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Tag Archives: pericardial disease

May 2020 Br J Cardiol 2020;27(2) doi:10.5837/bjc.2020.013

Ezekiel’s heart

JJ Coughlan, Max Waters, David Moore, David Mulcahy

Abstract

A 72-year-old woman was referred to our cardiology service with increasing dyspnoea on exertion. Her background history was notable for haemochromatosis, type 2 diabetes mellitus, chronic kidney disease (stage 3a), treated pulmonary tuberculosis and known pericardial calcification. Echocardiography (figure 1A) demonstrated a calcified structure evident on the apical four-chamber view, which appeared to indent the right ventricle. Computed tomography (CT) of the thorax (figure 1B) demonstrated extensive and circumferential pericardial calcification with a maximal thickness of up to 20 mm in the right atrial pericardial region, 12 mm in the inf

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