What is the clinical evidence from this study?

Study design: Case Report. Population: Effusive constrictive pericarditis (n=1). Intervention: Magnetic resonance imaging and pericardectomy.

What does this research mean for the field?

Delayed-enhancement and real-time cine magnetic resonance imaging can effectively visualize the anatomical thickening, active inflammation, and functional septal inversion characteristic of effusive constrictive pericarditis. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This research aims to analyze the functional and anatomical findings of effusive constrictive pericarditis using magnetic resonance imaging.

August 7, 2026European Heart JournalOpen Access

Effusive constrictive pericarditis: functional and anatomical magnetic resonance findings

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Key result

Delayed-enhancement and real-time cine MRI identifies active inflammation and septal inversion in effusive constrictive pericarditis.

Key Points

This research aims to analyze the functional and anatomical findings of effusive constrictive pericarditis using magnetic resonance imaging.
A 32-year-old man with a history of acute pericarditis underwent multiple tests, including echocardiogram and delayed-enhancement MR imaging.
Cine MR imaging was performed to assess respiratory-related septal excursion during inspiration.
Cardiac surgery was performed involving pericardectomy to treat the diagnosed condition.
Echocardiogram revealed subnormal left ventricular ejection fraction and restricted filling of both ventricles.
MRI showed extensive pericardial effusion and thickened pericardial layers suggestive of active inflammation.
Histology from pericardial samples indicated lymphoplasmacytic inflammation associated with fibrinous pericarditis.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

A 32-year-old man presenting with progressive dyspnoea several months after a second episode of acute pericarditis.

Intervention

Diagnostic evaluation using delayed-enhancement magnetic resonance (MR) imaging and real-time cine MR, followed by pericardectomy.

Magnetic resonance imaging, including delayed-enhancement and real-time cine MR, can effectively identify anatomical and functional features of effusive constrictive pericarditis.

Authors

GGG. GahideCentre Hospitalier Universitaire de Sherbrooke MGMathieu GranierCentre National de la Recherche Scientifique JFJean Marc FrapierCentre National de la Recherche Scientifique

Discussion

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Implication

Alerts to possible constriction after recurrent pericarditis; leaves open need for prospective surveillance studies.

Cite This Study

Gahide et al. (2009) conducted a case report in Effusive constrictive pericarditis (n=1). Magnetic resonance imaging and pericardectomy was evaluated. Delayed-enhancement and real-time cine magnetic resonance imaging successfully identified active inflammation and septal inversion in a patient with effusive constrictive pericarditis.

synapsesocial.com/papers/6a754ea366192e1616070953 https://doi.org/10.1093/eurheartj/ehp021

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Effusive constrictive pericarditis: functional and anatomical magnetic resonance findings

Key Points

Study Design

Structured PICO

Discussion

Implication

Cite This Study

Effusive constrictive pericarditis: functional and anatomical magnetic resonance findings

Key Points

Study Design

Structured PICO

Discussion

Implication

Cite This Study

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