Long-term echocardiographic follow-up of a patient with constrictive pericarditis treated with antituberculosis drugs and pericardiectomy.

Abstract

A middle-aged man presented to the Department of Medicine of our hospital due to exertional dyspnoea, ascites and peripheral oedema. He was later transferred to the Department of Heart Disease as his echocardiography indicated constrictive pericarditis, confirmed by cardiac MRI and cardiac catheterisation. After a thorough investigation, his constrictive pericarditis was assumed to be caused by tuberculosis. He was treated with antituberculosis therapy followed by successful surgical subtotal pericardiectomy, leading to immediate improvement of haemodynamics, regression of symptoms and recovery of cardiac function. The patient remained stable at 5-year echocardiographic follow-up with no evidence of diastolic dysfunction.

• Authors: Sahrai Saeed, Rune Haaverstad, Bjørn Blomberg, Øyvind Bleie, Torbjørn Lunde
• Journal: BMJ case reports (BMJ Case Rep) Vol. 14 Issue 8 (Aug 26 2021) ISSN: 1757-790X [Electronic] England
• PMID: 34446521 (Publication Type: Case Reports, Journal Article)
• Copyright: © BMJ Publishing Group Limited 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Chemical References

• Antitubercular Agents

Topics

• Antitubercular Agents (therapeutic use)
• Echocardiography
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Pericardiectomy
• Pericarditis, Constrictive (diagnostic imaging, drug therapy, surgery)