alexa Liver Cirrhosis Cured by Pericardiectomy – A Rare Case of Constrictive, Non-Calcifying Pericarditis
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Research Article

Liver Cirrhosis Cured by Pericardiectomy – A Rare Case of Constrictive, Non-Calcifying Pericarditis

Katharina Meszaros1*, Doris Wagner2, Helmut Müller2, Florian Iberer2, Albrecht Schmidt3, Rainer R Rienmüller4, Rudolf Stauber5, Peter Kornprat6 and Heinrich Mächler1
1Department for Cardiac Surgery, Medical University of Graz, Graz, Austria
2Department for Transplantation Surgery, Medical University of Graz, Graz, Austria
3Division of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria
4Department of Radiology, Medical University of Graz, Graz, Austria
5Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of Graz, Graz, Austria
Corresponding Author : Katharina Meszaros, MD
Medical University of Graz
Department for Cardiac Surgery
Auenbruggerplatz 29, 8036 Graz
Tel: 004331638580030
Fax: 004331638514672
E-mail: [email protected]
Received March 08, 2013; Accepted April 16, 2013; Published April 18, 2013
Citation: Meszaros K, Wagner D, Müller H, Iberer F, Schmidt A, et al. (2013) Liver Cirrhosis Cured by Pericardiectomy–A Rare Case of Constrictive, Non-Calcifying Pericarditis. J Clin Exp Cardiolog 4:242. doi: 10.4172/2155-9880.1000242
Copyright: © 2013 Meszaros K, 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

Constrictive pericarditis usually leads to heart failure but can also cause extra cardiacdiseases. We report a patient who presented with dyspnea, recurrent pericardial and pleural effusions as well as ascites. An initial cardiologic examination revealed a pericardial effusion without severe hemodynamic impairment, but without signs of additional pathologies. Abdominal sonography showed liver cirrhosis, which was laboratory classified as Child grade B. The patient was referred to a transplantation center for liver transplant evaluation. During the liver transplant evaluation process, Cardiac Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) finally revealed a constrictive non-calcifying pericarditis as the origin of the cardiac cirrhosis and the patient was scheduled for periand partial epicardiectomy. Two years later, clinical and biochemical liver parameters were completely restored. There was no recurrence of ascites or pleural effusions. At follow-up, cardiac CT and MRI proved the absence of a pericardial constriction while liver sonography showed normal hepatic morphology. This case presents a highly rare cause for liver cirrhosis and underlines the importance of a complete cardiac evaluation in case of a present liver cirrhosis of unknown causes

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