Rare Concurrence of Apical Hypertrophic Cardiomyopathy and Effusive Constrictive Pericarditis

Satoshi Okayama1, *, Tsunenari Soeda1, Ayako Seno1, Makoto Watanabe2, Tamio Nakajima2, Shiro Uemura1, Yoshihiko Saito1
1 First department of internal medicine, Nara medical university, Nara, Japan
2 Department of cardiology, Hirai hospital, Nara, Japan

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© Okayama et al.; Licensee Bentham Open.

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* Address correspondence to this author at the First department of internal medicine Nara medical university, Nara, Japan, 840, Shijo-cho, Kashihara, Nara 634-8522, Japan; Tel: +81-744-223051; Fax: +81-744-229726; E-mail:


A 78-year-old man with a history of pulmonary tuberculosis was referred for preoperative evaluation of cardiac function. Echocardiography and cardiac cine magnetic resonance imaging (MRI) indicated apical hypertrophic cardiomyopathy (HCM), a thickened visceral pericardium, and a large pericardial effusion. Cardiac late gadolinium-enhanced MRI revealed pericardial inflammation or fibrosis. Apical HCM with concurrent effusive constrictive pericarditis was diagnosed. Further studies are required to elucidate the pathophysiology of this condition.

Keywords: Echocardiography, magnetic resonance imaging, pericardial effusion, elderly..