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Revista Medica Herediana

Print version ISSN 1018-130X

Abstract

QUISPE, Jorge. Constrictive pericarditis: A cause of heart failure in a young patient. Rev Med Hered [online]. 2017, vol.28, n.2, pp.105-110. ISSN 1018-130X.  http://dx.doi.org/https://doi.org/10.20453/rmh.v28i2.3111.

Constrictive pericarditis is a cause of right heart failure that typically produces a progressive diastolic dysfunction. Pericardiectomy is the surgical indicated procedure. Presentation in young patients and systolic involvement are infrequent findings. We present the case of a 17-year-old female patient with congestive heart failure; findings of the heart ultrasound and magnetic resonance confirmed the diagnosis of constrictive pericarditis. Systolic dysfunction with severe apical hypokinesis and a mass like lesion compatible with a thrombus were observed. Pericardiectomy was deferred for the high surgical risk and for the bad prognostic findings on the magnetic resonance.

Keywords : Constrictive pericarditis; heart failure; left ventricular thrombus.

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