International Journal of Cardiovascular and Thoracic Surgery

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Right Heart Failure in Young People in Emerging Countries Is Most Commonly Secondary to Tuberculous Constrictive Pericarditis

Received: 09 December 2018    Accepted: 25 December 2018    Published: 10 April 2019
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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.

DOI 10.11648/j.ijcts.20190501.12
Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 5, Issue 1, January 2019)
Page(s) 6-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Tuberculous Constrictive Pericarditis, Right Heart Failure, Emerging Countries

References
[1] Nishimura RA. Constrictive pericarditis in the modern era: a diagnostic dilemma - Heart. 2001 (6):619-623.
[2] Osterberg L, Vagelos R, Atwood JE. Case presentation and review: constrictive pericarditis. Osterberg, West J Med. (4):232-239.
[3] Ntsekhe M, Shey Wiysonge C, Commerford PJ, Mayosi BM. The prevalence and outcome of effusive constrictive pericarditis a systemic review of literature. Cardiovasc J Afr 2012, Jan 12;22:1-5. doi: 10.5830/CVJA-2011-072.
[4] Feigenbaum’s- Echocardiography, seventh edition, pages 256-259, 556-558.
[5] Grossman’s Cardiac Catheterization, Angiography, and Intervention, pages 731-736.
[6] CinarB, EncY, GokselO et al:Chronic constrictive tuberculous pericarditis:Risk factors and outcome of pericardiectomy. IntJ Tuberc lung Dis 2006; 10:701-706.
[7] Ntsekhe M, Wiysonge C, Volminky H, Commerford PY, Mayosi BM. Adjuvant corticosteroids for tuberculous pericarditis promising but not proven. QJM 2003;96:593-599.
[8] MutyabaA, MayosiBM. JACC; 2016. Emerging countries and tuberculosis constriction. JACC; 2016.
[9] Cui HB, Chen XY, Cui CC, Ochodo EA et al. The efficacy and safety of complete pericardial drainage by means of intrapericardial fibrinolysis for the prevention of complications of pericardial effusion:A systemic review protocol. BMJ open 2016;6:e007842.
[10] Bozbuga N, Erentug V, Eren E, Erdogan HB, Kirali K, Antal A, Akinci E, Yakut C. Pericardiectomy for chronic constrictive tuberculous pericarditis. Tex Heart Inst J. 2003;30 (3):180-185.
[11] Mnguni AT, Engel ME, Borkum MS, Mayosi BM. The Effects of Angiotensin Converting Enzyme Inhibitors (ACE-I) on Human N-Acetyl-Seryl-Aspartyl-Lysyl-Proline (Ac-SDKP) Levels: A Systematic Review and Meta-Analysis. PLoS One 2015;10:e0143338.
[12] Kakia A, Wiysonge CS, Ochodo EA, Awotedu AA, Ristic AD, Mayosi BM. The efficacy and safety of complete pericardial drainage by means of intrapericardial fibrinolysis for the prevention of complications of pericardial effusion: a systematic review protocol. BMJ open 2016;6:e007842.
Author Information
  • Department of Cardiology, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon

  • Department of Cardiothoracic Surgery, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon

  • Department of Cardiothoracic Surgery, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon

  • Department of Cardiothoracic Surgery, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon

  • Department of Cardiology, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon

  • Department of Cardiology, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon

  • Department of Cardiac Anesthesia, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon

  • Department of Cardiac Anesthesia, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon

  • Department of Cardiology, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon

  • Department of Cardiothoracic Surgery, Saint George Hospital- University Medical Center, University of Balamand, Beirut, Lebanon

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  • APA Style

    Charbel Naim, Simon Bejjani, Omar Boustros, Moussa Abi Ghanem, Nader Wansa, et al. (2019). Right Heart Failure in Young People in Emerging Countries Is Most Commonly Secondary to Tuberculous Constrictive Pericarditis. International Journal of Cardiovascular and Thoracic Surgery, 5(1), 6-11. https://doi.org/10.11648/j.ijcts.20190501.12

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    ACS Style

    Charbel Naim; Simon Bejjani; Omar Boustros; Moussa Abi Ghanem; Nader Wansa, et al. Right Heart Failure in Young People in Emerging Countries Is Most Commonly Secondary to Tuberculous Constrictive Pericarditis. Int. J. Cardiovasc. Thorac. Surg. 2019, 5(1), 6-11. doi: 10.11648/j.ijcts.20190501.12

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    AMA Style

    Charbel Naim, Simon Bejjani, Omar Boustros, Moussa Abi Ghanem, Nader Wansa, et al. Right Heart Failure in Young People in Emerging Countries Is Most Commonly Secondary to Tuberculous Constrictive Pericarditis. Int J Cardiovasc Thorac Surg. 2019;5(1):6-11. doi: 10.11648/j.ijcts.20190501.12

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  • @article{10.11648/j.ijcts.20190501.12,
      author = {Charbel Naim and Simon Bejjani and Omar Boustros and Moussa Abi Ghanem and Nader Wansa and Pierrette Habib and Nadine Kawkabani and Roula Darwish and Paul Charbel and Bassam Abou Khalil},
      title = {Right Heart Failure in Young People in Emerging Countries Is Most Commonly Secondary to Tuberculous Constrictive Pericarditis},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {5},
      number = {1},
      pages = {6-11},
      doi = {10.11648/j.ijcts.20190501.12},
      url = {https://doi.org/10.11648/j.ijcts.20190501.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcts.20190501.12},
      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.},
     year = {2019}
    }
    

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    T1  - Right Heart Failure in Young People in Emerging Countries Is Most Commonly Secondary to Tuberculous Constrictive Pericarditis
    AU  - Charbel Naim
    AU  - Simon Bejjani
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    AU  - Moussa Abi Ghanem
    AU  - Nader Wansa
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    AU  - Roula Darwish
    AU  - Paul Charbel
    AU  - Bassam Abou Khalil
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    JO  - International Journal of Cardiovascular and Thoracic Surgery
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