Case Report: “Gourd-Shaped” Heart Strangled by Localized Annular Calcification of the Left Ventricle: A Rare Case of Constrictive Pericarditis

We report a rare case of a 43-year-old woman with calcific annular constrictive pericarditis (CP) encircling the basal segment of the right ventricle and the mid-segment of the left ventricle (LV) lateral wall. Over time, localized calcification has caused LV to be tightly strangled and shaped like...

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Autores principales: Yang, Zhiyun, Wang, Hui, Lv, Qiang, Du, Xin, Zhu, Junming, Dong, Jianzeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Cardiovascular Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8854651/
https://www.ncbi.nlm.nih.gov/pubmed/35187134
http://dx.doi.org/10.3389/fcvm.2022.834262
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author Yang, Zhiyun
Wang, Hui
Lv, Qiang
Du, Xin
Zhu, Junming
Dong, Jianzeng
author_facet Yang, Zhiyun
Wang, Hui
Lv, Qiang
Du, Xin
Zhu, Junming
Dong, Jianzeng
author_sort Yang, Zhiyun
collection PubMed
description We report a rare case of a 43-year-old woman with calcific annular constrictive pericarditis (CP) encircling the basal segment of the right ventricle and the mid-segment of the left ventricle (LV) lateral wall. Over time, localized calcification has caused LV to be tightly strangled and shaped like a gourd. However, multimodality imaging confirmed no significantly clinical constriction associated with decreased cardiac movement and function. Additionally, cardiac magnetic resonance feature tracking confirmed the relatively preserved diastolic function and the characteristic “plateau” pattern of CP. The treatment strategy of this case is challenging and dialectical.
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spelling pubmed-88546512022-02-19 Case Report: “Gourd-Shaped” Heart Strangled by Localized Annular Calcification of the Left Ventricle: A Rare Case of Constrictive Pericarditis Yang, Zhiyun Wang, Hui Lv, Qiang Du, Xin Zhu, Junming Dong, Jianzeng Front Cardiovasc Med Cardiovascular Medicine We report a rare case of a 43-year-old woman with calcific annular constrictive pericarditis (CP) encircling the basal segment of the right ventricle and the mid-segment of the left ventricle (LV) lateral wall. Over time, localized calcification has caused LV to be tightly strangled and shaped like a gourd. However, multimodality imaging confirmed no significantly clinical constriction associated with decreased cardiac movement and function. Additionally, cardiac magnetic resonance feature tracking confirmed the relatively preserved diastolic function and the characteristic “plateau” pattern of CP. The treatment strategy of this case is challenging and dialectical. Frontiers Media S.A. 2022-02-04 /pmc/articles/PMC8854651/ /pubmed/35187134 http://dx.doi.org/10.3389/fcvm.2022.834262 Text en Copyright © 2022 Yang, Wang, Lv, Du, Zhu and Dong. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Yang, Zhiyun
Wang, Hui
Lv, Qiang
Du, Xin
Zhu, Junming
Dong, Jianzeng
Case Report: “Gourd-Shaped” Heart Strangled by Localized Annular Calcification of the Left Ventricle: A Rare Case of Constrictive Pericarditis
title Case Report: “Gourd-Shaped” Heart Strangled by Localized Annular Calcification of the Left Ventricle: A Rare Case of Constrictive Pericarditis
title_full Case Report: “Gourd-Shaped” Heart Strangled by Localized Annular Calcification of the Left Ventricle: A Rare Case of Constrictive Pericarditis
title_fullStr Case Report: “Gourd-Shaped” Heart Strangled by Localized Annular Calcification of the Left Ventricle: A Rare Case of Constrictive Pericarditis
title_full_unstemmed Case Report: “Gourd-Shaped” Heart Strangled by Localized Annular Calcification of the Left Ventricle: A Rare Case of Constrictive Pericarditis
title_short Case Report: “Gourd-Shaped” Heart Strangled by Localized Annular Calcification of the Left Ventricle: A Rare Case of Constrictive Pericarditis
title_sort case report: “gourd-shaped” heart strangled by localized annular calcification of the left ventricle: a rare case of constrictive pericarditis
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8854651/
https://www.ncbi.nlm.nih.gov/pubmed/35187134
http://dx.doi.org/10.3389/fcvm.2022.834262
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