Boccardi Lidia, Pino Paolo G, Zachara Elisabetta, Alegiani Massimo, Cappellini Roberto, Tanzi Pietro
Servizio Centrale di Cardiologia e Pronto Soccorso Cardiologico, Dipartimento di Malattie Cardiovascolari, Azienda Ospedaliera San Camillo-Forlanini, Roma.
Ital Heart J Suppl. 2003 Jan;4(1):58-62.
Presenting features of constrictive pericarditis, a rare evolution of acute pericardial inflammation, may resemble those of restrictive cardiomyopathy or liver diseases. We describe the case of a 32-year-old man, with a history of myocardial and pericardial inflammation disease, who showed recurrent symptoms and signs of heart failure. For this reason, he underwent complete diagnostic evaluation, including computed tomography, echocardiography with tissue Doppler imaging, and endomyocardial biopsy. Constrictive pericarditis could be correctly diagnosed and the patient underwent pericardiectomy with complete resolution of heart failure. The present case report provides evidence that tissue Doppler echocardiography yields diagnostic information helpful to differentiate between constrictive pericarditis and restrictive cardiomyopathy. Moreover, non-invasive imaging is of value to choose the optimal therapeutic strategy in constrictive cardiomyopathy.
缩窄性心包炎是急性心包炎的一种罕见演变形式，其表现特征可能与限制性心肌病或肝脏疾病相似。我们描述了一名32岁男性的病例，他有心肌和心包炎症疾病史，出现了反复的心力衰竭症状和体征。因此，他接受了全面的诊断评估，包括计算机断层扫描、组织多普勒成像超声心动图和心内膜心肌活检。缩窄性心包炎得以正确诊断，患者接受了心包切除术，心力衰竭完全缓解。本病例报告提供了证据，表明组织多普勒超声心动图可提供有助于区分缩窄性心包炎和限制性心肌病的诊断信息。此外，非侵入性成像对于选择缩窄性心肌病的最佳治疗策略具有价值。
