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Case Presentation
CCP
Clinical
Diagnosis
• Chronic Constrictive Pericarditis, Ascites,
Hepatomegaly, Pedal Edema, CCF, Probably
tubercular etiology, NSR, NYHA Grade III, on
ATT,
Chest X Ray
ECG
Echocardiography
Echocardiography
Echocardiography
Echocardiography
Echocardiography report
• Chronic Constrictive Pericarditis
• Pericardial thickening present – 5mm
• No pericardial effusion
• Diastolic Dysfunction grade (Biventricular) III
• Increased respiratory variation of early diastolic velocity across mitral valve (>25%), Annulus paradoxus
• Increased respiratory variation of early diastolic velocity across tricuspid valve (>40%)
• IVC Dilated and non collapsible
• Increased hepatic doppler flow reversal during expiration
• PA pressure across valve -30 mm HG
• Severe TR, Other Valves Normal
• Intact IAS/IVS
• Septal Bounce +nt
• Diastolic Collapse of RV present
• Normal LV function

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chronic constrictive pericarditis ideal short case presentation

  • 2. Clinical Diagnosis • Chronic Constrictive Pericarditis, Ascites, Hepatomegaly, Pedal Edema, CCF, Probably tubercular etiology, NSR, NYHA Grade III, on ATT,
  • 4. ECG
  • 9. Echocardiography report • Chronic Constrictive Pericarditis • Pericardial thickening present – 5mm • No pericardial effusion • Diastolic Dysfunction grade (Biventricular) III • Increased respiratory variation of early diastolic velocity across mitral valve (>25%), Annulus paradoxus • Increased respiratory variation of early diastolic velocity across tricuspid valve (>40%) • IVC Dilated and non collapsible • Increased hepatic doppler flow reversal during expiration • PA pressure across valve -30 mm HG • Severe TR, Other Valves Normal • Intact IAS/IVS • Septal Bounce +nt • Diastolic Collapse of RV present • Normal LV function