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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, MD The Annals of Thoracic Surgery Volume 65, Issue 6, Pages (June 1998) DOI: /S (98)00277-X
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Fig 1 Chest roentgenogram showing cardiomegaly with large right pleural effusion. The Annals of Thoracic Surgery , DOI: ( /S (98)00277-X)
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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)
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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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