alexa Conical Deformity of the Left Ventricle: A Case Report | OMICS International
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Case Report

Conical Deformity of the Left Ventricle: A Case Report

Rogerio Teixeira1,2*, Nadia Moreira1, Rui Martins1, Fatima Franco1 and Luis Providencia1,2
1Servico de Cardiologia, Hospitais da Universidade de Coimbra, Coimbra, Portugal
2Faculdade de Medicina, Universidade de Coimbra, Coimbra, Portugal
Corresponding Author : Rogerio Teixeira
Servico de Cardiologia, Hospitais da Universidade de Coimbra
Av. Bissaya Barreto-Praceta Prof. Mota Pinto, 300-050 Coimbra, Portugal
Tel: +351936740242
E-mail: [email protected]
Received June 06, 2012; Accepted June 27, 2012; Published June 30, 2012
Citation: Teixeira R, Moreira N, Martins R, Franco F, Providencia L (2012) Conical Deformity of the Left Ventricle: A Case Report. J Clin Exp Cardiolog 3:203. doi: 10.4172/2155-9880.1000203
Copyright: © 2012 Teixeira R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Most published information on the diagnosis of constrictive pericarditis assumes that the left ventricle has normal or nearly normal systolic function. Noninvasive assessment of pericardial constriction remains crucial to the diagnosis, especially in high-risk subgroups of patients, such as patients after cardiac surgery.We present a 63-year-old Caucasian man who was admitted to the hospital for chronic decompensated heart failure. He had a past history of 3 open-heart surgeries for rheumatic heart valve disease. He was diagnosed with mixed pericardial and myocardial disease. The patient had a left ventricular ejection fraction of 38%, a functional mechanical aortic prosthesis, and a mechanical mitral prosthesis with elevated gradients. Severe pulmonary hypertension was present. The major findings that strongly suggested pericardial constriction were the presence of a conical deformity of the left ventricle, preserved indices of myocardial relaxation, and pericardial thickening. A reversed pattern of the velocities of diastolic relaxation was seen (lateral higher than septal), highlighting the possibility of mixed disease.This clinical case illustrates how noninvasive methods can be used to conclusively diagnose pericardial constriction in the presence of left ventricular systolic dysfunction.

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