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Protein-losing enteropathy in association with constrictive pericarditis
Authors:Björn K I Meijers  Simon Schalla  Filip Eerens  Robert-J Van Suylen  Bernard Broers  Emile M Cheriex  Jan-P Smedema
Institution:(1) Department of Cardiology, Maastricht University Hospital, Maastricht, The Netherlands;(2) Department of Pathology, Maastricht University Hospital, Maastricht, The Netherlands;(3) Department of Internal Medicine, University Hospitals Leuven, Leuven, Belgium;(4) Department of Internal Medicine, University Hospitals Leuven, Heerestraat 49, 3000 Leuven, Belgium
Abstract:Although acute pericarditis is a common and usual benign disorder, sometimes evolution to constrictive pericarditis may occur. We present a case of constrictive pericarditis late after coronary bypass grafting, complicated by right sided heart failure. Edema formation was aggravated due to protein-losing enteropathy, resulting in hypoalbuminemia. Imaging of constrictive pericarditis was done by ultrasound as well as simultaneous pressure recording of the right and left ventricle. Imaging of intestinal protein loss was possible using intravenous Technetium-99m-labelled human serum albumin.
Keywords:constrictive pericarditis  pericardial disease  pericardiectomy  protein-losing enteropathy
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