磁共振成像在缩窄性心包炎评估中的应用：摩洛哥某中心的经验
Use of magnetic resonance imaging in assessment of constrictive pericarditis: a Moroccan center experience.
作者信息
Lachhab Amal, Doghmi Nawal, Zouhairi Abdellah, Seghrouchni Anis, Wahid Fouad Amal, Boulahya Abdellatif, Maazouzi Wajih, Elfakir Youssef, Taoussi Omar, Amri Rachida, Belhaj Loubna, Haddour Laila, Cherradi Rhizlane, Oukerraj Latifa, Cherti Mohamed
机构信息
Department of Cardiology B, Maternity Hospital, Rabat, Morocco.
Department of Cardiovascular surgery, Military Hospital, Rabat, Morocco.
出版信息
Int Arch Med. 2011 Oct 19;4:36. doi: 10.1186/1755-7682-4-36.
BACKGROUND
The diagnosis of constrictive pericarditis continues to be a clinical challenge. Magnetic resonance imaging provides excellent visualization of the pericardium. The aim of our study is to clarify the contribution of this non invasive exploration in the diagnosis of constrictive pericarditis in our center.
METHODS
we conducted a prospective study over a period of two years, since 2008, covering a series of patients (n = 11), mean age 44 ± 15 years, in whom constrictive pericarditis was suspected clinically and on transthoracic echocardiography. We studied its characteristics on magnetic resonance imaging.
RESULTS
Magnetic resonance imaging confirmed the diagnosis showing pericardial thickening in all cases, measuring 8.2 +/- 2.6 mm on average, circumferential in 64%, and localized in 36%. The imaging data, particularly pericardial thickening and its topography, were confirmed by surgical exploration, and results were concordant in all cases.
CONCLUSION
Magnetic resonance imaging is a powerful tool to establish constrictive pericarditis diagnosis.
背景
缩窄性心包炎的诊断仍然是一项临床挑战。磁共振成像能很好地显示心包。我们研究的目的是阐明这种非侵入性检查在本中心缩窄性心包炎诊断中的作用。
方法
自2008年起，我们进行了一项为期两年的前瞻性研究，涵盖了一系列临床上及经胸超声心动图怀疑患有缩窄性心包炎的患者（n = 11），平均年龄44 ± 15岁。我们研究了其在磁共振成像上的特征。
结果
磁共振成像确诊了所有病例的心包增厚，平均厚度为8.2 +/- 2.6毫米，64%为环形增厚，36%为局限性增厚。影像学数据，尤其是心包增厚及其形态，经手术探查得到证实，所有病例结果均一致。
结论
磁共振成像是确立缩窄性心包炎诊断的有力工具。
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