A middle-aged male presented with symptoms of exertional shortness of breath and leg swelling for the past six months. Examination revealed raised jugular venous pressure (JVP), pitting pedal oedema, muffled heart sounds, bilateral pleural effusion and hepatomegaly. Echocardiogram showed features of constrictive pericarditis with heavily thickened pericardium, which was confirmed by cardiac computed tomography (CT). The patient underwent pericardiectomy following which echocardiographic features of constriction were reversed and the patient became asymptomatic.
JPMA. The Journal of the Pakistan Medical Association
(2013). Heavily thickened pericardium with constrictive pericarditis.. JPMA. The Journal of the Pakistan Medical Association, 63(5), 639-641.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_med_med/261