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Calcification ring in the atrioventricular groove
  1. N Parakh,
  2. V Chaturvedi,
  3. D Garg,
  4. S Tyagi
  1. Gobind Ballabh Pant Hospital, New Delhi, India
  1. Correspondence to Dr Neeraj Parakh, G B Pant Hospital, Suite#124, Academic Block, New Delhi 110002, India; neerajparakh{at}

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A 32-year-old woman presented with a history of effort intolerance for 7 years. She also complained of abdominal distension and pedal oedema for 5 years which subsided after diuretic therapy. She received anti-tubercular treatment for 1 year during the initial course of the disease for pericardial effusion. Other than distended jugular veins, her clinical examination was normal. A chest x-ray (posteroanterior and lateral projections) showed a dense circular …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.