Dhont Sebastiaan, Van Belleghem Yves, De Zaeytijd Julie, Vandecasteele Els
Department of Cardiology, Ghent University Hospital, Corneel Heymanslaan 10, 9000 Ghent, Belgium.
Department of Cardiac Surgery, Ghent University Hospital, Ghent, Belgium.
Eur Heart J Case Rep. 2022 Jul 25;6(7):ytac287. doi: 10.1093/ehjcr/ytac287. eCollection 2022 Jul.
Constrictive pericarditis is characterized by the encasement of the heart by a stiff pericardium leading to impaired diastolic function, which ultimately leads to congestive heart failure.
We report a case of a young woman, who first presented to the ophthalmologist with the sudden appearance of floaters and vision reduction. Eventually, invasive haemodynamic assessment led to the diagnosis of constrictive pericarditis leading to venous congestion.
Understanding the pathophysiology and integrating the results of invasive and non-invasive diagnostic work up is important in making this challenging diagnosis.
缩窄性心包炎的特征是心脏被僵硬的心包包裹，导致舒张功能受损，最终导致充血性心力衰竭。
我们报告一例年轻女性病例，该患者最初因突然出现飞蚊症和视力下降就诊于眼科医生。最终，侵入性血流动力学评估确诊为缩窄性心包炎导致静脉充血。
了解病理生理学并整合侵入性和非侵入性诊断检查结果对于做出这一具有挑战性的诊断很重要。
