Nutmeg liver cardiac cirrhosis caused by constrictive pericarditis

Nutmeg liver cardiac cirrhosis caused by constrictive pericarditis

A 67-year-old man was referred to our emergency room for evaluation of exertional dyspnea and pretibial pitting edema of recent origin. At admission, neck vein engorgement was evident. Electrocardiography revealed a typical atrial flutter with 2:1 conduction; the serum cardiac enzyme levels were within normal limits. The laboratory findings were as follows: white blood cell 3,800/ mm3, hemoglob...

Constrictive pericarditis caused by primary liposarcoma.

A 30 year old man presented with symptoms of constrictive pericarditis. Echocardiography and computed tomography showed a mass extending from the pericardium to surround the heart and penetrating the left ventricular apex. An unresectable pleomorphic liposarcoma arising from the pericardium was found at thoracotomy.

Constrictive pericarditis complicating cardiac transplantation

Constrictive pericarditis is a disease characterized by progressive pericardial fibrosis. If left untreated it can lead to progressive heart failure and can be severely disabling. Medical management with non-steroidal anti-inflammatory drugs in combination with colchicine is promising in the acute phase of the disease but for more chronic cases pericardiectomy offers the best chance for hemodyn...

Chylous Ascites and Chylothorax Caused by Constrictive Pericarditis

Constrictive pericarditis caused by immunoglobulin G4-related disease.

An 81-year-old man with congestive heart failure was admitted to our hospital. Computed tomography of the chest revealed pericardial thickening without calcification. Ultrasonic echocardiography and cardiac magnetic resonance imaging demonstrated diastolic dysfunction. Cardiac catheterization showed bilateral elevation of ventricular end-diastolic pressure with a square root sign. The preoperat...