ArticleEuropean heart journal. Case reports2026
Picture perfect constrictive pericarditis: a case report.
Article in European heart journal. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Constrictive pericarditis (CP) is a rare complication of acute pericarditis, caused by pericardial fibrosis and calcification that impair diastolic filling. It leads to right-sided heart failure and requires multimodal imaging for diagnosis, including echocardiography, cardiac magnetic resonance imaging, and right heart catheterization. Case summary: A 75-year-old male with a recent history of pneumonia and chest pain presented with dyspnoea and oedema. Echocardiography showed a septal bounce; CT revealed pericardial calcification; and right heart catheterization demonstrated equalized diastolic pressures with a square root sign. Magnetic resonance imaging confirmed CP. The patient was managed medically and referred for pericardiectomy. Discussion: This case illustrates classic CP with hallmark clinical, imaging, and haemodynamic findings. It emphasizes the diagnostic value of multimodal evaluation and serves as a comprehensive example of this uncommon but critical condition.
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