Rheumatic constrictive pericarditis : a case report and review of the literature
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A case of calcific constrictive pericarditis in a young White woman with a convincing history of previous acute rheumatic fever complicated by a possible valvular lesion is presented. Cardiac catheterization confirmed the suspicion of significant cardiac compression. Successful pericardiectomy was carried out, but microscopical examination of the excised pericardium failed to demonstrate a cause. In view of the strong past history of acute rheumatic fever and mild mitral insufficiency demonstrated at cardiac catheterization, the author proposes that the cardiac constrictive pericarditis was of reumatic origin. A review of the literature on the association between rheumatic infection and constrictive pericarditis follows.