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Journal of Cardiac and Pulmonary Rehabilitation
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  • Case Report   
  • J Card Pulm Rehabil,
  • DOI: 10.4172/jcpr.1000147

Constrictive Pericarditis with Extensive Pericardial Calcification: Case Report and Review of Literature

Pranav Mahajan1*, Anant Naik2, Surya Kiran Aedma1, Roma Mehta3, Saeed Ally4 and Sanjay Mehta5
1Department of Internal Medicine, Carle Foundation Hospital, Urbana IL, USA
2Carle Illinois College of Medicine, University of Illinois Urbana Champaign, Champaign IL, USA
3Department of Psychology and Exercise Science, Loyola University, Chicago, USA
4Department of Cardiovascular and Thoracic Surgery, Heart and Vascular, Carle Foundation Hospital, Urbana, IL, USA
5Department of Cardiology, Carle Foundation Hospital, Urbana, IL, USA
*Corresponding Author : Dr. Pranav Mahajan MBBS, Graduate Medical Education, Department of Internal Medicine, Carle Foundation Hospital, 611 W Park St, Urbana, IL, 61801, USA, Tel: +1-217-819-1054, Email: pranav71293@gmail.com

Received Date: Oct 05, 2021 / Accepted Date: Oct 19, 2021 / Published Date: Oct 26, 2021

Abstract

Constrictive pericarditis refers to inflammation of the pericardial sac, possibly leading to acute heart failure. More than 80% cases are presumed to be due to recent or remote viral illnesses. Prominent features include chest pain, dyspnea and Electrocardiogram (ECG) revealing P-R segment depression, diffuse concave ST segment elevation, and T-wave inversion. Echocardiogram and cardiac Magnetic Resonance Imaging (MRI) can help establish diagnosis. Over time, the pericardium can undergo fibrosis or calcification resulting in excessive symptoms. After medical management with ibuprofen, colchicine or steroids, partial or complete pericardiectomy is considered. We are presenting a case with constrictive pericarditis due to extensive pericardial calcification, and ultimate resolution with pericardiectomy.

Keywords: Constrictive pericarditis; Coxsackievirus; Pericardial calcification; Pericardiectomy

Citation: Mahajan P, Naik A, Aedma SK, Mehta R, Ally S, et al. (2021) Constrictive Pericarditis with Extensive Pericardial Calcification: Case Report and Review of Literature. J Card Pulm Rehabil 5: 147. Doi: 10.4172/jcpr.1000147

Copyright: © 2021 Mahajan P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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