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Table 2 Cases of Epicarditis with Parietal Pericardial Involvement*

From: Nonconstrictive epicarditis mimicking a cardiac mass in a 71-year-old Caucasian man: a case report and review of the literature

Case [Reference]

Age(y) Sex

Symptoms

Physical Exam Findings

Constrictive Physiology

Gross ± Microscopic Pathology of Epicardium

Parietal Pericardium Involvement

Echocardiography/CT

Suspected Etiology

1

[5]

83 F

Dyspnea on exertion

JVD, generalized edema, hepatomegaly

+

Dense, calcified, ossified epicardial thickening

+

CT: Calcification ring encircling the ventricle

-

2

[4]

25 M

Fever, dyspnea, chest pain

Muffled heart sounds, hepatomegaly

+

Taught white membrane 7 mm thick

+

-

Tuberculosis

3

[4]

45 M

Fever, dyspnea

Muffled heart sounds, Kussmaul's sign, hepatomegaly

+

Taught white membrane 8 mm thick infiltrating into myocardium

+

-

Tuberculosis

4

[4]

17 F

Fever, orthopnea, chest pain

Muffled heart sounds, hepatomegaly, pedal edema

+

Taught white membrane 10 mm thick

+

-

Acute pyogenic infection

5

[4]

21 F

Fever, orthopnea, chest pain

Pericardial rub

+

Taught white membrane 3 mm thick

+

-

Probably viral

6

[6]

33 M

Pleuritic chest pain, fever, fatigue

Hepatomegaly, pitting ankle edema

+

Myocardium bulging through hole in epicardium

+

TTE: Anterior and posterior pericardial effusion

Coxsackie virus

7

[7]

10 mo M

-

JVD, muffled heart sounds, hepatomegaly

+

Thickened epicardium

+

-

Acute Staphylococcus osteomyelitis of left humerus

8

[8]

51 M

Dyspnea, fatigue

JVD, Kussmaul's sign, pedal edema

+

Thickened with marked fibrosis and hyalinization

+

TEE: Thickened visceral pericardium

Associated with ASD

9

[9]

13 M

-

JVD, ascites, peripheral edema

+

Diffusely thickened

+

-

Staphylococcal sepsis

10

[9]

41 M

-

JVD, ascites, peripheral edema

+

Diffusely thickened

+

-

-

11

[9]

36 M

-

JVD, ascites, peripheral edema

+

Diffusely thickened

+

-

Tuberculosis

12

[9]

73 F

-

JVD, ascites, peripheral edema

+

Constrictive sclerosis

+

-

-

13

[10]

24 M

Dyspnea

Hepatomegaly, JVD, peripheral edema

+

Thickened and constricting, noted to be densely adherent to myocardium

+

-

Infectious mononucleosis

14

[11]

53 M

Fatigue

Ascites and pedal edema

+

Taught, 3 – 5 mm thick

+

-

-

  1. *Table does not include cases of epicarditis as a consequence of traumatic injury, thoracic surgery, or neonatal cases.
  2. CT, Computed tomography; JVD, Jugular venous distention; TEE, Transesophageal echocardiogram; TTE, Transthoracic echocardiogram