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Fungal Purulent Constrictive Pericarditis in a Heart Transplant Patient  Charles C Canver, MD, Ashvin K Patel, MD, Peter Kosolcharoen, MD, Marta C Voytovich,

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Presentation on theme: "Fungal Purulent Constrictive Pericarditis in a Heart Transplant Patient  Charles C Canver, MD, Ashvin K Patel, MD, Peter Kosolcharoen, MD, Marta C Voytovich,"— Presentation transcript:

1 Fungal Purulent Constrictive Pericarditis in a Heart Transplant Patient 
Charles C Canver, MD, Ashvin K Patel, MD, Peter Kosolcharoen, MD, Marta C Voytovich, MD  The Annals of Thoracic Surgery  Volume 65, Issue 6, Pages (June 1998) DOI: /S (98)00277-X

2 Fig 1 Chest roentgenogram showing cardiomegaly with large right pleural effusion. The Annals of Thoracic Surgery  , DOI: ( /S (98)00277-X)

3 Fig 2 Intraoperative transesophageal echocardiograms in horizontal four-chamber, epigastric short-axis, and long-axis views showing pericardial effusion (P) and pericardial thickening (arrows) consistent with effusive-constrictive pericarditis. (LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery  , DOI: ( /S (98)00277-X)

4 Fig 3 Photomicrograph of the pericardium obtained at the time of operation demonstrating a tangled mass of hyphae, degenerating inflammatory debris (A), and organizing fibroblastic reaction (B). (Gomori’s methenamine-silver stain; ×100 and ×250 before 51% reduction.) The Annals of Thoracic Surgery  , DOI: ( /S (98)00277-X)


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