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dc.contributor.authorTugcu, Aylin
dc.contributor.authorYildirimturk, Ozlein
dc.contributor.authorDuran, Cihan
dc.contributor.authorAytekin, Saide
dc.date.accessioned2019-08-13T12:10:23Z
dc.date.accessioned2019-08-13T16:05:18Z
dc.date.available2019-08-13T12:10:23Z
dc.date.available2019-08-13T16:05:18Z
dc.date.issued2008
dc.identifier.issn0742-2822
dc.identifier.urihttps://dx.doi.org/10.1111/j.1540-8175.2008.00660.x
dc.identifier.urihttp://hdl.handle.net/11446/3466
dc.descriptionWOS: 000258400000015en_US
dc.descriptionPubMed ID: 18754936en_US
dc.description.abstractA 77-year-old male patient was admitted to our institution with 1-year history of progressive dyspnea on exertion, and lower extremity edema. His chest x-ray showed a circumferential pericardial calcification and right-sided pleural effusion. The electrocardiography revealed atrial fibrillation with low voltage in all derivations and diffuse nonspecific T-wave inversions. The transesophageal echocardiography showed a thickened pericardium with biatrial enlargement and normal right and left ventricular systolic functions. A thick echogenic structure that caused impression and narrowing of the ascending aorta was observed. Simultaneous right and left heart catheterization showed elevation and equalization of right-sided and left-sided diastolic filling pressures, with characteristic dip and plateau. Aortic angiogram showed the ascending aorta was impressed and narrowed by calcified pericardium. Cine magnetic resonance imaging showed pericardial calcifications impressing and narrowing of the ascending aorta. All these findings were consistent with constrictive pericarditis. The patient had no history of tuberculosis, cardiac surgery, or mediastinal irradiation. His HIV antibody test was negative. Marked pericardial thickening and calcifications were evident during pericardiectomy. Histological analysis of the pericardium showed dense collageneous matrix, mild chronic inflammation and calcification. The culture of pericardial tissue revealed no identifiable cause including tuberculosis. The patient was diagnosed as idiopathic constrictive pericarditis. The patient's symptoms and edema decreased remarkably after pericardial stripping. He remained well at 1-year follow-up.en_US
dc.language.isoengen_US
dc.publisherBLACKWELL PUBLISHINGen_US
dc.relation.isversionof10.1111/j.1540-8175.2008.00660.xen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectconstrictive pericarditisen_US
dc.subjecttransesophageal echocardiographyen_US
dc.subjectascending aortaen_US
dc.subjectcomputed tomographyen_US
dc.subjectmagnetic resonance imagingen_US
dc.titleConstrictive pericarditis impressing and narrowing the ascending aortaen_US
dc.typearticleen_US
dc.relation.journalECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUESen_US
dc.contributor.departmentDBÜen_US
dc.identifier.issue7en_US
dc.identifier.volume25en_US
dc.identifier.startpage768en_US
dc.identifier.endpage771en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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