Læknablaðið - 15.07.2010, Blaðsíða 28

FRÆÐIGREINAR
SJÚKRATILFELLl
Þakkir og leyfi
Þakkir fá Anna Ellen Douglas ljósmyndari á
Landspítala og Margrét Sturludóttir læknir fyrir
hjálp við gerð myndefnis. Sjúklingurinn gaf
skriflegt leyfi fyrir birtingu þessa tilfellis, bæði
texta og mynda.
Heimildir
1. Chowdhury UK, Subramaniam GK, Kumar AS, et al.
Pericardiectomy for constrictive pericarditis: a clinical,
echocardiographic, and hemodynamic evaluation of two
surgical techniques. Ann Thorac Surg 2006; 81: 522-9.
2. Bertog SC, Thambidorai SK, Parakh K, et al. Constrictive
pericarditis: etiology and cause-specific survival after
pericardiectomy. J Am Coll Cardiol 2004; 43:1445-52.
3. Ling LH, Oh JK, Schaff HV, et al. Constrictive pericarditis in
the modem era: evolving clinical spectrum and impact on
outcome after pericardiectomy. Circulation 1999; 100:1380-6.
4. Kaul TK, Fields BL, Kahn DR. Primary malignant pericardial
mesothelioma: a case report and review. J Cardiovasc Surg
(Torino) 1994; 35: 261-7.
5. Osterberg L, Vagelos R, Atwood JE. Case presentation and
review: constrictive pericarditis. West J Med 1998; 169: 232-9.
6. McCaughan BC, Schaff HV, Piehler JM, et al. Early and late
results of pericardiectomy for constrictive pericarditis. J
Thorac Cardiovasc Surg 1985; 89: 340-50.
7. Fowler NO. Constrictive pericarditis: its history and current
status. Clin Cardiol 1995; 18: 341-50.
8. Bilchick KC, Wise RA. Paradoxical physical findings
described by Kussmaul: pulsus paradoxus and Kussmaul's
sign. Lancet 2002; 359:1940-2.
9. White P. Chronic constrictive pericarditis (Pick's disease)
treated by pericardial resection. Lancet 1935; 2: 597.
10. Imazio M, Trinchero R. Clinical management of acute
pericardial disease: a review of results and outcomes. Ital
Heart J 2004; 5: 803-17.
11. Khasnis A, Lokhandwala Y. Clinical signs in medicine:
pulsus paradoxus. J Postgr Med 2002; 48: 46-9.
12. Nishimura RA. Constrictive pericarditis in the modem era: a
diagnostic dilemma. Heart 2001; 86: 619-23.
13. Sengupta PP, Krishnamoorthy VK, Abhayaratna WP, et al.
Comparison of usefulness of tissue Doppler imaging versus
brain natriuretic peptide for differentiation of constrictive
pericardial disease from restrictive cardiomyopathy. Am J
Cardiol 2008; 102: 357-62.
14. Cimino JJ, Kogan AD. Constrictive pericarditis after cardiac
surgery: report of three cases and review of the literature.
Am Heart J 1989; 118:1292-301.
15. Larrieu AJ, Tyers GF, Williams EH, Derrick JR. Recent
experience with tuberculous pericarditis. Ann Thorac Surg
1980; 29: 464-8.
16. Hatle LK, Appleton CP, Popp RL. Differentiation of
constrictive pericarditis and restrictive cardiomyopathy by
Doppler echocardiography. Circulation 1989; 79: 357-70.
17. Nordrehaug JE, Danielsen R, Vik-Mo H. Assessment of the
left ventricular diastolic function in constrictive pericarditis
by digitised M-mode echocardiography. Ann Clin Res 1988;
20:164-8.
18. Kojima S, Yamada N, Goto Y. Diagnosis of constrictive
pericarditis by tagged cine magnetic resonance imaging. N
Engl J Med 1999; 341: 373-4.
19. Reinmíiller R, Giirgan M, Erdmann E, Kemkes BM, Kreutzer
E, Weinhold C. CT and MR evaluation of pericardial
constriction: a new diagnostic and therapeutic concept. J
Thorac Imaging 1993; 8:108-21.
20. Zipes D, Libby P, Bonow R, Braunwald E. Braunwald's
Heart Disease: A Textbook of Cardiovascular Medicine. 7 ed.
Elsevier Saunders, Philadelphia 2005.
21. Cameron J, Oesterle SN, Baldwin JC, Hancock EW.
Theætiologic spectrum of constrictive pericarditis. Am Heart
J 1987; 113: 354-60.
22. Dalton JC, Pearson RJ, Jr., White PD. Constrictive
pericarditis: a review and long-term follow-up of 78 cases.
Ann Intem Med 1956; 45: 445-58.
23. Cooley JC, Clagett OT, Kirklin JW. Surgical aspects of chronic
constrictive pericarditis; a review of 72 operative cases. Ann
Surg 1958; 147: 488-93.
24. Sengupta PP, Eleid MF, Khandheria BK. Constrictive
pericarditis. Circ J 2008; 72:1555-62.
25. Schwefer M, Aschenbach R, Heidemann J, Mey C, Lapp
H. Constrictive pericarditis, still a diagnostic challenge:
comprehensive review of clinical management. Eur J Cardio-
thor Surg 2009; 36: 502-10.
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Constrictive pericarditis with severe heart failure - a case report
and review of the literature
Constricitve pericarditis is an uncommon condition, often
of unknown etiology but can be caused by infections, such
as tuberculosis, inflammation of the pericardium, radiation
therapy or asbestos exposure. Constrictive pericarditis is
characterized by fibrosis and often severe calcifications
of the pericardial sac which eventually restricts normal
diastolic filling of the heart. This consequently leads to
a combination of left and right heart failure, often with
prominent jugular venous distentsion, liver enlargement,
peripheral edema and lethargy. Diagnosis can be difficult
and is often delayed. Surgery, involving partial removal of
the pericardial sac, usually leads to relief of symptoms.
Here we report a case from Landspitali together with a
review of the literature.
Einarsson JT, Danielsen R, Indridason OS, Gudbjartsson T.
Constrictive pericarditis with severe heart failure - a case report and review of the literature. Icel J Med 2010; 96: 475-80.
Key words: Constrictive pericarditis, cardiac failure, oedema, echocardiography, cardiac cathederization, pericardectomy.
Correspondence; Tómas Guðbjartsson, tomasgud@landspitali.is
480 LÆKNAblaöið 2010/96
Barst: 28. nóvember 2009, - samþykkt til birtingar: 1. júní 2010
Hagsmunatengsl: Engin