{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:45Z","timestamp":1753876245811,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T00:00:00Z","timestamp":1654560000000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Constrictive pericarditis is a rare cause of heart failure which often presents a diagnostic challenge to clinicians.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We describe the case of a 62-year-old male who presented to our institution with symptoms and signs suggestive of acute liver failure. Abdominal imaging demonstrated congestive hepatopathy. Clinical suspicion despite a \u2018normal\u2019 echocardiogram and sub-threshold NT-proBNP led to multi-modality cardiovascular imaging investigations to determine the cause of the heart failure syndrome. His cardiovascular magnetic resonance scan confirmed ventricular interdependence and extensive late enhancement in the pericardium with associated pericardial effusion. An 18F-fluorodeoxyglucose-positron emission tomography scan confirmed active pericardial inflammation. Cardiac computed tomography showed minimal pericardial calcification. Following confirming the diagnosis of effusive-constrictive pericarditis with evidence of active pericardial inflammation on imaging, a discussion within the Heart multidisciplinary team concluded that a trial of medical therapy with steroids is justifiable to avoid high-risk pericardiectomy. The patient was successfully treated with a combination of ibuprofen, colchicine, and prednisolone resulting in clinical improvement and remission of his symptoms. The imaging investigations were repeated 6 months later and confirmed radiological remission and medical therapy was discontinued.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>We stress the importance of multi-modality cardiovascular imaging in the diagnosis of constrictive pericarditis and also emphasize its role in identifying the subset of patients who may respond to medical therapy, therefore reducing the risk of high need surgical pericardiectomy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac217","type":"journal-article","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T04:49:33Z","timestamp":1654577373000},"source":"Crossref","is-referenced-by-count":1,"title":["The role of multi-modality cardiovascular imaging in a patient presenting with acute liver failure secondary to constrictive pericarditis: a case report"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5959-6628","authenticated-orcid":false,"given":"Polyvios","family":"Demetriades","sequence":"first","affiliation":[{"name":"West Midlands Deanery, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust , Mindelsohn Way, Birmingham B15 2TH , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosie","family":"Oatham","sequence":"additional","affiliation":[{"name":"Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital , Glossop Rd, Broomhall, Sheffield S10 2JF , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0175-7393","authenticated-orcid":false,"given":"Duwarakan","family":"Satchithananda","sequence":"additional","affiliation":[{"name":"University Hospitals North Midlands NHS Foundation Trust , Newcastle Rd, Stoke-on-Trent ST4 6QG , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,6,7]]},"reference":[{"key":"2022063018164202000_ytac217-B1","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1136\/heartjnl-2017-311683","article-title":"Constrictive pericarditis: diagnosis, management and clinical outcomes","volume":"104","author":"Welch","year":"2018","journal-title":"Heart"},{"key":"2022063018164202000_ytac217-B2","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1161\/CIRCIMAGING.113.001613","article-title":"Echocardiographic diagnosis of constrictive pericarditis","volume":"7","author":"Welch","year":"2014","journal-title":"Cardiovasc Imaging"},{"key":"2022063018164202000_ytac217-B3","first-page":"e8024","article-title":"Constrictive pericarditis: a commonly missed cause of treatable diastolic heart failure","volume":"12","author":"Bhattad","year":"2020","journal-title":"Cureus"},{"key":"2022063018164202000_ytac217-B4","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.1093\/eurheartj\/ehv318","article-title":"2015 ESC guidelines for the diagnosis and management of pericardial diseases","volume":"36","author":"Adler","year":"2015","journal-title":"Eur Heart J"},{"key":"2022063018164202000_ytac217-B5","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1111\/echo.14649","article-title":"Multimodality approach to the diagnosis and management of constrictive pericarditis","volume":"37","author":"Ansari-Gilani","year":"2020","journal-title":"Echocardiography"},{"key":"2022063018164202000_ytac217-B6","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s11886-019-1115-y","article-title":"Multimodality imaging for the assessment of pericardial diseases","volume":"21","author":"Chetrit","year":"2019","journal-title":"Curr Cardiol Rep"},{"key":"2022063018164202000_ytac217-B7","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1080\/14779072.2019.1657832","article-title":"Multimodality imaging for the diagnosis and treatment of constrictive pericarditis","volume":"17","author":"Chetrit","year":"2019","journal-title":"Expert Rev Cardiovasc Ther"},{"key":"2022063018164202000_ytac217-B8","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/s11886-020-01420-z","article-title":"Cardiac tumours: diagnosis, prognosis, and treatment","volume":"22","author":"Bussani","year":"2020","journal-title":"Curr Cardiol Rep"},{"key":"2022063018164202000_ytac217-B9","doi-asserted-by":"crossref","first-page":"785","DOI":"10.2459\/JCM.0b013e3283340b97","article-title":"Medical therapy of pericardial diseases: part II: noninfectious pericarditis, pericardial effusion and constrictive pericarditis","volume":"11","author":"Imazio","year":"2010","journal-title":"J Cardiovasc Med"},{"key":"2022063018164202000_ytac217-B10","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.jacc.2003.08.032","article-title":"Transient constrictive pericarditis: causes and natural history","volume":"43","author":"Haley","year":"2004","journal-title":"J Am Coll Cardiol"},{"key":"2022063018164202000_ytac217-B11","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.jacc.2019.11.021","article-title":"Management of acute and recurrent pericarditis","volume":"75","author":"Chiabrando","year":"2020","journal-title":"J Am Coll Cardiol"},{"key":"2022063018164202000_ytac217-B12","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jccase.2017.03.007","article-title":"Subacute effusive-constrictive pericarditis: echocardiography-guided diagnosis and management","volume":"16","author":"Ohsawa","year":"2017","journal-title":"J Cardiol Cases"},{"key":"2022063018164202000_ytac217-B13","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/s10741-012-9309-z","article-title":"CT and PET imaging in pericardial disease","volume":"18","author":"Alter","year":"2013","journal-title":"Hear Fail Rev"},{"key":"2022063018164202000_ytac217-B14","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.1161\/CIRCULATIONAHA.111.026070","article-title":"Cardiac magnetic resonance imaging pericardial late gadolinium enhancement and elevated inflammatory markers can predict the reversibility of constrictive pericarditis after antiinflammatory medical therapy","volume":"124","author":"Feng","year":"2011","journal-title":"Circulation"},{"key":"2022063018164202000_ytac217-B15","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1016\/j.athoracsur.2012.01.049","article-title":"Completion pericardiectomy for recurrent constrictive pericarditis: importance of timing of recurrence on late clinical outcome of operation","volume":"93","author":"Cho","year":"2012","journal-title":"Ann Thorac Surg"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/6\/ytac217\/44162582\/ytac217.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/6\/ytac217\/44162582\/ytac217.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T18:17:10Z","timestamp":1656613030000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac217\/6603492"}},"subtitle":[],"editor":[{"given":"Luke Joseph","family":"Laffin","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Nuzzi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mark","family":"Abela","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Cemil","family":"Izgi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Matteo","family":"Parollo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mariame","family":"Chakir","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,6,1]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,6,2]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac217","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2022,6,1]]},"published":{"date-parts":[[2022,6,1]]},"article-number":"ytac217"}}