Constrictive Pericarditis: A Challenging Diagnosis in Paediatrics

Figure 3

(a) Apical 4-chamber view with dilated right atria (RA), left deviated atrial septum; (b) subcostal view of dilated inferior vena cava (IVC) and suprahepatic veins (SHV); (c) significant (50%) transmitral flow variation with breathing, increasing during expiration () and decreasing during inspiration (+); (d) high protodiastolic mitral annulus velocity (septal 14 cm/s, higher than lateral).

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