Forma inusitada de Pericardite Crônica Constritiva Idiopática

Autor: Paulo Roberto Pavarino, Moacir Fernandes de Godoy, Fábio Barros de Francischi, Barboza de Oliveira, Ferreira Soares, Marcos Aurélio, Marcelo José
Rok vydání: 2007
Předmět:
Zdroj: Revista Brasileira de Cirurgia Cardiovascular. 22
ISSN: 0102-7638
Popis: A 55-year-old male patient presented in our service with progressive dyspnea and ascitis beginning 1 year and 8 months previously. He weighed 160 kg (normal weight 95 kg), with ascitis and orthopnea. On admission he presented normal echocardiograms. An electrocardiogram showed diffuse inverted T waves. An endomyocardial biopsy was not elucidative. A new echocardiogram confirmed a very thick pericardium. Surgical pericardial resection was indicated. The postoperative period was uneventful with complete remission of symptoms. The anatomopathological analysis was normal. The pericarditis was classified as idiopathic. This case is a warning for the need of much suspicion in patients with apparent causeless voluminous ascitis.
Databáze: OpenAIRE