Final The Echo Manual DIGITAL

Chapter 12 Pericardial Diseases

CHAPTER 12 PERICARDIAL DISEASES

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identify or suggest the primary etiology. Comprehensive 2D and Doppler echocardiography with simultaneous recording of respiration should be able to distinguish between constriction and restriction in nearly all patients. For the last 30 years at Mayo Clinic, the detection of con- strictive pericarditis has improved greatly with the use of echocardiography, as evident by the increased volume of pericardiectomies performed for constrictive pericarditis (Fig. 12-39). FIGURE 12-38 [ 18 F]FDG PET/CT demonstrating a diffuse high 18 F-labeled fluorodeoxyglucose uptake by the peri- cardium ( top ) in a 32-year-old patient with constrictive pericarditis. After steroid therapy, the patient was free of symptoms and had no residual constrictive physiology ( bottom ), and the [ 18 F]FDG uptake on the pericardium was markedly decreased ( bottom left ). (From Chang SA, Choi JY, Kim EK, et al. [18F]Fluorodeoxyglucose PET/CT predicts response to steroid therapy in constric- tive pericarditis. Journal of the American College of Cardiology, 2017;69:750–751, with permission.) et

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FIGURE 12-39 The number of pericardiectomies for constrictive pericarditis at Mayo Clinic. (Courtesy of H. Schaff and Department of Cardiac Surgery at Mayo.)

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