June 5, 2013
View Full PaperMechanism of septal bounce in constrictive pericarditis: a simultaneous cardiac catheterisation and echocardiographic study
Structured PICO
P
Population
A 71-year-old man with dyspnoea on exertion, oedema, and calcified pericardium
I
Intervention
Simultaneous right and left heart catheterisation with high-fidelity manometric catheters and M-mode echocardiography
A case report describing the use of simultaneous cardiac catheterisation and echocardiography to evaluate the mechanism of septal bounce in constrictive pericarditis.
Abstract
A 71-year-old man complained of dyspnoea on exertion and oedema. Chest radiograph demonstrated calcified pericardium. Echocardiogram and gated CT revealed abnormal septal motion in diastole (septal bounce) as well as a septal shift with inspiration (see online supplementary video 1 and 2). A right and left heart catheterisation with high-fidelity manometric catheters was performed simultaneously with M-mode echocardiography. Rapidly …