RT Journal Article
T1 Subacute tuberculous constrictive pericarditis
A1 De Agustín Loeches, José Alberto
A1 Álvarez, Jordi
A1 García, Ángel
A1 González Ferrer, Juan José
A1 Núñez Gil, Iván Javier
A1 Marcos Alberca, Pedro
A1 Fernández Golfín, Covadonga
A1 Macaya Miguel, Carlos
A1 Zamorano Gómez, José Luis
AB A 22-year-old man was admitted to the hospital with progressively worsening exertional dyspnea, thoracic pain, and low-grade evening fever. Transthoracic echocardiography revealed a thick fibrinous exudate in the pericardial sac (A) associated with diminished movements of the heart surface and septal bouncing ( B , Online Videos 1 and 2 ). An exaggerated inspiratory expansion of the right ventricle and simultaneous compression of the left ventricle were noticed ( Online Video 3 ). Doppler echocardiography reported large respiratory variations in ventricular filling and aortic flow (C, D) . Also, increased suprahepatic vein flow reversal with expiration was detected (E) . Cardiac magnetic resonance was performed and showed generalized pericardial thickening involving both parietal and visceral pericardium, with maximal thickness of 20 mm (F) . Contrast-enhanced imaging showed prominent delayed hyperenhancement at the pericardium (G) . The patient had strongly positive tuberculin test results, and a biopsy of a mediastinal adenopathy was performed. Histopathologic examination showed severe inflammation with granulomas, consistent with tuberculosis (H) .
PB American College of Cardiology
SN 0735-1097
YR 2012
FD 2012-11-01
LK https://hdl.handle.net/20.500.14352/131937
UL https://hdl.handle.net/20.500.14352/131937
LA eng
NO De Agustín, J. A., Álvarez, J., García, A., González-Ferrer, J. J., Núñez-Gil, I. J., Marcos-Alberca, P., Fernández-Golfín, C., Macaya, C., & Zamorano, J. (2012). Subacute tuberculous constrictive pericarditis. Journal of the American College of Cardiology, 59(11), e21. https://doi.org/10.1016/j.jacc.2011.07.059
DS Docta Complutense
RD 22 mar 2026