Multimodal imaging in constrictive pericarditis: a case report of cardiac cirrhosis

Lucía Barriales-Revilla; Lindsay Benites-Yshpilco; Roberto Baltodano-Arellano; Luis Falcón-Quispe; Kelly Cupe-Chacalcaje; Angela Cachicatari-Beltrán; Gerald Lévano-Pachas

doi:10.47487/apcyccv.v4i3.294

Autores/as

Lucía Barriales-Revilla Servicio de Cardiología, Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Peru. https://orcid.org/0000-0002-6686-945X
Lindsay Benites-Yshpilco Servicio de Cardiología, Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Peru. https://orcid.org/0000-0002-3846-0868
Roberto Baltodano-Arellano Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Peru; Unidad de Imágenes Cardiacas, Servicio de Cardiología, Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Peru. https://orcid.org/0000-0002-7538-2125
Luis Falcón-Quispe Unidad de Imágenes Cardiacas, Servicio de Cardiología, Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Peru. https://orcid.org/0000-0002-7055-2308
Kelly Cupe-Chacalcaje Unidad de Imágenes Cardiacas, Servicio de Cardiología, Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Peru. https://orcid.org/0000-0002-7497-3898
Angela Cachicatari-Beltrán Unidad de Imágenes Cardiacas, Servicio de Cardiología, Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Peru. https://orcid.org/0000-0001-7908-5200
Gerald Lévano-Pachas Servicio de Cardiología, Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Peru. https://orcid.org/0000-0002-4136-5802

DOI:

https://doi.org/10.47487/apcyccv.v4i3.294

Palabras clave:

Constrictive pericarditis, Pericardiectomy, Echocardiograph, Cirrhosis

Resumen

Constrictive pericarditis is a rare cause of ascites and cardiac cirrhosis. We present the case of a 36-year- old male patient with a history of cirrhosis of unknown etiology, who consulted for refractory ascites, dyspnea, and lower limb swelling. Echocardiography determined constrictive pericarditis, which was corroborated by the findings of computed tomography. The clinical and hemodynamic worsening of the patient led to an emergency pericardiectomy with satisfactory recovery. This report shows a severe clinical consequence of constrictive pericarditis, cardiac cirrhosis, which was reversible with pericardial extirpation. Multimodal imaging was essential in the diagnosis of constrictive pericarditis.

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