Cardiovascular

Effusive-Constrictive Pericarditis.

TL;DR

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

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

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

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

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Citation

Zeitoun J, Fakih Y, Khan S, Jilani T, Malahfji M. (2026). Effusive-Constrictive Pericarditis.. Methodist DeBakey cardiovascular journal. https://doi.org/10.14797/mdcvj.1786