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A 55-year-old woman was initially admitted to the gastroenterology department of our hospital, with a new onset of ascites and New York Heart Association (NYHA) class II dyspnoea. She had no significant history other than arterial hypertension. In addition to ascites, physical examination revealed lower limb oedema and elevated jugular venous pressure. The abdominal CT showed a normal liver morphology and pericardial calcifications on the upper slices. Circumferential pericardial calcifications were also found on the chest radiography (figure 1A).
(A) Lateral chest radiography showing pericardial calcification. (B) Echocardiography showing septal bounce. (C) Cardiac catheterisation showing the dip-and-plateau pattern particularly noticeable after the premature complex. (D) Periprocedural imaging; white arrow showing parietal pericardium and black arrow showing visceral pericardium.
Echocardiography revealed signs typically associated with constriction: …
Footnotes
WZ and AD are joint first authors.
WZ and AD contributed equally.
Contributors WZ and AD were the patient’s physicians, and drafted the manuscript. RD conducted the cardiac catheterization. CS performed the surgery. AR and RD revisited critically the manuscript for important intellectual content. All authors read and approved the final manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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