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Chronic Constrictive Calcific Pericarditis

¹ Department of Cardiovascular and Thoracic Surgery, Military Hospital, Pune
Department of Cardiovascular and Thoracic Surgery, Postgraduate Institute of Medical Education & Research, Chandigarh, India

For reprint information contact: Jaswinder Singh, MCh Tel: 91 202 426 5583 Fax: 91 202 630 6175 Email: drjaswindersingh@yahoo.co.in, Department of Cardiovascular and Thoracic Surgery, Military Hospital (CTC), Golibar Maidan, Pune 414 0040, India.

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This 48-year-old male presented with dyspnea on exertion with NYHA class II of 8 years duration, palpitations on exertion of 4 years duration and puffiness of face and swelling of feet of 8 months duration. Thirty years back he had undergone treatment for pulmonary tuberculosis. His pulse and blood pressure were 90·beats^–1 and 100/60 mm Hg, respectively; his jugular venous pressure was raised and had pitting bilateral pedal edema. On cardiovascular examination, apical impulse was neither visible nor palpable; heart sounds were muffled and pericardial click was heard. Abdominal examination showed hepatomegaly . . . [Full Text of this Article]