Key result
Anti-inflammatory therapy resolves pericardial enhancement but persistent constriction necessitates successful pericardiectomy.
Multimodality imaging, particularly cardiac MRI, is valuable for diagnosing and guiding the management of effusive-constrictive pericarditis.
Cardiac MRI may guide management of effusive-constrictive pericarditis; extends evidence for multimodality imaging to direct medical and surgical therapy.
Multimodality imaging is used to diagnose a patient with prior acute pericarditis and demonstrated effusive-constrictive physiology characterized by pericardial thickening with effusion, pericardial enhancement consistent with active inflammation, and ventricular interdependence. These findings highlight the complementary role of cardiac magnetic resonance in the diagnosis and management of inflammatory constrictive pericardial disease.
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Zeitoun et al. (2026) studied Effusive-Constrictive Pericarditis (n=1). ibuprofen, colchicine, and corticosteroids was evaluated on Resolution of pericardial enhancement. Treatment with ibuprofen, colchicine, and corticosteroids resulted in the resolution of pericardial enhancement, although pericardial thickening and constriction persisted, leading to successful pericardiectomy.
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