Acute graft rejection mimicking constrictive pericarditis after heart transplantation. A case report.

Lucrecia María Burgos, Franco Nicolás Ballari, Rocío Consuelo Baro Vila, María Antonella de Bortoli, Mariano Vrancic, Mirta Diez
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Abstract

Constrictive pericarditis (CP) is an infrequent complication following heart transplantation (HTx) and arises from diverse postoperative occurrences, including mediastinitis, pericardial effusion, or allograft rejection. Indeed, this rare clinical entity can be misdiagnosed as a rejection episode or restrictive cardiomyopathy. In this report, we present the case of a 43-year-old male who underwent HTx 1.5 years prior and was subsequently admitted to our center due to the gradual onset of symptoms indicative of right congestive heart failure, with an initial diagnosis of constrictive pericarditis.

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心脏移植后模仿缩窄性心包炎的急性移植物排斥反应。病例报告。
缩窄性心包炎(CP)是心脏移植(HTx)后一种不常见的并发症,术后会出现各种并发症,包括纵隔炎、心包积液或同种异体移植排斥反应。事实上,这种罕见的临床症状可能会被误诊为排斥反应发作或局限性心肌病。在本报告中,我们介绍了一例 43 岁男性患者的病例,他在 1.5 年前接受了高位截瘫手术,随后因逐渐出现右侧充血性心力衰竭症状而被送入本中心,初步诊断为缩窄性心包炎。
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审稿时长
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