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            <title xml:lang="en">Tuberculous Constrictive Pericarditis Presenting with Isolated Pleural Effusion: Diagnostic Value of Transthoracic Echocardiography</title>
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                <forename type="first">O</forename>
                <surname>Soussi</surname>
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                <surname>Bakamel</surname>
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                <surname>Soufiani</surname>
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              <idno type="halauthorid">2970989-0</idno>
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                <surname>Bendagha</surname>
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              <date type="whenSubmitted">2025-06-30 07:11:42</date>
              <date type="whenModified">2026-03-12 18:24:03</date>
              <date type="whenReleased">2025-06-30 07:11:42</date>
              <date type="whenProduced">2025-06-28</date>
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            <idno type="halRefHtml">&lt;i&gt;Asian Journal of Cardiology Research&lt;/i&gt;, 2025, 8 (1), pp.393-399</idno>
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                <title xml:lang="en">Tuberculous Constrictive Pericarditis Presenting with Isolated Pleural Effusion: Diagnostic Value of Transthoracic Echocardiography</title>
                <author role="aut">
                  <persName>
                    <forename type="first">O</forename>
                    <surname>Soussi</surname>
                  </persName>
                  <idno type="halauthorid">3608667-0</idno>
                  <affiliation ref="#struct-343790"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">L</forename>
                    <surname>Bakamel</surname>
                  </persName>
                  <idno type="halauthorid">3611132-0</idno>
                  <affiliation ref="#struct-343790"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">A</forename>
                    <surname>Soufiani</surname>
                  </persName>
                  <idno type="halauthorid">2970989-0</idno>
                  <affiliation ref="#struct-343790"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">N</forename>
                    <surname>Bendagha</surname>
                  </persName>
                  <idno type="halauthorid">3611133-0</idno>
                  <affiliation ref="#struct-343790"/>
                </author>
                <author role="aut">
                  <persName>
                    <forename type="first">R</forename>
                    <surname>Fellat</surname>
                  </persName>
                  <idno type="halauthorid">3611134-0</idno>
                  <affiliation ref="#struct-343790"/>
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                <title level="j">Asian Journal of Cardiology Research</title>
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                  <biblScope unit="volume">8</biblScope>
                  <biblScope unit="issue">1</biblScope>
                  <biblScope unit="pp">393-399</biblScope>
                  <date type="datePub">2025-06-28</date>
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              <p>Aims: To highlight the diagnostic role of transthoracic echocardiography (TTE) in tuberculous constrictive pericarditis (CP) presenting atypically as isolated pleural effusion, and to emphasize the importance of early multimodal imaging in TB-endemic regions.Presentation of Case: A 36-year-old man with no comorbidities presented with progressive dyspnea and bilateral pleural effusion. Initial workup (CT, pleural biopsy) was inconclusive. TTE revealed classic CP features: pericardial thickening, septal bounce, and hepatic vein expiratory reversal. Cardiac MRI confirmed the diagnosis. Following clinical improvement with anti-tuberculosis therapy, the patient was referred for elective pericardiectomy.Discussion: CP remains a diagnostic challenge due to nonspecific symptoms. In TB-endemic areas, tuberculosis is a leading cause. TTE’s Mayo Clinic criteria (septal shift, medial e′ ≥ 9 cm/s, hepatic vein reversal) achieved 97% specificity, obviating invasive tests. MRI further differentiated CP from restrictive cardiomyopathy.Conclusion: CP should be considered in patients with unexplained pleural effusion in TB-endemic regions. TTE is a critical first-line tool, and early intervention improves outcomes.</p>
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          <orgName>Université Mohammed V de Rabat [Agdal]</orgName>
          <orgName type="acronym">UM5</orgName>
          <date type="start">1957-01-01</date>
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            <address>
              <addrLine>Avenue des Nations Unies, Agdal Rabat Maroc B.P:8007.N.U</addrLine>
              <country key="MA"/>
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            <ref type="url">http://www.um5.ac.ma/um5r/</ref>
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