Diagnostic procedure for localized constrictive pericarditis leading to bilateral pleural effusion: two case reports.
ESC Heart Fail
; 11(3): 1785-1789, 2024 Jun.
Article
em En
| MEDLINE
| ID: mdl-38318721
ABSTRACT
Constrictive pericarditis is a rare disease. Localized constrictive pericarditis leading to bilateral pleural effusion is more difficult to recognize, and the diagnostic procedure can be ambiguous. Here, we report two patients diagnosed with localized constrictive pericarditis who presented with bilateral pleural effusion. A thorough work-up showed that the pleural effusion was nonspecific, as was the pathology of the pleura. One patient had a history of pericardial effusion 2 years ago, and the other had undergone surgery for an anterior mediastinum teratoma. Pericardial scarring was found on their chest CT scans. The patients underwent pericardiectomy, and localized pericardial thickening was excised. The bilateral pleural effusion was effectively cured, and the patients showed satisfactory recovery on follow-up. Physicians should be aware of localized pericarditis leading to bilateral pleural effusion, and pericardiectomy is an effective diagnostic and therapeutic procedure.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Pericardite Constritiva
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Derrame Pleural
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Pericardiectomia
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Tomografia Computadorizada por Raios X
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
ESC Heart Fail
Ano de publicação:
2024
Tipo de documento:
Article