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Case studies in Public health Supplement 2 Supplement
"Better health through knowledge sharing and information dissemination "

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Volume 28 (September - December 2017)

Question
A 43 year-old woman followed for rheumatic mitral-aortic and tricuspid polyvalvulopathy, for which she underwents a double mitral-aortic replacement with mechanical prosthesis and tricuspid annuloplasty in June 2009. She was also treated for cervical ganglion tuberculosis in 2011. The history of her illness had started three months earlier with the appearance of signs of right cardiac failure. Transthoracic echocardiography showed good functioning of the mitral and aortic prostheses, as well as of the tricuspid ring, and good ventricular systolic function, with a thick pericardium full of cysts, associated with signs of adiastole. A thoracic CT-scan showed abundant septated pericardial effusion, mullticystic, but without involvement of the pulmonary or ganglion parenchymas. What is your diagnosis?





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ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved