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Shelled heart: tuberculous constrictive pericarditis

descriptionPublicationkeyboard_double_arrow_right Article 01 Jan 2013 English Publisher:BMJJournal:Heart Asia, volume 5, pages 127-127 (eissn: 1759-1104,

Authors: Gopalan Nair Rajesh; Mangalath Narayanan Krishnan; Deepak Raju;

doi: 10.1136/heartasia-2013-010363

pmid: 27326105

pmc: PMC4832707

Shelled heart: tuberculous constrictive pericarditis

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Abstract

A 55-year-old man presented with progressive distension of the abdomen, pedal oedema, effort dyspnoea and excessive fatigue. Physical examination showed facial puffiness, distended neck veins with prominent Y descent in jugular venous pressure, ascites, systolic retraction of the chest wall and a loud pericardial knock. Echocardiography showed greatly thickened pericardium (figure 1A) …

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