The hemodynamic signs of constrictive pericarditis can be mimicked by tricuspid regurgitation.
A case with clinical and hemodynamic findings consistent with constrictive pericarditis is reported. At surgery, the pericardium was not thickened or adherent to the epicardial wall. As suggested by echocardiography, a diagnosis of severe tricuspid regurgitation was confirmed. This case illustrates that invasive hemodynamic findings consistent with a picture of pericardial constriction can be produced by processes other than constrictive pericarditis.
Department of Medicine, Division of Cardiology, Baystate Medical Center, Springfield, Massachusetts, USA.
Jill
J
Studley
Dennis A
DA
Tighe
John M
JM
Joelson
Joseph E
JE
Flack
D000368:Aged; D017548:Echocardiography, Transesophageal; D005260:Female; D006439:Hemodynamics; D006801:Humans; D010494:Pericarditis, Constrictive / Q000175:diagnosis* / Q000503:physiopathology; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology