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Pericardial Diseases

  • Edward T. MartinEmail author
Chapter

Abstract

Pericardial disease can be an important cause of morbidity and mortality in a clinical cardiology practice. However, patients with pericardial disease are not always encountered on a daily basis, and because pericardial disease can mimic other diseases, such as cardiovascular, pulmonary and pleural processes a firm diagnosis may be difficult. Frequently, pericardial involvement can be the initial presentation of a systemic disease process. Disorders of the pericardium can also have a variety of etiologies, including congenital malformations along with infectious, infarction-related, metabolic, autoimmune, traumatic, neoplastic, and idiopathic processes. Additionally, accurate diagnosis of a pericardial disorder may require the use of multiple noninvasive tests or a noninvasive test coupled with an invasive study.

Keywords

Cardiac Magnetic Resonance Pericardial Effusion Cardiac Compute Tomography Constrictive Pericarditis Pericardial Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Movie 15.1

Partial Absence of the Pericardium. Axial bright blood view near the level of the pulmonary artery bifurcation showing left atrial appendage herniation through the defect in the pericardium (Video courtesy of Dr. Mark Fogel) (AVI 11605 kb)

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Movie 15.2 Pericardial Cyst. Axial white blood cine image of a patient with a pericardial cyst lateral to the right atrium. Note that the cyst does not exhibit a mass effect on the right atrium (AVI 7015 kb)
Movie 15.3

Constrictive Pericarditis in a Patient with a Pacemaker. An axial cine image of a patient with constrictive pericarditis. This occurred after a pacemaker lead revision procedure. Note the thickened black pericardium with adherence anterior to the right ventricular free wall. The dark signal void in the right atrium and ventricle are from the right ventricular pacemaker lead. Bilateral pleural effusion are also present (AVI 29727 kb)

Movie 15.4

Constrictive Pericarditis in a Patient with a Pacemaker using Myocardial Tagging. Adherence of the visceral to parietal pericardium is evident anterior to the right ventricular free wall. The tags do not deform in this area suggesting loss of slippage between the myocardium and pericardium (AVI 29727 kb)

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Movie 15.5 Ventricular Interdependence in Constrictive Pericarditis. Real-time imaging showing bulging of the septum towards the left ventricular cavity during inspiration. This suggests clinical compromise from constrictive pericarditis (AVI 2374 kb)
218193_1_En_15_MOESM6_ESM.avi (92 kb)
Movie 15.6 Cardiac Tamponade. Early right ventricular diastolic collapse is seen in a patient with a pericardial effusion on this sagittal cine image. This is a sensitive sign of cardiac tamponade and hemodynamic compromise (Video courtesy of Dr. J. Ronald Mikolich) (AVI 91 kb)

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Copyright information

© Springer-Verlag London 2012

Authors and Affiliations

  1. 1.Department of Cardiovascular MRIOklahoma Heart InstituteTulsaUSA

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