An Ideal Image: Effusive Constrictive Pericarditis

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Presentation transcript:

An Ideal Image: Effusive Constrictive Pericarditis Shah M. Azarisman, MBBS, MMed, James D. Richardson, MBBS, S.K. Chua, MBBS, Michael S. Cunningham, MBBS, Karen S. Teo, MBBS, PhD, Stephen G. Worthley, MBBS, PhD The American Journal of Medicine Volume 126, Issue 1, Pages 25-26 (January 2013) DOI: 10.1016/j.amjmed.2012.08.014 Copyright © 2013 Terms and Conditions

Figure 1 Cardiac magnetic resonance imaging was used to diagnose effusive-constrictive cardiac physiology. Cine short-axis views are presented here. A, A normal septal shape was evident at end expiration. B, Septal flattening at end inspiration is denoted with an arrow. Note the large pericardial effusion, which is marked with an asterisk. The American Journal of Medicine 2013 126, 25-26DOI: (10.1016/j.amjmed.2012.08.014) Copyright © 2013 Terms and Conditions

Figure 2 Late gadolinium enhancement of the pericardium is shown here. A, Global late enhancement of both layers of the pericardium (bright white) is in the short axis view. B, This is the horizontal long axis view. In both images, the fluid comprising the pericardial effusion appears black. The American Journal of Medicine 2013 126, 25-26DOI: (10.1016/j.amjmed.2012.08.014) Copyright © 2013 Terms and Conditions

Figure 3 Histopathology followed pericardiectomy. A, This low-magnification photomicrograph of the excised pericardium demonstrates myocardium, thickened pericardium, and pericardial fat (hematoxylin and eosin, 100×). B, A high-magnification view of the pericardium shows significant inflammatory cell infiltration consistent with chronic inflammation (hematoxylin and eosin, 40×). The American Journal of Medicine 2013 126, 25-26DOI: (10.1016/j.amjmed.2012.08.014) Copyright © 2013 Terms and Conditions