Key result
Total excision of the parietal pericardia relieved symptoms and improved hemodynamics in two men with constrictive pericardial disease presenting as high-protein-count ascites.
Case Report (n=2)
Constrictive pericardial disease should be considered in the differential diagnosis of patients presenting with high-protein ascites.
Supports considering constrictive pericarditis in high-protein ascites differentials; leaves open pericardiectomy efficacy in larger cohorts.
Two men, one 63 and one 52 years old, presented with ascites. Analysis of the ascitic fluid in both patients revealed a high protein content and an elevated serum-ascites gradient. Various studies showed the cause of the ascites to be constrictive pericardial disease. Total excision of their parietal pericardia relieved their symptoms, decreased their cardiac filling pressures, and increased their cardiac indices. These cases highlight the importance of suspecting pericardial constriction as an etiology for high-protein-count ascites.
No takes yet. Share an insight, caveat, or question.
George et al. (2013) conducted a case report in Constrictive pericardial disease (n=2). Total excision of parietal pericardia was evaluated on Symptom relief and hemodynamic improvement (cardiac filling pressures and cardiac indices). Total excision of the parietal pericardia relieved symptoms and improved hemodynamics in two men with constrictive pericardial disease presenting as high-protein-count ascites.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: