Multimodality imaging demonstrated effusive-constrictive physiology characterized by pericardial thickening with effusion, pericardial enhancement consistent with active inflammation, and ventricular interdependence, highlighting the complementary role of cardiac magnetic resonance in the diagnosis and management of inflammatory constrictive pericardial disease.
Key Findings
Results
A patient with prior acute pericarditis was diagnosed with effusive-constrictive pericarditis using multimodality imaging.
The patient had a history of prior acute pericarditis
Effusive-constrictive physiology was demonstrated through imaging
Findings included pericardial thickening with effusion
Pericardial enhancement consistent with active inflammation was identified
Results
Ventricular interdependence was identified as a component of the effusive-constrictive physiology in this case.
Ventricular interdependence was among the key imaging findings
This finding is characteristic of effusive-constrictive pericarditis
The finding was identified through multimodality imaging assessment
Conclusions
Cardiac magnetic resonance (CMR) was found to play a complementary role in the diagnosis and management of inflammatory constrictive pericardial disease.
CMR identified pericardial enhancement consistent with active inflammation
CMR findings complemented other imaging modalities in establishing the diagnosis
The case highlights CMR's utility specifically in inflammatory constrictive pericardial disease
Multimodality imaging as a whole was employed for diagnosis