We describe a patient who suffered progressive right heart failure of unknown aetiology, despite a lengthy series of hospital investigations. Constrictive pericarditis had not been suspected during life, and was ultimately diagnosed as an autopsy finding. The salient clinical features and confirmatory investigations for this unusual disorder are reviewed. The case reminds us to consider the pos...

Abstract The EUROMACS Right-Sided Heart Failure Risk Score was developed to predict right ventricular failure (RVF) after left assist device (LVAD) placement. predictive ability of the score has not been tested in other cohorts. We performed a single center analysis continuous-flow (CF) LVAD cohort (n = 254) where we calculated risk scores and assessed for heart implantation. Thirty-nine percen...

In this perspective, the International Right Heart Foundation Working Group moves a step forward to develop a common language to describe the development and defects that exemplify the common syndrome of right heart failure. We first propose fundamental definitions of the distinctive components of the right heart circulation and provide consensus on a universal definition of right heart failure...

AIMS To study the feasibility of a new semiautomatic echocardiographic modality called Tissue Synchronization Imaging (TSI) for measurement of the longitudinal left ventricular (LV) movement. METHODS AND RESULTS TSI was used in 20 subjects with structurally normal hearts to measure the time aspect of the regional longitudinal LV systolic movement in the apical four chamber view. Inter- and in...

IntroductionPulmonary hypertension (PAH) may lead to progressive right-ventricular (RV) heart failure with symptoms of hypervolemia such as renal or hepatic congestion. We present a case critically ill patient presenting sepsis from acute cholecystitis, which was later unmasked RV due uncontrolled PAH.Case ReportA 67-year-old female known PAH presented 4 days right upper quadrant abdominal pain...

BACKGROUND Tricuspid regurgitation (TR) is a common echocardiographic finding, which often accompanies left sided valve disease. Data on mortality and morbidity in patients with severe TR are limited. OBJECTIVES We sought to assess the outcome of patients with severe TR with the hypothesis that significant TR adversely impacts quality of life and survival, independent of pulmonary artery pres...

BACKGROUND Carcinoid heart disease is a frequent complication of carcinoid syndrome. It is related to the release by the carcinoid tumor and/or its metastases of bioactive substances such as serotonin. It is characterized by right-sided valvular involvement and can lead to right-sided heart failure. It is a prognostic factor of carcinoid syndrome. CASE PRESENTATION We report the case of a 53-...

Introduction. Pulmonary artery hypertension and right ventricular failure are potentially fatal complications that can develop in patients with portal hypertension. The objective of this case report was to a patient end-stage liver disease, pulmonary heart failure. Case outline. A 57-year-old man admitted the Cardiology Department tertiary referral hospital due signs right-sided failure, ascite...