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Localized pericardial constriction resulting in a "dumbbell" heart
Authors:Hamdulay Zainul A  Kumar Pawan  Ali Mohammed  Bhojraj Shilpa S  Jain Sanjesh B  Patwardhan Anil M
Affiliation:

aDepartment of Cardiovascular Surgery, Prince Aly Khan Hospital, Mumbai, India

bDepartment of Cardiac Anaesthesia, Prince Aly Khan Hospital, Mumbai, India

cDepartment of Cardiovascular Surgery, King Edward Memorial Hospital, Mumbai, India

Abstract:We describe an unusual case of a young man presenting with calcific constrictive pericarditis. The patient had a history of restrictive cardiomyopathy and pericardial effusion during infancy and received antituberculous treatment. Investigations revealed the presence of thickened pericardium and a thickened calcific constrictive band around the atrioventricular groove posteriorly and over the infundibulum anteriorly. Intraoperatively, the band caused the heart to have a "dumbbell" appearance. A pericardiectomy was performed along with excision of the constricting band. The patient had an uneventful recovery.
Keywords:32
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