Angina Caused by Calcific Constrictive Pericarditis
Authors: Isabelle Mahé
Journal: Annals of Internal Medicine (2002)

Letters17 December 2002Angina Caused by Calcific Constrictive PericarditisIsabelle Mahé, MD, Eric Braunberger, MD, and Jean-François Bergmann, MDIsabelle Mahé, MDLariboisière Hospital; 75010 Paris, FranceHEGP Hospital; 75015 Paris, FranceLariboisière Hospital; 75010 Paris, FranceSearch for more papers by this author, Eric Braunberger, MDLariboisière Hospital; 75010 Paris, FranceHEGP Hospital; 75015 Paris, FranceLariboisière Hospital; 75010 Paris, FranceSearch for more papers by this author, and Jean-François Bergmann, MDLariboisière Hospital; 75010 Paris, FranceHEGP Hospital; 75015 Paris, FranceLariboisière Hospital; 75010 Paris, FranceSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-137-12-200212170-00036 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The Patient: A 62-year-old man presented with retrosternal chest pain on exertion and progressive dyspnea. Results of laboratory tests were normal. Chest radiography showed cardiac enlargement and apical calcification. Two-dimensional echocardiography revealed dilated cardiopathy with anteroseptal hypokinesis without pericardial effusion or thickening. Coronary angiography showed compression of the marginal coronary artery by a calcification that induced systolic occlusion and diastolic stenosis (Figure, top). The coronary arteries showed no atherosclerotic disease and no ventricular aneurysm. Computed tomography showed basal pericardial calcification with penetration of the myocardium at the basal wall of the left ventricle.Figure.Angiographic appearance of the ...References1. Myers RB, Spodick DH. Constrictive pericarditis: clinical and pathophysiologic characteristics. Am Heart J. 1999;138:219-32. [PMID: 10426832] CrossrefMedlineGoogle Scholar2. Navetta FI, Barber MJ, Gurbel PA, Moreadith RW, Bernstein R, Hlatky MA, et al . Myocardial ischemia in constrictive pericarditis. Am Heart J. 1988;116:1107-11. [PMID: 3177183] CrossrefMedlineGoogle Scholar3. Topaz O, Nair R, Mackall JA. Observations of angina and myocardial infarction in constrictive pericarditis. Int J Cardiol. 1993;39:121-9. [PMID: 8314645] CrossrefMedlineGoogle Scholar4. Ling LH, Oh JK, Breen JF, Schaff HV, Danielson GK, Mahoney DW, et al . Calcific constrictive pericarditis: is it still with us? Ann Intern Med. 2000;132:444-50. [PMID: 10733443] LinkGoogle Scholar5. Sadikot RT, Fredi JL, Light RW. A 43-year-old man with a large recurrent right-sided pleural effusion. Diagnosis: Constrictive pericarditis. Chest. 2000;117:1191-4. [PMID: 10767259] CrossrefMedlineGoogle Scholar6. Ling LH, Oh JK, Schaff HV, Danielson GK, Mahoney DW, Seward JB, et al . Constrictive pericarditis in the modern era: evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation. 1999;100:1380-6. [PMID: 10500037] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Isabelle Mahé, MD; Eric Braunberger, MD; Jean-François Bergmann, MDAffiliations: Lariboisière Hospital; 75010 Paris, FranceHEGP Hospital; 75015 Paris, FranceLariboisière Hospital; 75010 Paris, France PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCalcific Constrictive Pericarditis: Is It Still with Us? Lieng H. Ling , Jae K. Oh , Jerome F. Breen , Hartzell V. Schaff , Gordon K. Danielson , Douglas W. Mahoney , James B. Seward , and A. Jamil Tajik Metrics Cited byConstrictive pericarditis—a curable diastolic heart failureA Modern Approach to Tuberculous PericarditisCoronary constriction in constrictive pericarditisSwollen uvula in an 18-year-old man with hypogammaglobulinemia 17 December 2002Volume 137, Issue 12 Page: 1012-1013 Keywords Angina Arteries Cardiovascular therapy Coronary arteries Heart failure Ischemia Left ventricle Myocardium Pericardium Surgery ePublished: 17 December 2002 Issue Published: 17 December 2002 Copyright & PermissionsCopyright © 2002 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...