Protein-losing enteropathy in association with constrictive pericarditis

Although acute pericarditis is a common and usual benign disorder, sometimes evolution to constrictive pericarditis may occur. We present a case of constrictive pericarditis late after coronary bypass grafting, complicated by right sided heart failure. Edema formation was aggravated due to protein-l...

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Bibliographic Details
Published in:The International Journal of Cardiovascular Imaging 2006-06, Vol.22 (3-4), p.389-392
Main Authors: Meijers, Björn K I, Schalla, Simon, Eerens, Filip, Van Suylen, Robert-J, Broers, Bernard, Cheriex, Emile M, Smedema, Jan-P
Format: Article
Language:English
Subjects:
Aged
Echocardiography, Doppler
Heart Ventricles - diagnostic imaging
Humans
Male
Organotechnetium Compounds
Pericardiectomy
Pericarditis, Constrictive - diagnostic imaging
Pericarditis, Constrictive - pathology
Pericarditis, Constrictive - surgery
Pericardium - diagnostic imaging
Pericardium - pathology
Pericardium - surgery
Protein-Losing Enteropathies - diagnostic imaging
Protein-Losing Enteropathies - pathology
Protein-Losing Enteropathies - surgery
Radionuclide Imaging
Serum Albumin
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Summary:Although acute pericarditis is a common and usual benign disorder, sometimes evolution to constrictive pericarditis may occur. We present a case of constrictive pericarditis late after coronary bypass grafting, complicated by right sided heart failure. Edema formation was aggravated due to protein-losing enteropathy, resulting in hypoalbuminemia. Imaging of constrictive pericarditis was done by ultrasound as well as simultaneous pressure recording of the right and left ventricle. Imaging of intestinal protein loss was possible using intravenous Technetium-99m-labelled human serum albumin.
ISSN:1569-5794
1573-0743
DOI:10.1007/s10554-005-9067-2