Here's the rub: A case of constrictive pericarditis in an adult with cystic fibrosis. (2021)

• Record Type: Journal Article
• Authors: Brown, Matthew T.; McDowell, Ashley C.; Clements, Stephen D.; Dressler, Daniel D.
• Is Part Of: Respiratory medicine case reports. Volume 33(2021)
• Publication Date: 2021
• Subjects: Echocardiography -- Constrictive -- Pericardial effusion -- Cardiac magnetic resonance -- Annulus paradoxus -- Annulus reversus; Respiratory organs -- Diseases -- Periodicals; Chest -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory System -- Periodicals; Chest -- Diseases; Respiratory organs -- Diseases; Electronic journals; Periodicals; 616.2
• DOI: 10.1016/j.rmcr.2021.101434
• Languages: English
• ISSNs: 2213-0071

Abstract

Abstract: We present a rare coexistence of constrictive pericarditis in a patient with cystic fibrosis. Careful attention to cardiac friction rub auscultated on initial examination prompted echocardiography revealing constrictive pericarditis further confirmed by cardiac magnetic resonance imaging that allowed for dedicated treatment in addition to management of his concurrent respiratory infection. Highlights: Only the third reported case of constrictive pericarditis in a patient with cystic fibrosis. Symptoms of severe cystic fibrosis and constrictive pericarditis are similar. Cardiac knocks or friction rubs should raise suspicion for a pericardial process. Annulus paradoxus and reversus are echo hallmarks for constrictive pericarditis. Management of constrictive pericarditis requires dedicated treatment and monitoring.