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.
Published in | International Journal of Cardiovascular and Thoracic Surgery (Volume 5, Issue 1) |
DOI | 10.11648/j.ijcts.20190501.12 |
Page(s) | 6-11 |
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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. |
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Copyright © The Author(s), 2019. Published by Science Publishing Group |
Tuberculous Constrictive Pericarditis, Right Heart Failure, Emerging Countries
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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
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
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
@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://article.sciencepublishinggroup.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} }
TY - JOUR T1 - Right Heart Failure in Young People in Emerging Countries Is Most Commonly Secondary to Tuberculous Constrictive Pericarditis AU - Charbel Naim AU - Simon Bejjani AU - Omar Boustros AU - Moussa Abi Ghanem AU - Nader Wansa AU - Pierrette Habib AU - Nadine Kawkabani AU - Roula Darwish AU - Paul Charbel AU - Bassam Abou Khalil Y1 - 2019/04/10 PY - 2019 N1 - https://doi.org/10.11648/j.ijcts.20190501.12 DO - 10.11648/j.ijcts.20190501.12 T2 - International Journal of Cardiovascular and Thoracic Surgery JF - International Journal of Cardiovascular and Thoracic Surgery JO - International Journal of Cardiovascular and Thoracic Surgery SP - 6 EP - 11 PB - Science Publishing Group SN - 2575-4882 UR - https://doi.org/10.11648/j.ijcts.20190501.12 AB - 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. VL - 5 IS - 1 ER -