G4–related disease is a systemic fibroinflammatory disease; pericardial involvement has occasionally been reported in publications. A 79-year-old man with biopsy-proven immunoglobulin G4–related disease with pleural involvement was admitted in acute heart failure, with imaging and hemodynamic studies consistent with constrictive pericarditis. He was treated with corticosteroids for 2 months with partial response manifest by decreases in pericardial thickening and immunoglobulin G4 levels. However, persistent constriction required pericardiectomy, leading to significant symptomatic improvement. (Level of Difficulty: Intermediate.) Elsevier 2020-08-19 /pmc/articles/PMC8302180/ /pubmed/34317017 http://dx.doi.org/10.1016/j.jaccas.2020.06.038 Text en © 2020 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Mini-Focus Issue: Heart Failure
Yuriditsky, Eugene
Dwivedi, Aeshita
Narula, Navneet
Axel, Leon
Horowitz, James M.
Vaynblat, Mikhail
Constrictive Pericarditis Caused by IgG4-Related Disease Requiring Pericardiectomy After Partial Response to Corticosteroids
title Constrictive Pericarditis Caused by IgG4-Related Disease Requiring Pericardiectomy After Partial Response to Corticosteroids
title_full Constrictive Pericarditis Caused by IgG4-Related Disease Requiring Pericardiectomy After Partial Response to Corticosteroids
title_fullStr Constrictive Pericarditis Caused by IgG4-Related Disease Requiring Pericardiectomy After Partial Response to Corticosteroids
title_full_unstemmed Constrictive Pericarditis Caused by IgG4-Related Disease Requiring Pericardiectomy After Partial Response to Corticosteroids
title_short Constrictive Pericarditis Caused by IgG4-Related Disease Requiring Pericardiectomy After Partial Response to Corticosteroids
title_sort constrictive pericarditis caused by igg4-related disease requiring pericardiectomy after partial response to corticosteroids
topic Mini-Focus Issue: Heart Failure
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302180/
https://www.ncbi.nlm.nih.gov/pubmed/34317017
http://dx.doi.org/10.1016/j.jaccas.2020.06.038
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