Publication: Aberrant Shape of the Heart, “Gourd Shaped”: A Rare Case of Localized Constrictive Pericarditis
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Calcific constrictive pericarditis results commonly from the tubercular lesions
in developing countries. The localized calcifications associated with the calcific
constrictive pericarditis on its own is rare and the calcification along the
atrioventricular groove distorting the heart to a shape of gourd is extremely
rare. We present a case to highlight the importance of the early diagnosis of the
condition. We have approached the patient with echocardiography and commuted
tomography for the diagnosis and hemodynamic evaluation. Early treatment
is equally important for this condition, as the calcific constrictive pericarditis is
curable with pericardiectomy. However, there lacks a clear consensus for the
pericardiectomy in patients with localized calcification and medical therapy can be
initiated.
KEY WORDS
Constrictive pericarditis, Computed tomography, Echocardiography, Pericardiectomy
Description
Rajbhandari S,1 Joshi S,1 Bhattarai N,2 KC P,3 Rajthala P,4 Khadka S,4 Neupane NP,5 Aryal M,5 Rajlawot K5
1Department of Cardiology
Shahid Gangalal National Heart Centre
Bansbari, Kathmandu, Nepal
2Resident, Cardiology
3Resident, Internal Medicine
Dhulikhel Hospital, Kathmandu University Hospital
Kathmandu University School of Medical Sciences
4Medical Officer
5Department of Radiology
Shahid Gangalal National Heart Centre
Bansbari, Kathmandu, Nepal
Keywords
Constrictive pericarditis, Computed tomography, Echocardiography, Pericardiectomy