Transient constrictive pericarditis diagnosed by cardiac magnetic resonance, 67Ga scintigraphy, and positron emission tomography

Constrictive pericarditis occurs following pericardial fibrosis and often leads to refractory right side heart failure. Surgical relief is often required for correction of hemodynamic abnormalities. Two recent reports described a transient form of constrictive pericarditis that resolved without surg...

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Bibliographic Details
Published in:International journal of cardiology 2009-11, Vol.137 (3), p.e70-e72
Main Authors: Nakao, Kazuhiro, Noguchi, Teruo, Kim, Jiyoong, Fukushima, Kazuto, Kiso, Keisuke, Ohara, Takahiro, Kanzaki, Hideaki, Hashimura, Kazuhiko, Yamada, Naoaki, Ishida, Yoshio, Kitakaze, Masahumi
Format: Article
Language:English
Subjects:
Aged
Constrictive pericarditis
Contrast Media
Diagnosis, Differential
Fluorodeoxyglucose F18
Gallium Radioisotopes
Humans
Imaging
Magnetic resonance
Magnetic Resonance Imaging
Male
Pericarditis, Constrictive - diagnosis
Pericarditis, Constrictive - drug therapy
Positron emission tomography
Radiopharmaceuticals
Tomography, Emission-Computed
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Summary:Constrictive pericarditis occurs following pericardial fibrosis and often leads to refractory right side heart failure. Surgical relief is often required for correction of hemodynamic abnormalities. Two recent reports described a transient form of constrictive pericarditis that resolved without surgical intervention. In this case, we present representative images of transient constrictive pericarditis detected by late gadolinium enhancement of cardiac magnetic resonance, 67Ga scintigraphy, and 18FDG positron emission tomography before and after corticosteroid therapy. This is the first demonstration of the utility of imaging modalities in the diagnosis of transient constrictive pericarditis, and we document radiologic changes in pericardial inflammation after medical therapy.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2009.04.046