The Teaching Point

Although the clinical presentation of constrictive pericarditis may be protean, there are a number of modalities available to confirm the diagnosis. In addition to corroborating the diagnosis of constrictive pericarditis, scintigraphy was useful in this case to demonstrate a calcified nature of the pericardial thickening. This altered the method of pericardiectomy utilized by the surgeons in this case.






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From the manuscript

Calcific constrictive pericarditis demonstrated on 99mTc-MDP bone scintigraphy

Free full text article: Calcific constrictive pericarditis demonstrated on 99mTc-MDP bone scintigraphy

Abstract
The authors present a case of calcific constrictive pericarditis, imaged with bone scintigraphy. The patient presented with three months of shortness of breath, chest pain, and chest tightness during exercise, among other nonspecific symptoms. Although the diagnosis was made based on chest radiography and cardiac MRI, bone scintigraphy was used to corroborate the diagnosis of calcific constrictive pericarditis. Bone scintigraphy showed a pattern of tracer accumulation consistent with pericardial uptake. Calcific constrictive pericarditis was also confirmed at the time of surgery.






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