<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-5256</journal-id>
<journal-title><![CDATA[Revista Med]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Med]]></abbrev-journal-title>
<issn>0121-5256</issn>
<publisher>
<publisher-name><![CDATA[Universidad Militar Nueva Granada. Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-52562024000200115</article-id>
<article-id pub-id-type="doi">10.18359/rmed.7298</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pericarditis constrictiva: una patología poco frecuente]]></article-title>
<article-title xml:lang="en"><![CDATA[Constrictive Pericarditis: A Rare Condition]]></article-title>
<article-title xml:lang="pt"><![CDATA[Pericardite constritiva: uma patologia rara]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Morales]]></surname>
<given-names><![CDATA[Lina Estefany]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Conta López]]></surname>
<given-names><![CDATA[John Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas Rodríguez]]></surname>
<given-names><![CDATA[Ledmar Jovanny]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario San Rafael  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario San Rafael  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario San Rafael  ]]></institution>
<addr-line><![CDATA[Tunja ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>32</volume>
<numero>2</numero>
<fpage>115</fpage>
<lpage>121</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-52562024000200115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-52562024000200115&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-52562024000200115&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la pericarditis constrictiva es una alteración grave y progresiva del llenado ventricular por un pericardio poco distensible, secundario a un proceso de inflamación, fibrosis y en algunos casos calcificación. Es una enfermedad poco frecuente, que se ha relacionado con factores de riesgo como la infección por Mycobacterium tuberculosis, cirugía cardiaca, radioterapia, traumatismo torácico, enfermedad renal crónica, procesos infecciosos bacterianos, parasitarios y fúngicos, entre otras. Su causa es una falla cardiaca derecha, potencialmente reversible; sin embargo, su diagnóstico sigue siendo tardío debido a la dificultad para establecerlo; los métodos de imagen multimodales son herramientas esenciales para orientar el dictamen. Su corrección quirúrgica es posible con la pericardiectomía.  Caso clínico:  varón de 61 años con cuadro de falla cardiaca congestiva. La ecocardiografía transtorácica evidencia rebote septal y signos de congestión venosa pasiva; la tomografía computarizada de tórax muestra una calcificación extensa del pericardio; la resonancia magnética cardiaca, contrastada con gadolinio, confirma constricción, razón por la cual, el paciente es llevado a pericardiectomía, con evolución clínica favorable.  Conclusiones:  la pericarditis constrictiva es una enfermedad poco frecuente, grave. Su diagnóstico es complejo, por lo cual se logra tardíamente; requiere de una alta sospecha diagnóstica del médico, así como entrenamiento en los diferentes métodos invasivos y no invasivos, con el fin de realizar un pronóstico oportuno, pues es una causa de disfunción diastólica progresiva, potencialmente tratable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Constrictive pericarditis is a severe, progressive alteration in ventricular filling due to a non-distensible pericardium, secondary to inflammation, fibrosis, and in some cases, calcification. It is a rare disease linked to risk factors such as Mycobacterium tuberculosis infection, cardiac surgery, radiotherapy, thoracic trauma, chronic kidney disease, and various bacterial, parasitic, and fungal infections, among others. The primary cause is right-sided heart failure, which can potentially be reversible; however, diagnosis remains delayed due to diagnostic challenges. Multimodal imaging methods are essential tools to guide diagnosis, and surgical correction is possible with pericardiectomy.  Case Report:  A 61-year-old male presented with congestive heart failure. Transthoracic echocardiography showed septal bounce and signs of passive venous congestion; chest computed tomography revealed extensive pericardial calcification; and gadolinium-enhanced cardiac magnetic resonance confirmed constriction, leading to pericardiectomy with a favorable clinical outcome.  Conclusions:  Constrictive pericarditis is a rare, serious disease. Its diagnosis is complex and often delayed, requiring a high level of clinical suspicion and physician expertise in both invasive and non-invasive methods for timely prognosis, as it is a cause of progressive diastolic dysfunction, potentially treatable.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  A pericardite constritiva é uma alteração grave e progressiva do enchimento ventricular por um pericárdio pouco distensível, secundário a um processo de inflamação, fibrose e, em alguns casos, calcificação. Trata-se de uma doença rara, relacionada a fatores de risco como infecção por Mycobacterium tuberculosis, cirurgia cardíaca, radioterapia, traumatismo torácico, doen ça renal crônica e processos infecciosos bacterianos, parasitários e fúngicos, entre outros. A causa da pericardite constritiva é a insuficiência cardíaca direita, potencialmente reversível. Entretanto, o diagnóstico costuma ser tardio devido à dificuldade em estabelecê-lo; os métodos de imagem multimodais são ferramentas essenciais para orientar o diagnóstico. A correção cirúrgica é possível através da pericardiectomia.  Caso clínico:  Homem de 61 anos, com quadro de insuficiência cardíaca congestiva. A ecocardiografia transtorácica evidenciou rebote septal e sinais de congestão venosa passiva; a tomografia computadorizada de tórax revelou uma extensa calcificação do pericárdio; a ressonância magnética cardíaca, contrastada com gadolínio, confirmou a constrição, e o paciente foi submetido à pericardiectomia, com evolução clínica favorável.  Conclusões:  A pericardite constritiva é uma doença rara e grave. O diagnóstico é complexo e, por isso, geralmente tardio; exige uma alta suspeita diagnóstica por parte do médico, além de treinamento nos diferentes métodos invasivos e não invasivos, com o objetivo de realizar um prognóstico oportuno, uma vez que se trata de uma causa de disfunção diastólica progressiva e potencialmente tratável.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pericardio]]></kwd>
<kwd lng="es"><![CDATA[pericarditis]]></kwd>
<kwd lng="es"><![CDATA[constrictiva]]></kwd>
<kwd lng="es"><![CDATA[falla cardiaca]]></kwd>
<kwd lng="es"><![CDATA[corazón]]></kwd>
<kwd lng="en"><![CDATA[Pericardium]]></kwd>
<kwd lng="en"><![CDATA[Pericarditis]]></kwd>
<kwd lng="en"><![CDATA[Constrictive]]></kwd>
<kwd lng="en"><![CDATA[Heart Failure]]></kwd>
<kwd lng="en"><![CDATA[Heart]]></kwd>
<kwd lng="pt"><![CDATA[pericárdio]]></kwd>
<kwd lng="pt"><![CDATA[pericardite]]></kwd>
<kwd lng="pt"><![CDATA[constritiva]]></kwd>
<kwd lng="pt"><![CDATA[insuficiência cardíaca]]></kwd>
<kwd lng="pt"><![CDATA[coração]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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