Unusual presentation of idiophatic chronic constrictive pericarditis

Autor: Moacir Fernandes de, Godoy, Fábio Barros de, Francischi, Paulo Roberto, Pavarino, Marcos Aurélio Barboza de, Oliveira, Marcelo José Ferreira, Soares, Domingo Marcolino, Braile
Rok vydání: 2006
Předmět:
Zdroj: Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular. 22(1)
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