Abstract

Pericardial hydatidosis is rare. The transformation towards constriction of hydatid pericarditis remains exceptionally a mode of revelation of the disease.

This is a 49-year-old male, suffering exercise dyspnea with ascites. The echocardiography made objectified a thickening of the pericardium with appearance of shell obstructing the filling of the left ventricle and the right ventricle without calcifications. The cardiac magnetic resonance highlighted an aspect evoking a bulky pericardial effusion encysted compressive with presence of signs of chronic constrictive pericarditis. The patient underwent a sternotomy by which a subtotal pericardiectomy was performed. The pathology study showed signs suggestive of hydatid cysts. Hydatid serology was positive.

In most chronic constrictive pericarditis, the real treatment is surgical pericardial decortication.

Keywords: Constrictive Pericarditis; Hydatic Cysts; Sternotomy; Decortications; Right Catheterism

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