This case highlights a rare complication of chronic constrictive pericarditis where a giant hematoma caused right ventricular inflow obstruction mimicking tricuspid stenosis.
Clinicians should consider intracardiac hematoma in constrictive pericarditis with inflow obstruction; hypothesis-generating for rare pericardial complications.
A 26-year-old man having chronic constrictive pericarditis with rare complications is described. Right ventricular inflow obstruction was caused by an intracavity giant mass which was surrounded by thick calcified pericardium. The mass consisted of old bloody fluid with some calcified tissue. The findings of auscultation closely mimicked those of tricuspid valvular stenosis.
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Isobe et al. (1993) studied this question.
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