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‘Egg-cased heart’: a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report
BACKGROUND: Constrictive pericarditis (CP), also known as Pick’s disease, is a sequela of chronic inflammation of the pericardium. Pericardial calcification is a common occurrence in CP; however, extensive egg-shell like calcification is rare. Our case, highlights, how a multi-modality imaging in a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8882383/ https://www.ncbi.nlm.nih.gov/pubmed/35233501 http://dx.doi.org/10.1093/ehjcr/ytac075 |
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author | Sane, Pratik Sudhir Sankardas, Ajit Mullasari Bhardwaj, Kambarnatham Srinivasan Kurian, and Valikapathalil Mathew |
author_facet | Sane, Pratik Sudhir Sankardas, Ajit Mullasari Bhardwaj, Kambarnatham Srinivasan Kurian, and Valikapathalil Mathew |
author_sort | Sane, Pratik Sudhir |
collection | PubMed |
description | BACKGROUND: Constrictive pericarditis (CP), also known as Pick’s disease, is a sequela of chronic inflammation of the pericardium. Pericardial calcification is a common occurrence in CP; however, extensive egg-shell like calcification is rare. Our case, highlights, how a multi-modality imaging in a middle aged female helped to diagnose chronic constrictive pericarditis (CCP) with egg-shell like calcification encasing the heart. CASE SUMMARY: Middle aged female with features of right heart failure, was diagnosed as CP based on two-dimensional echocardiography and cardiac catheterization. Computed tomography (CT) scan chest showed extensive egg-shell like calcification encasing the heart, suggestive of calcific CP. Subsequently, she underwent pericardiectomy, through median sternotomy approach and is currently on follow-up with asymptomatic cardiac status. DISCUSSION: Extensive pericardial calcification encasing the heart like an egg-shell is rare in CCP. Likelihood of incomplete pericardial resection is high in calcific CP and hence a median sternotomy is preferred over anterolateral thoracotomy. A preoperative non-contrast CT scan defines the thickness, anatomic extent the calcification and its adherence to myocardium and surrounding structures. A reconstructed volume-rendered image delineates the extent of calcification precisely, thus determining the optimum surgical approach. A multi-modality imaging in CP, especially in calcific CP, is thus of paramount importance. |
format | Online Article Text |
id | pubmed-8882383 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-88823832022-02-28 ‘Egg-cased heart’: a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report Sane, Pratik Sudhir Sankardas, Ajit Mullasari Bhardwaj, Kambarnatham Srinivasan Kurian, and Valikapathalil Mathew Eur Heart J Case Rep Case Report BACKGROUND: Constrictive pericarditis (CP), also known as Pick’s disease, is a sequela of chronic inflammation of the pericardium. Pericardial calcification is a common occurrence in CP; however, extensive egg-shell like calcification is rare. Our case, highlights, how a multi-modality imaging in a middle aged female helped to diagnose chronic constrictive pericarditis (CCP) with egg-shell like calcification encasing the heart. CASE SUMMARY: Middle aged female with features of right heart failure, was diagnosed as CP based on two-dimensional echocardiography and cardiac catheterization. Computed tomography (CT) scan chest showed extensive egg-shell like calcification encasing the heart, suggestive of calcific CP. Subsequently, she underwent pericardiectomy, through median sternotomy approach and is currently on follow-up with asymptomatic cardiac status. DISCUSSION: Extensive pericardial calcification encasing the heart like an egg-shell is rare in CCP. Likelihood of incomplete pericardial resection is high in calcific CP and hence a median sternotomy is preferred over anterolateral thoracotomy. A preoperative non-contrast CT scan defines the thickness, anatomic extent the calcification and its adherence to myocardium and surrounding structures. A reconstructed volume-rendered image delineates the extent of calcification precisely, thus determining the optimum surgical approach. A multi-modality imaging in CP, especially in calcific CP, is thus of paramount importance. Oxford University Press 2022-02-15 /pmc/articles/PMC8882383/ /pubmed/35233501 http://dx.doi.org/10.1093/ehjcr/ytac075 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Sane, Pratik Sudhir Sankardas, Ajit Mullasari Bhardwaj, Kambarnatham Srinivasan Kurian, and Valikapathalil Mathew ‘Egg-cased heart’: a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report |
title | ‘Egg-cased heart’: a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report |
title_full | ‘Egg-cased heart’: a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report |
title_fullStr | ‘Egg-cased heart’: a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report |
title_full_unstemmed | ‘Egg-cased heart’: a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report |
title_short | ‘Egg-cased heart’: a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report |
title_sort | ‘egg-cased heart’: a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8882383/ https://www.ncbi.nlm.nih.gov/pubmed/35233501 http://dx.doi.org/10.1093/ehjcr/ytac075 |
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