Right Heart Failure in Young People in Emerging Countries Is Most Commonly Secondary to Tuberculous Constrictive Pericarditis
International Journal of Cardiovascular and Thoracic Surgery
Volume 5, Issue 1, January 2019, Pages: 6-11
Received: Dec. 9, 2018; Accepted: Dec. 25, 2018; Published: Apr. 10, 2019
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Authors
Charbel Naim, Department of Cardiology, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon
Simon Bejjani, Department of Cardiothoracic Surgery, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon
Omar Boustros, Department of Cardiothoracic Surgery, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon
Moussa Abi Ghanem, Department of Cardiothoracic Surgery, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon
Nader Wansa, Department of Cardiology, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon
Pierrette Habib, Department of Cardiology, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon
Nadine Kawkabani, Department of Cardiac Anesthesia, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon
Roula Darwish, Department of Cardiac Anesthesia, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon
Paul Charbel, Department of Cardiology, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon
Bassam Abou Khalil, Department of Cardiothoracic Surgery, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon
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Abstract
Constrictive pericarditis is a rare disease with a challenging diagnosis and treatment. Tuberculous pericarditis accounts to 1-2% of the cases in the United States, but is the most common cause in other countries. We report a 17-year-old male presenting with right heart failure. His initial work up that included an Electrocardiogram, chest roentgenogram and echocardiogram suspected constrictive pericarditis. Right heart catheterization and cardiac MRI confirmed the diagnosis. Total Pericardiectomy was performed. Tissue PCR showed tuberculous pericarditis and the patient was treated with anti-tuberculous drugs for 9 months. Tuberculosis is a common cause of constrictive pericarditis especially in developing countries, whereas in developed countries most cases are idiopathic. To note that the diagnosis of tuberculous pericarditis can be difficult especially in negative PPD patients However It remains a common cause of constrictive pericarditis in some parts of the world where a high index of suspicion is requested. The treatment is curative and thus an aggressive approach in diagnosis and treatment is indicated.
Keywords
Tuberculous Constrictive Pericarditis, Right Heart Failure, Emerging Countries
To cite this article
Charbel Naim, Simon Bejjani, Omar Boustros, Moussa Abi Ghanem, Nader Wansa, Pierrette Habib, Nadine Kawkabani, Roula Darwish, Paul Charbel, Bassam Abou Khalil, Right Heart Failure in Young People in Emerging Countries Is Most Commonly Secondary to Tuberculous Constrictive Pericarditis, International Journal of Cardiovascular and Thoracic Surgery. Vol. 5, No. 1, 2019, pp. 6-11. doi: 10.11648/j.ijcts.20190501.12
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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