Constrictive Calcific Pericarditis Masked by Haemodialysis
Yükleniyor...
Dosyalar
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
We admitted a maintenance haemodialysis patient with hypotension and weakness. He had undergone cadaveric renal transplantation 19 years earlier. He had lost his kidney due to chronic allograft nephropathy 1 year after transplantation and returned to haemodialysis. He had hypotension, especially remarkable during haemodialysis. He also had hepatitis C but no cirrhosis. The patient denied a previous pulmonary tuberculosis. On physical examination, he was hypotensive (80/60 mmHg) but without peripheral oedema, neck vein distention or hepatomegaly. Heart sounds were weakly heard and there was no audible murmur or friction rub. Pericardial calcification was noticed on chest x-ray (Figure 1). Echocardiography could not visualize the pericardium or heart. Only coarse calcification of the pericardium from the subphrenic angle, but no further detail, was visible. Subsequently, we performed computerized tomography of the pericardium (Figure 2), which revealed a crescent-like calcification of the pericardium. There were calcific plaques on the right lower lobe of the pulmonary pleura as well.
Açıklama
Anahtar Kelimeler
calcification, constrictive pericarditis, haemodialysis, masked
Kaynak
NDT Plus
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
2
Sayı
Künye
Solak, Y., Selçuk, N., Tekinalp, M., Özbek, O., Atalay, H., (2009). Constrictive Calcific Pericarditis Masked by Haemodialysis. NDT Plus, (2), 425-426. Doi: 10.1093/ndtplus/sfp079
