Edema and protein-losing enteropathy complicating chronic constrictive pericarditis associated with an ascending aortic aneurysm

Chronic constrictive pericarditis is suspected on clinical and echocardiographic grounds. Its treatment is surgical. We report here the case of a 45-year-old man, admitted for edema characteristic of lymphatic obstruction. Examination revealed ascending aorta ectasia, associated with chronic constri...

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Bibliographic Details
Published in:La Presse médicale (1983) 2008-01, Vol.37 (1 Pt 1), p.55-57
Main Authors: Lesaffre, Francois, Sandras, Raphael, Saade, Yves-Assad, Duval, Sébastien, Metz, Damien
Format: Article
Language:fre
Subjects:
Aortic Aneurysm, Thoracic - complications
Chronic Disease
Edema - etiology
Humans
Male
Middle Aged
Pericarditis, Constrictive - complications
Protein-Losing Enteropathies - etiology
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Summary:Chronic constrictive pericarditis is suspected on clinical and echocardiographic grounds. Its treatment is surgical. We report here the case of a 45-year-old man, admitted for edema characteristic of lymphatic obstruction. Examination revealed ascending aorta ectasia, associated with chronic constrictive pericarditis. Measurement of alpha-1 antitrypsin clearance confirmed protein-losing enteropathy. Total recovery followed pericardectomy and aneurysm resection. The clinical edema in this case was due to several phenomena: protein-losing enteropathy from a functional lymphatic overload, induced by chronic constrictive pericarditis and by compression of the right atrium and vena cava by an aortic aneurysm. The hypoalbuminemia induced by protein loss may also magnify edema. An association between chronic constrictive pericarditis and ascending aortic aneurysm is uncommon. No cause for this association was found.
ISSN:0755-4982
DOI:10.1016/j.lpm.2007.05.027