{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T06:23:53Z","timestamp":1763706233948,"version":"3.37.3"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T00:00:00Z","timestamp":1643932800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T00:00:00Z","timestamp":1643932800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Cardiovasc Disord"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Constrictive pericarditis remains a problematic diagnosis and a thorough investigation is critical. Among possible aetiologies, immunoglobulin-G4 (IgG4)-related pericardial disease is an unusual cause of pericardial constriction. We report a challenging diagnostic case of pericardial constriction due to IgG4-related disease.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 68-year old male with a history of inferior myocardial infarction with right ventricle (RV) involvement was thrice-hospitalized due to marked ascites and peripheral oedema. Systemic congestion was initially attributed to RV dysfunction due to previous infarction. Yet, at the final admission, a re-assessment echocardiogram followed by cardiac computed tomography, magnetic resonance and right heart catheterization raised a possible diagnosis of constrictive pericarditis with a finding of abnormal pulmonary venous return. Patient therefore underwent pericardiectomy and surgical correction of pulmonary venous return. Pericardium histology revealed an IgG4-related pericardial constriction. Patient was later discharged on corticosteroids with marked symptomatic improvement.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>IgG4-related disease remains a rare cause of pericardium constriction while also presenting a challenging diagnosis in everyday clinical practice. This case exemplifies the difficulties faced by clinicians when reviewing a possible case of constrictive pericarditis, while highlighting the importance of a multimodality assessment.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12872-022-02468-1","type":"journal-article","created":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T16:13:28Z","timestamp":1643991208000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Immunoglobulin G4-related constrictive pericarditis and the importance of a thorough workup: a case report"],"prefix":"10.1186","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2022-9991","authenticated-orcid":false,"given":"S\u00e9rgio","family":"Malt\u00eas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margarida","family":"Cabral","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Freitas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catarina","family":"Albuquerque","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Moura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beatriz","family":"Santos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel","family":"Mendes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Neves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,2,4]]},"reference":[{"issue":"3","key":"2468_CR1","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1016\/j.jacc.2007.09.039","volume":"51","author":"DR Talreja","year":"2008","unstructured":"Talreja DR, Nishimura RA, Oh JK, Holmes DR. Constrictive pericarditis in the modern era: novel criteria for diagnosis in the cardiac catheterization laboratory. J Am Coll Cardiol. 2008;51(3):315\u20139. https:\/\/doi.org\/10.1016\/j.jacc.2007.09.039.","journal-title":"J Am Coll Cardiol"},{"issue":"3","key":"2468_CR2","doi-asserted-by":"publisher","first-page":"178","DOI":"10.4250\/jcvi.2019.27.e28","volume":"27","author":"SA Chang","year":"2019","unstructured":"Chang SA, Oh JK. Constrictive pericarditis: a medical or surgical disease? J Cardiovasc Imaging. 2019;27(3):178\u201386. https:\/\/doi.org\/10.4250\/jcvi.2019.27.e28.","journal-title":"J Cardiovasc Imaging"},{"issue":"9","key":"2468_CR3","doi-asserted-by":"publisher","first-page":"1181","DOI":"10.1038\/modpathol.2012.72","volume":"25","author":"V Deshpande","year":"2012","unstructured":"Deshpande V, Zen Y, Chan JK, et al. Consensus statement on the pathology of IgG4-related disease. Mod Pathol. 2012;25(9):1181\u201392. https:\/\/doi.org\/10.1038\/modpathol.2012.72.","journal-title":"Mod Pathol"},{"issue":"46","key":"2468_CR4","doi-asserted-by":"publisher","first-page":"3803","DOI":"10.1093\/eurheartj\/ehz442","volume":"40","author":"Y Tomoda","year":"2019","unstructured":"Tomoda Y, Kometani T, Kato S, Tanaka K. Immunoglobulin G4-related pericarditis. Eur Heart J. 2019;40(46):3803. https:\/\/doi.org\/10.1093\/eurheartj\/ehz442.","journal-title":"Eur Heart J"},{"issue":"369","key":"2468_CR5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m1067","volume":"16","author":"M Lanzillotta","year":"2020","unstructured":"Lanzillotta M, Mancuso G, Della-Torre E. Advances in the diagnosis and management of IgG4 related disease. BMJ. 2020;16(369): m1067. https:\/\/doi.org\/10.1136\/bmj.m1067.","journal-title":"BMJ"},{"key":"2468_CR6","doi-asserted-by":"publisher","first-page":"1478","DOI":"10.1111\/echo.14828","volume":"37","author":"S Hajsadeghi","year":"2020","unstructured":"Hajsadeghi S, Pakbaz M, Hassanzadeh M, Sadeghipour A. A challenging case report of IgG4-related systemic disease involving the heart and retroperitoneum with a literature review of similar heart lesions. Echocardiography. 2020;37:1478\u201384.","journal-title":"Echocardiography"},{"issue":"3","key":"2468_CR7","doi-asserted-by":"publisher","first-page":"57","DOI":"10.3978\/j.issn.2305-5839.2016.01.20","volume":"4","author":"WQ Luo","year":"2016","unstructured":"Luo WQ, Fang F, Zhen WJ, et al. A case of immunoglobulin G4-related constrictive pericarditis. Ann Transl Med. 2016;4(3):57. https:\/\/doi.org\/10.3978\/j.issn.2305-5839.2016.01.20.","journal-title":"Ann Transl Med"},{"key":"2468_CR8","doi-asserted-by":"publisher","first-page":"790","DOI":"10.1136\/heartjnl-2020-318041","volume":"107","author":"A Shakir","year":"2021","unstructured":"Shakir A, Wheeler Y, Krishnaswamy G. The enigmatic immunoglobulin G4-related disease and its varied cardiovascular manifestations. Heart. 2021;107:790\u20138. https:\/\/doi.org\/10.1136\/heartjnl-2020-318041.","journal-title":"Heart"}],"container-title":["BMC Cardiovascular Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-022-02468-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12872-022-02468-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12872-022-02468-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,4]],"date-time":"2022-02-04T16:18:14Z","timestamp":1643991494000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmccardiovascdisord.biomedcentral.com\/articles\/10.1186\/s12872-022-02468-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,4]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["2468"],"URL":"https:\/\/doi.org\/10.1186\/s12872-022-02468-1","relation":{},"ISSN":["1471-2261"],"issn-type":[{"type":"electronic","value":"1471-2261"}],"subject":[],"published":{"date-parts":[[2022,2,4]]},"assertion":[{"value":"4 September 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 February 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The patient has verbally consented to the publication of his medical case in a Medical Journal. The corresponding author (SM) also obtained written consent from a family member. This investigation was conducted in accordance with the World Medical Association Declaration of Helsinki (seventh revision, Fortaleza, 2013) and the Declaration of Istanbul (2008). Furthermore, the authors declare that the figures within this article do not allow the identification of the patient. Dates were not specified to comply with patient confidentiality. This case report was exempt from ethics\u2019 board approval.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient has verbally and written consented to the publication of his medical case in a Medical Journal. The corresponding author (SM) obtained the informed consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"28"}}