Diagnosis of constrictive pericarditis obscured by hypertrophic cardiomyopathy: Back to basics

Chance M. Witt, Mackram Eleid, Rick A. Nishimura

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

In this report, we describe the case of a 41-year-old man with hypertrophic cardiomyopathy presenting with right-sided congestive heart failure symptoms. Noninvasive testing was suggestive, but non-diagnostic for constrictive pericarditis (CP) and thus invasive hemodynamic catheterization was performed. The unique presence of both hypertrophic cardiomyopathy and constriction in this case led to lack of "modern" echocardiographic and invasive criteria for CP, based upon findings of enhanced ventricular dependence. However, classic hemodynamic criteria of early rapid filling with elevation and end-equalization of diastolic pressures were present, and the patient ultimately received pericardiectomy with dramatic clinical improvement.

Original languageEnglish (US)
Pages (from-to)536-539
Number of pages4
JournalCatheterization and Cardiovascular Interventions
Volume86
Issue number3
DOIs
StatePublished - Sep 1 2015

Keywords

  • computed tomography
  • constrictive pericarditis
  • echocardiography
  • hemodynamic catheterization
  • hypertrophic cardiomyopathy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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