An Unusual Case of Parasitic Constrictive Pericarditis

Ankit Agrawal; Ashwin K Kumar; Muhammad Majid; Abdullah Yesilyaprak; Beni Verma; Aro Daniela Arockiam; Osamah Badwan; Alveena Batool Syed; Allan L Klein

doi:10.1016/j.jaccas.2023.101983

An Unusual Case of Parasitic Constrictive Pericarditis

JACC Case Rep. 2023 Aug 24:22:101983. doi: 10.1016/j.jaccas.2023.101983. eCollection 2023 Sep 20.

Authors

Ankit Agrawal¹, Ashwin K Kumar¹, Muhammad Majid¹, Abdullah Yesilyaprak¹, Beni Verma¹, Aro Daniela Arockiam¹, Osamah Badwan¹, Alveena Batool Syed¹, Allan L Klein¹

Affiliation

¹ Center for the Diagnosis and Treatment of Pericardial Diseases, Department of Cardiovascular Medicine, Heart, Vascular and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Abstract

Parasitic constrictive pericarditis is a rare entity. We present a case of a 75-year-old man who presented with dyspnea, ascites, and pedal edema and was found to have constrictive pericarditis on multimodality imaging with positive serology for Strongyloides Stercoralis. Treatment required ivermectin and radical pericardiectomy with significant clinical improvement. (Level of Difficulty: Intermediate.).

Keywords: constrictive pericarditis; multimodality imaging; pericardiectomy; strongyloidiasis.

Publication types

Case Reports