Pericarditis constrictiva crónica calcificada idiopática (concretio cordis)

Andres Felipe Posada, Hernan Dario Aguirre, Juan Jose Duque, Victor Gil Aldana

Resumen


La pericarditis constrictiva es una enfermedad poco frecuente que resulta de la pérdida de la elasticidad normal del saco pericárdico y la consiguiente cicatrización. Comprende diversas etiologías, pero en un gran porcentaje de los casos es diagnosticada como idiopática. Sus manifestaciones suelen ser crónicas, aunque sus variantes incluyen constricción subaguda, transitoria y oculta. Se presenta el caso de un paciente masculino de 53 años de edad con deterioro de su clase funcional asociado a disnea, frote pericárdico y hallazgos radiológicos de calcificación pericárdica, requiriendo pericardiectomía total.

DOI: http://dx.doi.org/10.21615/cesmedicina.30.2.9


Palabras clave


Pericarditis constrictiva, concreto cordis, pericardiectomía,

Citas


Bertog SC, Thambidorai SK, Parakh K, Schoenhagen P, Ozduran V, Houghtaling PL, et al. Constrictive pericarditis: etiology and cause-specific survival after pericardiectomy. J Am Coll Cardiol. 2004 Apr 21;43(8):1445–52. https://www.ncbi.nlm.nih.gov/pubmed/15093882

Isner JM, Carter BL, Bankoff MS, Konstam MA, Salem DN. Computed tomography in the diagnosis of pericardial heart disease. Ann Intern Med. 1982 Oct;97(4):473–9. https://www.ncbi.nlm.nih.gov/pubmed/7125406

Sagristà-Sauleda J. Cardiac constriction syndromes. Rev española Cardiol. 2008 Jun;61 Suppl 2:33–40. https://www.ncbi.nlm.nih.gov/pubmed/18590635

Imazio M, Brucato A, Maestroni S, Cumetti D, Belli R, Trinchero R, et al. Risk of constrictive pericarditis after acute pericarditis. Circulation. 2011 Sep 13;124(11):1270–5. https://www.ncbi.nlm.nih.gov/pubmed/21844077

Sagristà-Sauleda J, Permanyer-Miralda G, Soler-Soler J. Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment. J Am Coll Cardiol. 1988 Apr;11(4):724–8. https://www.ncbi.nlm.nih.gov/pubmed/3351140

Mayosi BM, Wiysonge CS, Ntsekhe M, Volmink JA, Gumedze F, Maartens G, et al. Clinical characteristics and initial management of patients with tuberculous pericarditis in the HIV era: the Investigation of the Management of Pericarditis in Africa (IMPI Africa) registry. BMC Infect Dis. 2006;6:2. http://bmcinfectdis.biomedcentral.com/articles/10.1186/1471-2334-6-2

Ling LH, Oh JK, Schaff H V, Danielson GK, Mahoney DW, Seward JB, et al. Constrictive pericarditis in the modern era: evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation. 1999 Sep 28;100(13):1380–6. https://www.ncbi.nlm.nih.gov/pubmed/10500037

Talreja DR, Edwards WD, Danielson GK, Schaff H V, Tajik AJ, Tazelaar HD, et al. Constrictive pericarditis in 26 patients with histologically normal pericardial thickness. Circulation. 2003 Oct 14;108(15):1852–7. http://circ.ahajournals.org/content/108/15/1852

Himelman RB, Lee E, Schiller NB. Septal bounce, vena cava plethora, and pericardial adhesion: informative two-dimensional echocardiographic signs in the diagnosis of pericardial constriction. J Am Soc Echocardiogr. 1988 Sep-Oct;1(5):333-40 https://www.ncbi.nlm.nih.gov/pubmed/3272782

Verhaert D, Gabriel RS, Johnston D, Lytle BW, Desai MY, Klein AL. The role of multimodality imaging in the management of pericardial disease. Circ Cardiovasc Imaging. 2010 May;3(3):333–43. https://www.ncbi.nlm.nih.gov/pubmed/20484113

Sechtem U, Tscholakoff D, Higgins CB. MRI of the normal pericardium. AJR Am J Roentgenol. 1986 Aug;147(2):239–44. https://www.ncbi.nlm.nih.gov/pubmed/3487935

Sorajja P. Invasive hemodynamics of constrictive pericarditis, restrictive cardiomyopathy, and cardiac tamponade. Cardiol Clin. 2011 May;29(2):191–9. https://www.ncbi.nlm.nih.gov/pubmed/21459242

Talreja DR, Nishimura RA, Oh JK, Holmes DR. Constrictive pericarditis in the modern era: novel criteria for diagnosis in the cardiac catheterization laboratory. J Am Coll Cardiol. 2008 Jan 22;51(3):315–9. http://content.onlinejacc.org/article.aspx?articleid=1187170

Schwefer M, Aschenbach R, Heidemann J, Mey C, Lapp H. Constrictive pericarditis, still a diagnostic challenge: comprehensive review of clinical management. Eur J Cardiothorac Surg. 2009 Sep;36(3):502–10. https://www.ncbi.nlm.nih.gov/pubmed/19394850

Kang SH, Song J-M, Kim M, Choo SJ, Chung CH, Kang D-H, et al. Prognostic predictors in pericardiectomy for chronic constrictive pericarditis. J Thorac Cardiovasc Surg. 2014 Feb;147(2):598–605. https://www.ncbi.nlm.nih.gov/pubmed/23380514


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