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Hemodynamic features of chronic constrictive pericarditis during cardiac catheterization – A case report.

Sachin Sondhi, Rajesh Sharma, Rajeev Merwaha, Kunal Mahajan and Rao Somendra

Background: Chronic constrictive pericarditis is completely reversible cause for right-sided heart failure and requires differentiation from restrictive cardiomyopathy. Both of entities come under differential diagnosis of restrictive physiology, which impedes the filling of the ventricular cavity during diastole. Case-description: A 54-year-old male presented with a history of recurrent pedal edema and ascites since last 2 years. He took antitubercular treatment for pulmonary tuberculosis 3 years back. He was having atrial fibrillations and his echocardiogram revealed dilated IVC with poor respiratory variation, grade 3 diastolic dysfunction, septal bounce, exaggerated respiratory variations in mitral and tricuspid inflow velocities and diastolic flow reversal in hepatic vein during expiration and preserved tissue annular velocity of the lateral mitral annulus. Conclusion: CCP is completely reversible cause for right heart failure, a high degree of clinical suspicion and differentiating features on cardiac catheterization study are helpful to differentiate it from restrictive cardiomyopathy which is irreversible cause for right heart failure.