title: Hemodynamics of large ventricular septal defect and coexisting chronic constrictive pericarditis masquerading as Eisenmenger's syndrome.
abstract: The presence of right to left shunting due to elevated pulmonary vascular resistance (PVR) in a patient with large ventricular septal defect (VSD) is conventionally considered as Eisenmenger's syndrome. The recognition of reversible causes of elevated PVR is important. We report hemodynamics of a child in whom unusual coexistence of large VSD and chronic constrictive pericarditis (CCP) mimicked Eisenmeneger's syndrome. The strategy of stepwise hemodynamic evaluation led to good clinical outcome.
authors.affiliation: Department of Cardiology, All India Institute of Medical Sciences, New Delhi 110029, India.
authors.forename: Saurabh Kumar
authors.initials: SK
authors.lastname: Gupta
authors.forename: Sivasubramanian
authors.initials: S
authors.lastname: Ramakrishnan
authors.forename: Shyam S
authors.initials: SS
authors.lastname: Kothari
authors.forename: Anita
authors.initials: A
authors.lastname: Saxena
authors.forename: Balram
authors.initials: B
authors.lastname: Airan
mesh_terms: D006328:Cardiac Catheterization; D002648:Child; D002908:Chronic Disease; D018618:Echocardiography, Doppler, Color; D018619:Echocardiography, Doppler, Pulsed; D004541:Eisenmenger Complex / Q000175:diagnosis / Q000503:physiopathology*; D006345:Heart Septal Defects, Ventricular / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010494:Pericarditis, Constrictive / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D011237:Predictive Value of Tests; D016896:Treatment Outcome
keywords: CATH-diagnostic cardiac catheterization; CHF-congestive heart failure; PERI-pericardial