Chylous ascites and chylothorax are rare clinical entities and usually caused by neoplasms, particularly lymphomas, liver cirrhosis, superior vena cava thrombosis, nephrotic syndrome, and some cardiac events such as dilated cardiomyopathy or right heart failure. Constrictive pericarditis is an extremely rare cause of this clinical state. We report a 41-year-old male patient undergoing haemodial...

In this case report we share a case of infective Pericarditis caused by Propionibacterium acnes (P. acnes) in an immune-competent, nonsurgical patient. This case and review will illustrate the importance of considering P. acnes as a cause of idiopathic pericardial effusion and effusive constrictive disease. The patient was a 61-year-old male with history of osteoarthritis of the knee. He receiv...

Between 1955 and 1972, eight children receiving mediastinal irradiation for intrathoracic malignancy developed constrictive pericarditis. Six of these followed irradiation for Hodgkin's disease and represent 7% of 86 children receiving irradiation for that disease. In patients with Hodgkin's disease, the development of constrictive pericarditis was related to the dose of radiation and the use o...

SIXTY-EIGHT patients with constrictive pericarditis were studied by this laboratory in a 30-year period. During this time 14 patients were encountered whose findings suggested constrictive pericarditis but who showed an abnormal myocardium at operation or autopsy. Two of these patients had both constrictive pericarditis and myocardial fibrosis, each of the other 12 had a no: mal pericardium. Th...

OBJECTIVES This study was conducted to assess the diagnostic role of Doppler echocardiography in constrictive pericarditis. BACKGROUND It has been observed that patients with constrictive pericarditis have a characteristic Doppler pattern of respiratory variation in ventricular filling and central venous flow velocities. However, the observation was based on a small number of patients with kn...

Background—Constrictive pericarditis represents a serious hemodynamic syndrome that may lead to heart failure. Studies of its pathophysiological mechanisms have been impeded by the lack of an animal model. Methods and Results—Cardiac myosin–induced experimental autoimmune myocarditis in interferon (IFN)– knockout (KO) mice results in increased cardiac inflammation and development of severe gros...

SIXTY-EIGHT patients with constrictive pericarditis were studied by this laboratory in a 30-year period. During this time 14 patients were encountered whose findings suggested constrictive pericarditis but who showed an abnormal myocardium at operation or autopsy. Two of these patients had both constrictive pericarditis and myocardial fibrosis, each of the other 12 had a no: mal pericardium. Th...

INTRODUCTION Constrictive pericarditis is a heterogeneous disease with many causes. Traumatic hemopericardium is an uncommon initiating cause. We report the case of a man developing constrictive pericarditis after blunt chest trauma, in order to highlight an approach to diagnosing the condition and to raise awareness of the possibility of this condition developing after blunt trauma. CASE PRE...

THE ASSOCIATION of rheumatoid states with pericarditis is known."2 Coincidence of rheumatoid arthritis and chronic constrictive pericarditis is uncommon and represents a fascinating study in the pathogenesis of pericardial constriction. Repeated episodes of acute pericarditis associated with migratory polyarthritis and gradual development of constrictive pericarditis can seldom be documented. A...

Constrictive pericardial disease developing after open heart surgery is not a well-recognized complication of this procedure. It has been reported only a few times and usually not with good hemodynamic data before and after the subsequent pericardiectomy. We presently report a patient who developed constrictive pericardial disease five years after mitral valve replacement. This was documented w...