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Constrictive Pericarditis
John P. Lichtenberger, III, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Pericardial stiffening/adhesions + clinical hemodynamic changes and right heart failure

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Echocardiographic Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              CLINICAL ISSUES

                              • Presentation

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Goldstein JA et al: Hemodynamics of constrictive pericarditis and restrictive cardiomyopathy. Catheter Cardiovasc Interv. 95(6):1240-8, 2020
                                    2. Kligerman S: Imaging of pericardial disease. Radiol Clin North Am. 57(1):179-99, 2019
                                    3. Alajaji W et al: Noninvasive multimodality imaging for the diagnosis of constrictive pericarditis. Circ Cardiovasc Imaging. 11(11):e007878, 2018
                                    4. Yacoub M et al: Pericarditis, Constrictive-Effusive 2018
                                    5. Miranda WR et al: Constrictive pericarditis: a practical clinical approach. Prog Cardiovasc Dis. 59(4):369-79, 2017
                                    6. Welch TD et al: Constrictive Pericarditis. Cardiol Clin. 35(4):539-49, 2017
                                    7. Yared K et al: Multimodality imaging of pericardial diseases. JACC Cardiovasc Imaging. 3(6):650-60, 2010
                                    8. Bogaert J et al: Cardiovascular magnetic resonance in pericardial diseases. J Cardiovasc Magn Reson. 11:14, 2009
                                    9. Gilkeson RC et al: MR evaluation of cardiac and pericardial malignancy. Magn Reson Imaging Clin N Am. 11(1):173-86, viii, 2003
                                    10. Glockner JF: Imaging of pericardial disease. Magn Reson Imaging Clin N Am. 11(1):149-62, vii, 2003
                                    11. Wang ZJ et al: CT and MR imaging of pericardial disease. Radiographics. 23 Spec No:S167-80, 2003
                                    12. Breen JF: Imaging of the pericardium. J Thorac Imaging. 16(1):47-54, 2001
                                    13. Rozenshtein A et al: Plain-film diagnosis of pericardial disease. Semin Roentgenol. 34(3):195-204, 1999
                                    14. Watanabe A et al: A case of effusive-constructive pericarditis: an efficacy of GD-DTPA enhanced magnetic resonance imaging to detect a pericardial thickening. Magn Reson Imaging. 16(3):347-50, 1998
                                    15. White CS: MR evaluation of the pericardium and cardiac malignancies. Magn Reson Imaging Clin N Am. 4(2):237-51, 1996
                                    16. White CS: MR evaluation of the pericardium. Top Magn Reson Imaging. 7(4):258-66, 1995
                                    17. Masui T et al: Constrictive pericarditis and restrictive cardiomyopathy: evaluation with MR imaging. Radiology. 182(2):369-73, 1992
                                    18. Hoit BD: Imaging the pericardium. Cardiol Clin. 8(4):587-600, 1990
                                    19. Miller SW: Imaging pericardial disease. Radiol Clin North Am. 27(6):1113-25, 1989
                                    20. Olson MC et al: Computed tomography and magnetic resonance imaging of the pericardium. Radiographics. 9(4):633-49, 1989
                                    21. Sechtem U et al: MRI of the abnormal pericardium. AJR Am J Roentgenol. 147(2):245-52, 1986
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Definitions

                                                  • Pericardial stiffening/adhesions + clinical hemodynamic changes and right heart failure

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Echocardiographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Goldstein JA et al: Hemodynamics of constrictive pericarditis and restrictive cardiomyopathy. Catheter Cardiovasc Interv. 95(6):1240-8, 2020
                                                                      2. Kligerman S: Imaging of pericardial disease. Radiol Clin North Am. 57(1):179-99, 2019
                                                                      3. Alajaji W et al: Noninvasive multimodality imaging for the diagnosis of constrictive pericarditis. Circ Cardiovasc Imaging. 11(11):e007878, 2018
                                                                      4. Yacoub M et al: Pericarditis, Constrictive-Effusive 2018
                                                                      5. Miranda WR et al: Constrictive pericarditis: a practical clinical approach. Prog Cardiovasc Dis. 59(4):369-79, 2017
                                                                      6. Welch TD et al: Constrictive Pericarditis. Cardiol Clin. 35(4):539-49, 2017
                                                                      7. Yared K et al: Multimodality imaging of pericardial diseases. JACC Cardiovasc Imaging. 3(6):650-60, 2010
                                                                      8. Bogaert J et al: Cardiovascular magnetic resonance in pericardial diseases. J Cardiovasc Magn Reson. 11:14, 2009
                                                                      9. Gilkeson RC et al: MR evaluation of cardiac and pericardial malignancy. Magn Reson Imaging Clin N Am. 11(1):173-86, viii, 2003
                                                                      10. Glockner JF: Imaging of pericardial disease. Magn Reson Imaging Clin N Am. 11(1):149-62, vii, 2003
                                                                      11. Wang ZJ et al: CT and MR imaging of pericardial disease. Radiographics. 23 Spec No:S167-80, 2003
                                                                      12. Breen JF: Imaging of the pericardium. J Thorac Imaging. 16(1):47-54, 2001
                                                                      13. Rozenshtein A et al: Plain-film diagnosis of pericardial disease. Semin Roentgenol. 34(3):195-204, 1999
                                                                      14. Watanabe A et al: A case of effusive-constructive pericarditis: an efficacy of GD-DTPA enhanced magnetic resonance imaging to detect a pericardial thickening. Magn Reson Imaging. 16(3):347-50, 1998
                                                                      15. White CS: MR evaluation of the pericardium and cardiac malignancies. Magn Reson Imaging Clin N Am. 4(2):237-51, 1996
                                                                      16. White CS: MR evaluation of the pericardium. Top Magn Reson Imaging. 7(4):258-66, 1995
                                                                      17. Masui T et al: Constrictive pericarditis and restrictive cardiomyopathy: evaluation with MR imaging. Radiology. 182(2):369-73, 1992
                                                                      18. Hoit BD: Imaging the pericardium. Cardiol Clin. 8(4):587-600, 1990
                                                                      19. Miller SW: Imaging pericardial disease. Radiol Clin North Am. 27(6):1113-25, 1989
                                                                      20. Olson MC et al: Computed tomography and magnetic resonance imaging of the pericardium. Radiographics. 9(4):633-49, 1989
                                                                      21. Sechtem U et al: MRI of the abnormal pericardium. AJR Am J Roentgenol. 147(2):245-52, 1986