International Archives of Medicine


Open Access Short report

Use of magnetic resonance imaging in assessment of constrictive pericarditis: a Moroccan center experience

Amal Lachhab1*, Nawal Doghmi1, Abdellah Zouhairi1, Anis Seghrouchni3, Fouad Amal Wahid3, Abdellatif Boulahya3, Wajih Maazouzi2, Youssef Elfakir4, Omar Taoussi4, Rachida Amri1, Loubna Belhaj1, Laila Haddour1, Rhizlane Cherradi1, Latifa Oukerraj1 and Mohamed Cherti1

Author Affiliations

1 Department of Cardiology B, Maternity Hospital, Rabat, Morocco

2 Department of Cardiovascular Surgery, Ibn Sina Hospital, Rabat, Morocco

3 Department of Cardiovascular surgery, Military Hospital, Rabat, Morocco

4 Department of Radiology, Agdal Clinic, Rabat, Morocco

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International Archives of Medicine 2011, 4:36 doi:10.1186/1755-7682-4-36

Published: 19 October 2011

Abstract

Background

The diagnosis of constrictive pericarditis continues to be a clinical challenge. Magnetic resonance imaging provides excellent visualization of the pericardium. The aim of our study is to clarify the contribution of this non invasive exploration in the diagnosis of constrictive pericarditis in our center.

Methods

we conducted a prospective study over a period of two years, since 2008, covering a series of patients (n = 11), mean age 44 ± 15 years, in whom constrictive pericarditis was suspected clinically and on transthoracic echocardiography. We studied its characteristics on magnetic resonance imaging.

Results

Magnetic resonance imaging confirmed the diagnosis showing pericardial thickening in all cases, measuring 8.2 +/- 2.6 mm on average, circumferential in 64%, and localized in 36%. The imaging data, particularly pericardial thickening and its topography, were confirmed by surgical exploration, and results were concordant in all cases.

Conclusion

Magnetic resonance imaging is a powerful tool to establish constrictive pericarditis diagnosis.

Keywords:
Constrictive pericarditis; magnetic resonance imaging; pericardial thickening; tagging; adherences