[The chronic constrictive pericarditis, a real calcified gangue realizing a mid-ventricular bottleneck: A case report]

Ann Cardiol Angeiol (Paris). 2019 Apr;68(2):125-128. doi: 10.1016/j.ancard.2018.07.001. Epub 2018 Aug 24.
[Article in French]

Abstract

A 30-year-old woman consulted for a predominantly right-sided global heart failure chart that had been evolving for about 3 months. Its antecedents include a concept of poorly treated pleuropulmonary tuberculosis at the age of 8 years. Lateral chest X-ray, transthoracic echocardiography and thoracic CT showed ventricular ring calcification with mid-ventricular compression with apical ballooning. The diagnosis of chronic mid-ventricular constrictive pericarditis of tuberculosis etiology was retained. The patient was put on diuretic treatment and the immediate evolution is favorable with a regression of the signs of congestion. Surgical decortication has been indicated.

Keywords: Constriction; Medio-ventriculaire; Mid-ventricular; Pericardial; Péricardique; Tuberculose; Tuberculosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Calcinosis / complications*
  • Calcinosis / diagnostic imaging
  • Chronic Disease
  • Female
  • Heart Ventricles* / diagnostic imaging
  • Humans
  • Pericarditis, Constrictive / diagnostic imaging
  • Pericarditis, Constrictive / etiology*
  • Tuberculosis, Pleural / complications*
  • Tuberculosis, Pulmonary / complications*