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 | + | - | - |