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Case Reports in Cardiology
Volume 2013 (2013), Article ID 609610, 4 pages
Case Report

Atypical Chest X-Ray Calcification in an Idiopathic Constrictive Pericarditis Case

1Istanbul University, Institute of Cardiology, Cardiology Department, Haseki Street, Fatih, 34096 Istanbul, Turkey
2Istanbul University, Institute of Cardiology, Cardiovascular Surgery Department, Haseki Street, Fatih, 34096 Istanbul, Turkey

Received 7 May 2013; Accepted 11 June 2013

Academic Editors: H. Kataoka, K. P. Letsas, K. Nikus, J. Peteiro, D. Richter, C. S. Snyder, and M. B. Srichai

Copyright © 2013 Uğur Coşkun et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Constrictive pericarditis is an uncommon cause of heart failure. It is a clinical entity caused by thickening, fibrosis, and/or calcification of the pericardium. We present a 50-year-old female patient who was admitted to our institution with a 6-month history of progressive dyspnea on exertion, abdominal swelling, and lower extremity edema. Her chest X-ray revealed an oblique linear calcification in the cardiac silhouette. Transthoracic echocardiography revealed biatrial enlargement. Left ventricular size and systolic function were normal. Cardiac computed tomography revealed the pericardial thickening (>5 mm) and heavy calcification in left atrioventricular groove. Simultaneous right and left heart catheterization showed elevation and equalization of right-sided and left-sided diastolic filling pressures, with characteristic dip, and plateau. Pericardiectomy was performed which revealed a thick, fibrous, calcified, and densely adherent pericardium constricting the heart. The postoperative period was uneventful and was in NYHA functional class I after 3 months.