Eggshell calcification of the heart in constrictive pericarditis
Rajesh Vijayvergiya, Ramalingam Vadivelu, Sachin Mahajan, Sandeep S Rana, Manphool Singhal
World J Cardiol 2015 September 26; 7(9): 579-582
43/M presented with dyspnoea on exertion NYHA class III since 6 months. No other positive history.
On Examination:
HR-100/min BP- 100/64 JVP- elevated, 18 cm; prominent X and Y descent
CVS: S1 S2 normal, Pericardial knock +
CXR : Calcified pericardium seen. See image
Echo: Thick, calcified pericardium. > 25% respiratory variation of mitral inflow velocities . Significant LV diastolic dysfunction