title: Localized pericardial constriction resulting in a "dumbbell" heart.
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.
authors.affiliation: Department of Cardiovascular Surgery, Prince Aly Khan Hospital, Mumbai, India.
authors.forename: Zainul A
authors.initials: ZA
authors.lastname: Hamdulay
authors.forename: Pawan
authors.initials: P
authors.lastname: Kumar
authors.forename: Mohammed
authors.initials: M
authors.lastname: Ali
authors.forename: Shilpa S
authors.initials: SS
authors.lastname: Bhojraj
authors.forename: Sanjesh B
authors.initials: SB
authors.lastname: Jain
authors.forename: Anil M
authors.initials: AM
authors.lastname: Patwardhan
mesh_terms: D000328:Adult; D002114:Calcinosis; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D010494:Pericarditis, Constrictive / Q000150:complications / Q000175:diagnosis / Q000601:surgery*