A Rare Cause of Pericardial Constriction in a Young Man

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Date of download: 6/24/2016 Copyright © The American College of Cardiology. All rights reserved. From: Left ventricular systolic and diastolic function.

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A Rare Cause of Pericardial Constriction in a Young Man Victar Wai Tat Hsieh, MBBS, Dominic Leung, MBBS, FRCP(Edin), FHKCP, FRACP, FACC, PhD (UNSW) Journal of the American Society of Echocardiography Volume 20, Issue 2, Pages 197.e5-197.e8 (February 2007) DOI: 10.1016/j.echo.2006.08.036 Copyright © 2007 American Society of Echocardiography Terms and Conditions

Figure 1 Pulsed wave Doppler of mitral inflow showing marked variation in velocity with respiration. Journal of the American Society of Echocardiography 2007 20, 197.e5-197.e8DOI: (10.1016/j.echo.2006.08.036) Copyright © 2007 American Society of Echocardiography Terms and Conditions

Figure 2 Pulsed wave Doppler of mitral inflow showing variation in velocity within normal limits with respiration. Journal of the American Society of Echocardiography 2007 20, 197.e5-197.e8DOI: (10.1016/j.echo.2006.08.036) Copyright © 2007 American Society of Echocardiography Terms and Conditions

Figure 3 Two-dimensional echocardiogram showing echodense mass in pericardial space compressing atria. Journal of the American Society of Echocardiography 2007 20, 197.e5-197.e8DOI: (10.1016/j.echo.2006.08.036) Copyright © 2007 American Society of Echocardiography Terms and Conditions

Figure 4 Top left, Mitral inflow pattern on pulsed wave Doppler demonstrating exaggeration of E/A ratio and variation with respiration. Top right, Color M-mode of mitral inflow showing steep velocity of propagation. Bottom left, B-mode imaging illustrating inferior vena caval dilatation. Bottom right, Tissue Doppler of basal interventricular septum demonstrating preserved diastolic velocities. Journal of the American Society of Echocardiography 2007 20, 197.e5-197.e8DOI: (10.1016/j.echo.2006.08.036) Copyright © 2007 American Society of Echocardiography Terms and Conditions

Figure 5 Histology of surgical specimen demonstrating moderately differentiated angiosarcoma. Cells containing irregular large nuclei with mitoses. Organizing blood clots within lumens of clefts also featured. Histology of surgical specimen demonstrating moderately differentiated angiosarcoma. Cells containing irregular large nuclei with mitoses. Organizing blood clots within lumens of clefts also featured. Journal of the American Society of Echocardiography 2007 20, 197.e5-197.e8DOI: (10.1016/j.echo.2006.08.036) Copyright © 2007 American Society of Echocardiography Terms and Conditions