Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2936450 | International Journal of Cardiology | 2006 | 4 Pages |
Abstract
A 44-year-old female presents with disabling dyspnea and is unable to perform a regular treadmill stress test; instead a dobutamine stress echocardiogram is performed and although negative for ischemia reveals a vigorous paradoxical motion of the interventricular septum with dilatation of the inferior vena cava without respiratory variation and an increased diastolic flow signal in the hepatic veins after expiration with the infusion of dobutamine. The diagnosis of constrictive physiology is confirmed with cardiac magnetic resonance imaging (MRI) and right heart hemodynamics and the patient underwent pericardiectomy without complications with resolution of symptoms.
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Authors
Vishal Gujral, Angel López-Candales, Raed Abdelhadi, Frederick Crock, Beth Gulyasy,