Ring-shaped calcific constrictive pericarditis strangling the heart: a case report

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• 作者：Mu Sook Lee (1)
  Joon Hyouk Choi (2)
  Young Uck Kim (2)
  Su Wan Kim (3)
  
  1. Department of Diagnostic Radiology ; Jeju National University Hospital ; Jeju National University School of Medicine ; 690-767 ; Jeju ; South Korea
  2. Department of Cardiology ; Jeju National University Hospital ; Jeju National University School of Medicine ; 690-767 ; Jeju ; South Korea
  3. Department of Thoracic and Cardiovascular Surgery ; Jeju National University Hospital ; Jeju National University School of Medicine ; 690-767 ; Jeju ; South Korea
  
• 关键词：Constrictive pericarditis ; Ring ; shaped pericardial calcification ; Atrioventricular groove
• 刊名：International Journal of Emergency Medicine
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：7
• 期：1
• 全文大小：1,382 KB
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• 刊物主题：Emergency Medicine; Pediatrics; Internal Medicine; Angiology; Cardiology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1865-1380

文摘

Constrictive pericarditis is caused by fibrosis and calcification of the pericardium, processes that inhibit diastolic filling of the heart. For the diagnosis of constrictive pericarditis, a combined approach is used to evaluate the morphologic pericardial abnormalities in conjunction with assessment of the functional and hemodynamic changes. We report novel findings of chest computed tomography (CT) and chest roentgenogram with respect to a ring-shaped pericardial calcification on atrioventricular groove causing strangulation of the heart in the patient with constrictive pericarditis, which is anatomically rarer than other severe cases of constrictive pericarditis encasing the entire heart.