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A Rare Cause of Pericardial Constriction in a Young Man

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Presentation on theme: "A Rare Cause of Pericardial Constriction in a Young Man"— Presentation transcript:

1 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: /j.echo Copyright © 2007 American Society of Echocardiography Terms and Conditions

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

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

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

5 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  , 197.e5-197.e8DOI: ( /j.echo ) Copyright © 2007 American Society of Echocardiography Terms and Conditions

6 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  , 197.e5-197.e8DOI: ( /j.echo ) Copyright © 2007 American Society of Echocardiography Terms and Conditions

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