Constrictive pericarditis impressing and narrowing the ascending aorta

Aylin Tugcu, Ozlem Yildirimturk, Cihan Duran, Saide Aytekin

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 77-year-old male patient was admitted to our institution with 1-year history of progressive dyspnea on exertion, and lower extremity edema. His chest x-ray showed a circumferential pericardial calcification and right-sided pleural effusion. The electrocardiography revealed atrial fibrillation with low voltage in all derivations and diffuse nonspecific T-wave inversions. The transesophageal echocardiography showed a thickened pericardium with biatrial enlargement and normal right and left ventricular systolic functions. A thick echogenic structure that caused impression and narrowing of the ascending aorta was observed. Simultaneous right and left heart catheterization showed elevation and equalization of right-sided and left-sided diastolic filling pressures, with characteristic dip and plateau. Aortic angiogram showed the ascending aorta was impressed and narrowed by calcified pericardium. Cine magnetic resonance imaging showed pericardial calcifications impressing and narrowing of the ascending aorta. All these findings were consistent with constrictive pericarditis. The patient had no history of tuberculosis, cardiac surgery, or mediastinal irradiation. His HIV antibody test was negative. Marked pericardial thickening and calcifications were evident during pericardiectomy. Histological analysis of the pericardium showed dense collageneous matrix, mild chronic inflammation and calcification. The culture of pericardial tissue revealed no identifiable cause including tuberculosis. The patient was diagnosed as idiopathic constrictive pericarditis. The patient's symptoms and edema decreased remarkably after pericardial stripping. He remained well at 1-year follow-up.

Original languageEnglish (US)
Pages (from-to)768-771
Number of pages4
JournalEchocardiography
Volume25
Issue number7
DOIs
StatePublished - Aug 1 2008
Externally publishedYes

Fingerprint

Constrictive Pericarditis
Aorta
Pericardium
Edema
Tuberculosis
Cine Magnetic Resonance Imaging
Pericardiectomy
HIV Antibodies
Transesophageal Echocardiography
Pleural Effusion
Cardiac Catheterization
Left Ventricular Function
Dyspnea
Atrial Fibrillation
Thoracic Surgery
Lower Extremity
Angiography
Electrocardiography
Thorax
X-Rays

Keywords

  • Ascending aorta
  • Computed tomography
  • Constrictive pericarditis
  • Magnetic resonance imaging
  • Transesophageal echocardiography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Constrictive pericarditis impressing and narrowing the ascending aorta. / Tugcu, Aylin; Yildirimturk, Ozlem; Duran, Cihan; Aytekin, Saide.

In: Echocardiography, Vol. 25, No. 7, 01.08.2008, p. 768-771.

Research output: Contribution to journalArticle

Tugcu, Aylin ; Yildirimturk, Ozlem ; Duran, Cihan ; Aytekin, Saide. / Constrictive pericarditis impressing and narrowing the ascending aorta. In: Echocardiography. 2008 ; Vol. 25, No. 7. pp. 768-771.
@article{e43284dbcf4b44638db06e7ca1e975da,
title = "Constrictive pericarditis impressing and narrowing the ascending aorta",
abstract = "A 77-year-old male patient was admitted to our institution with 1-year history of progressive dyspnea on exertion, and lower extremity edema. His chest x-ray showed a circumferential pericardial calcification and right-sided pleural effusion. The electrocardiography revealed atrial fibrillation with low voltage in all derivations and diffuse nonspecific T-wave inversions. The transesophageal echocardiography showed a thickened pericardium with biatrial enlargement and normal right and left ventricular systolic functions. A thick echogenic structure that caused impression and narrowing of the ascending aorta was observed. Simultaneous right and left heart catheterization showed elevation and equalization of right-sided and left-sided diastolic filling pressures, with characteristic dip and plateau. Aortic angiogram showed the ascending aorta was impressed and narrowed by calcified pericardium. Cine magnetic resonance imaging showed pericardial calcifications impressing and narrowing of the ascending aorta. All these findings were consistent with constrictive pericarditis. The patient had no history of tuberculosis, cardiac surgery, or mediastinal irradiation. His HIV antibody test was negative. Marked pericardial thickening and calcifications were evident during pericardiectomy. Histological analysis of the pericardium showed dense collageneous matrix, mild chronic inflammation and calcification. The culture of pericardial tissue revealed no identifiable cause including tuberculosis. The patient was diagnosed as idiopathic constrictive pericarditis. The patient's symptoms and edema decreased remarkably after pericardial stripping. He remained well at 1-year follow-up.",
keywords = "Ascending aorta, Computed tomography, Constrictive pericarditis, Magnetic resonance imaging, Transesophageal echocardiography",
author = "Aylin Tugcu and Ozlem Yildirimturk and Cihan Duran and Saide Aytekin",
year = "2008",
month = "8",
day = "1",
doi = "10.1111/j.1540-8175.2008.00660.x",
language = "English (US)",
volume = "25",
pages = "768--771",
journal = "Echocardiography",
issn = "0742-2822",
publisher = "Wiley-Blackwell",
number = "7",

}

TY - JOUR

T1 - Constrictive pericarditis impressing and narrowing the ascending aorta

AU - Tugcu, Aylin

AU - Yildirimturk, Ozlem

AU - Duran, Cihan

AU - Aytekin, Saide

PY - 2008/8/1

Y1 - 2008/8/1

N2 - A 77-year-old male patient was admitted to our institution with 1-year history of progressive dyspnea on exertion, and lower extremity edema. His chest x-ray showed a circumferential pericardial calcification and right-sided pleural effusion. The electrocardiography revealed atrial fibrillation with low voltage in all derivations and diffuse nonspecific T-wave inversions. The transesophageal echocardiography showed a thickened pericardium with biatrial enlargement and normal right and left ventricular systolic functions. A thick echogenic structure that caused impression and narrowing of the ascending aorta was observed. Simultaneous right and left heart catheterization showed elevation and equalization of right-sided and left-sided diastolic filling pressures, with characteristic dip and plateau. Aortic angiogram showed the ascending aorta was impressed and narrowed by calcified pericardium. Cine magnetic resonance imaging showed pericardial calcifications impressing and narrowing of the ascending aorta. All these findings were consistent with constrictive pericarditis. The patient had no history of tuberculosis, cardiac surgery, or mediastinal irradiation. His HIV antibody test was negative. Marked pericardial thickening and calcifications were evident during pericardiectomy. Histological analysis of the pericardium showed dense collageneous matrix, mild chronic inflammation and calcification. The culture of pericardial tissue revealed no identifiable cause including tuberculosis. The patient was diagnosed as idiopathic constrictive pericarditis. The patient's symptoms and edema decreased remarkably after pericardial stripping. He remained well at 1-year follow-up.

AB - A 77-year-old male patient was admitted to our institution with 1-year history of progressive dyspnea on exertion, and lower extremity edema. His chest x-ray showed a circumferential pericardial calcification and right-sided pleural effusion. The electrocardiography revealed atrial fibrillation with low voltage in all derivations and diffuse nonspecific T-wave inversions. The transesophageal echocardiography showed a thickened pericardium with biatrial enlargement and normal right and left ventricular systolic functions. A thick echogenic structure that caused impression and narrowing of the ascending aorta was observed. Simultaneous right and left heart catheterization showed elevation and equalization of right-sided and left-sided diastolic filling pressures, with characteristic dip and plateau. Aortic angiogram showed the ascending aorta was impressed and narrowed by calcified pericardium. Cine magnetic resonance imaging showed pericardial calcifications impressing and narrowing of the ascending aorta. All these findings were consistent with constrictive pericarditis. The patient had no history of tuberculosis, cardiac surgery, or mediastinal irradiation. His HIV antibody test was negative. Marked pericardial thickening and calcifications were evident during pericardiectomy. Histological analysis of the pericardium showed dense collageneous matrix, mild chronic inflammation and calcification. The culture of pericardial tissue revealed no identifiable cause including tuberculosis. The patient was diagnosed as idiopathic constrictive pericarditis. The patient's symptoms and edema decreased remarkably after pericardial stripping. He remained well at 1-year follow-up.

KW - Ascending aorta

KW - Computed tomography

KW - Constrictive pericarditis

KW - Magnetic resonance imaging

KW - Transesophageal echocardiography

UR - http://www.scopus.com/inward/record.url?scp=48249123810&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=48249123810&partnerID=8YFLogxK

U2 - 10.1111/j.1540-8175.2008.00660.x

DO - 10.1111/j.1540-8175.2008.00660.x

M3 - Article

C2 - 18754936

AN - SCOPUS:48249123810

VL - 25

SP - 768

EP - 771

JO - Echocardiography

JF - Echocardiography

SN - 0742-2822

IS - 7

ER -