A clinico-pathological conference on constrictive pericarditis secondary to rheumatoid arthritis: a case report with expert commentary and review of the literature.
Constrictive pericarditis is the commonest cardiac complication of rheumatoid arthritis (RA). Two percent of patients with RA develop significant clinical symptoms of pericarditis, which may not correlate with joint disease duration or severity. Symptoms are often vague and non-specific, which frequently delays the diagnosis and subsequent management. Surgical excision of the pericardium is the only definitive treatment option. We present the case of a 60 year-old lady with RA who presented with symptoms due to pericardial constriction and underwent radical pericardectomy.
Jordan
Adam D
AD
Department of Cardiothoracic Surgery, Papworth Hospital, Ermine Street North, Cambridge, UK. adamdjordan@doctors.org.uk
Khan
Muhammad E A
ME
Hoey
Edward T
ET
Rassl
Doris
D
Nashef
Samer A M
SA
D001172:Arthritis, Rheumatoid / Q000097:blood / Q000150:complications* / Q000503:physiopathology; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D010496:Pericardium / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome