A Rare Case of Restrictive Cardiomyopathy Presenting With Large, Recurrent Pericardial Effusions

The association between large pericardial effusion and restrictive cardiomyopathy (RCM) is uncommon and has seldom been described. We describe an uncommon case of a 31-year-old male with RCM who presented with large, recurrent pericardial effusion, heart failure, and echocardiographic findings showing progressive worsening of diastolic function even after total pericardiectomy who was eventually transferred for cardiac transplant evaluation.

Download Full-text

An unusual case of pericardial tamponade in primary hypothyroidism

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20170521 ◽

2017 ◽

Vol 4 (2) ◽

pp. 581

Author(s):

Pavankumar Pyarsabadi ◽

Manoj Saluja ◽

Saurabh Chittora ◽

Yogesh Swami ◽

Hemanth Richariya ◽

...

Keyword(s):

Pericardial Effusion ◽

Rare Case ◽

Unusual Case ◽

Medical Literature ◽

Pericardial Tamponade ◽

Primary Hypothyroidism ◽

Rare Entity ◽

Large Pericardial Effusion

Pericardial effusion is not so uncommon in hypothyroidism, but pericardial tamponade is very rare entity. Hypothyroidism complicated by pericardial tamponade is very rarely referenced in the medical literature. Here we report a rare case of a 70 year old female, who presented with breathlessness and was found to have hypothyroidism with large pericardial effusion complicating into pericardial tamponade. Management included urgent pericardiocentesis followed by l-thyroxine supplementation.

Download Full-text

Constrictive pericarditis after heart transplantation: a case report

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytaa240 ◽

2020 ◽

Vol 4 (4) ◽

pp. 1-6

Author(s):

Vincent Tchana-Sato ◽

Arnaud Ancion ◽

François Ansart ◽

Jean Olivier Defraigne

Keyword(s):

Heart Failure ◽

Pericardial Effusion ◽

Heart Transplantation ◽

Constrictive Pericarditis ◽

Rare Complication ◽

Volume Overload ◽

Restrictive Cardiomyopathy ◽

Right Heart Failure ◽

Clinical Problem ◽

Idiopathic Dilated Cardiomyopathy

Abstract Background Constrictive pericarditis (CP) is a disease characterized by inflammation, progressive fibrosis, and thickening of the pericardium. Constrictive pericarditis after heart transplantation (HT) is a rare phenomenon, with a reported incidence of 1.4–3.9%. It is an important clinical problem which shares similar clinical features with entities such as restrictive cardiomyopathy. Therefore, it poses diagnostic challenges and therapeutic dilemmas even for experienced clinicians. Case summary A 53-year-old patient developed a zoster infection with pericardial effusion 9 months after HT for idiopathic dilated cardiomyopathy. Two months later, he presented with leg oedema and ascites and was treated by diuretics for volume overload. He was readmitted 8 months later with features of right heart failure. Multimodal imaging investigations were suggestive of CP. He successfully recovered after a radical pericardiectomy. Discussion Constrictive pericarditis is a rare complication in HT. Heart transplant recipients (HTR) with a history of post-operative pericardial effusion, or with rejection episodes are at high risk of developing CP. Differentiating CP from other conditions that cause apparent congestive heart failure in HTR is challenging. Management of CP is mainly surgical pericardiectomy.

Download Full-text

Cardiac MRI Findings in a Dog with a Diffuse Pericardial Mesothelioma and Pericardial Effusion

Journal of the American Animal Hospital Association ◽

10.5326/jaaha-ms-5925 ◽

2013 ◽

Vol 49 (6) ◽

pp. 398-402 ◽

Cited By ~ 6

Author(s):

Ricardo Guillem Gallach ◽

Wilfried Mai

Keyword(s):

Pericardial Effusion ◽

Cardiac Mri ◽

Right Atrial ◽

Mri Findings ◽

Pericardial Mesothelioma ◽

Right Atrial Mass ◽

Anatomic Information ◽

Recurrent Pericardial Effusion ◽

Echocardiographic Findings ◽

Rule Out

Veterinary cardiac MRI (cMRI) is a relatively new technique. A dog with recurrent pericardial effusion and a questionable right atrial mass lesion on echocardiography underwent cMRI. cMRI provided excellent anatomic information about the heart and surrounding structures and helped to rule out the presence of a focal mass. A diffuse thickening and enhancement of the pericardium was detected. Pericardiectomy was performed and histopathology revealed a diffuse pericardial mesothelioma. This case illustrates the potential of cMRI in the management of patients with pericardial effusion when echocardiographic findings are equivocal and illustrates cMRI findings in a case of diffuse pericardial mesothelioma.

Download Full-text

Large Hypothyroidism-Induced Pericardial Effusion with Increased Serum Tumor Markers

Korean Journal of Medicine ◽

10.3904/kjm.2021.96.3.241 ◽

2021 ◽

Vol 96 (3) ◽

pp. 241-246

Author(s):

Su Yeon Lee ◽

Kyunghee Lim

Keyword(s):

Pericardial Effusion ◽

Tumor Markers ◽

Clinical Characteristics ◽

Imaging Techniques ◽

Common Disease ◽

Cancer Antigen 125 ◽

Cancer Antigen ◽

Large Pericardial Effusion ◽

Recurrent Pericardial Effusion

Pericardial effusion is a common disease seen by echocardiography, and it is found in 3–9% of annual echocardiograms. Although moderate pericardial effusion has been reported in some cases, it is usually asymptomatic and is rarely accompanied by cardiac tamponade. A large pericardial effusion may be due to various causes, including idiopathic causes, tuberculosis, cancer, connective tissue disease, infection, and hypothyroidism. Recent advances in analytic and imaging techniques have increased our ability to diagnose the cause of pericardial effusion accurately. This information is important for determining the proper treatment based on each case’s clinical characteristics. We report a case of large, recurrent pericardial effusion accompanied by hypothyroidism with initial increased levels of tumor markers, including cancer antigen 125, carcinoembryonic antigen, and alpha-fetoprotein. The patient was treated with thyroid hormone only. In follow-up images, the pericardial effusion was resolved and all of the tumor markers were normalized.

Download Full-text

Primary Right Atrial Angiosarcoma

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230801600613 ◽

2008 ◽

Vol 16 (6) ◽

pp. 490-491 ◽

Cited By ~ 3

Author(s):

Kirkpatrick Santo ◽

Uday Dandekar

Keyword(s):

Computed Tomography ◽

Chest Pain ◽

Pericardial Effusion ◽

Emergency Surgery ◽

Rare Case ◽

Acute Chest Pain ◽

Right Atrial ◽

Cardiac Enzymes ◽

Large Pericardial Effusion ◽

Atrial Tumor

A rare case of right atrial angiosarcoma is described in a 55-year-old man who was admitted with acute chest pain. Electrocardiography, cardiac enzymes, and chest radiography were negative. His pain settled and he was discharged, but readmitted 15 days later with clinical features of cardiac tamponade. Computed tomography demonstrated a large pericardial effusion. Emergency surgery was performed to excise a right atrial tumor, which histology confirmed to be an angiosarcoma.

Download Full-text

A rare case of cytomegalovirus causing respiratory failure and a large pericardial effusion

Journal of Community Hospital Internal Medicine Perspectives ◽

10.1080/20009666.2021.1954283 ◽

2021 ◽

Vol 11 (5) ◽

pp. 693-697

Author(s):

Leah Burkovsky ◽

Wahab M. Kahloan ◽

Aashish Acharya ◽

Gayatri Nair ◽

Ricardo A. S. Conti

Keyword(s):

Respiratory Failure ◽

Pericardial Effusion ◽

Rare Case ◽

Large Pericardial Effusion

Download Full-text

Primary Pericardial Mesothelioma an Oncological Rarity

Indian Journal of Cardiovascular Disease in Women WINCARS ◽

10.1055/s-0038-1656410 ◽

2017 ◽

Vol 02 (02) ◽

pp. 046-048

Author(s):

R Kumar ◽

Sai Surabhi ◽

◽

Keyword(s):

Heart Failure ◽

Pericardial Effusion ◽

Genetic Predisposition ◽

Constrictive Pericarditis ◽

Poor Prognosis ◽

Clinical Manifestations ◽

Late Presentation ◽

Dietary Factors ◽

Pericardial Mesothelioma ◽

Recurrent Pericardial Effusion

AbstractPrimary pericardial mesothelioma is a rare and lethal tumor, with a reported prevalence of <0.002% [1]. Pleural and pericardial mesotheliomas, which are far more common are usually associated with exposure to asbestos. However, the cause of pericardial mesothelioma is less clear [2] and is influenced by other factors like genetic predisposition, immunological impairment, infection, radiation, dietary factors and recurrent serosal inflammation [3]. Clinical manifestations of the neoplasm include constrictive pericarditis, cardiac tamponade, and heart failure. Because of late presentation and few treatment approaches, primary pericardial mesothelioma carries a poor prognosis. In this paper, we present a case of primary pericardial mesothelioma in a 46 year female presenting as recurrent pericardial effusion along with constrictive pericarditis.

Download Full-text