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