[Unilateral transudative XXXX and constritive pericarditis.]

@entity1143 @entity32 @entity82 @entity2294 @entity5 @entity3822 @entity409 @entity299 @entity456
INTRODUCTION: @entity3822 is associated with thickening, @entity82 or @entity32 of the pericardium which can lead to signs of right @entity409 . It is usually a chronic process which can present in a variety of ways. We present two cases of @entity3822 discovered during the investigation of a @entity1143 . OBSERVATION: The cases represent two sorts of @entity3822 , chronic and due to @entity2294 . Their common feature was an increase in dyspnoea and a new @entity1143 on the left side. Their difference lies in the presence of a thickened calcified pericardium in one case and the presence of a pericardial effusion in the other. In both cases, non-invasive investigation failed to diagnose any @entity299 . The presence of @entity3822 was confirmed by right heart catheterization. Treatment by subtotal pericardectomy was effective. CONCLUSION: The thoracic manifestations of @entity3822 are most commonly recurring bilateral @entity1143 . The mode of presentation may be an exudative, or transudative effusion. Unilateral @entity456 , @entity82 , chylothorax or @entity5 like presentations may occur. A diagnosis of @entity3822 should be considered in these clinical contexts and an examination of the pericardium performed. Cardiac catheterization can help in the differential diagnosis.
