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.