Cirrhosis is a slowly progressing disease in which healthy liver tissue is replaced with scar tissue, eventually preventing the liver from functioning properly. The Cirrhotic tissue blocks the flow of blood through theliver and slows the processing of nutrients, hormones, drugs, and naturally produced toxins.
Constrictive pericarditisis usually diagnosed after the exclusion of other causes for heart failure. The diagnosis of effusive-constrictive pericarditis is crucial as liver cirrhosis develops slowly and might not present with typical clinical symptoms. Although patients suffer from significant dyspnea, those patients have treatment records that resemble those of common heart failure patients but are not classified accordingly.
A 65-year old male was suffering from dyspnea NYHA class III/ IV (New York Heart Association) and liver cirrhosis due to unknown reason with ascites. Initially, the ascites and the pleural and pericardial effusion could be successfully treated with intensive diuretic therapy under close follow-up.
The postoperative course was uneventful. Nine months later the patient fully recovered to NYHA stage I and with normal liver function.