Discussion and Conclusion
Demonstration of reduction in fibrin content by pre and post IFA 2DTTE images in PP has been clearly illustrated in pediatric patients.[10-12] However, as far as we can find there is mention in the text but, unlike our patient, there is no documentation with measurements illustrated on pre and post IFA 2DTTE images or movies in any adults presenting with PP in the literature.[3, 6, 13-23]
In conclusion, we document for the first time to the best of our knowledge, a substantial decrease in fibrin content with measurements shown on 2DTTE images before and following IFA in an adult patient presenting with PP. The decrease in fibrin content following IFA is believed to prevent possible progression to fibrosis with subsequent development of constrictive pericarditis with its high morbidity and mortality in these patients.