Eggshell calcification of the heart in constrictive pericard
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Introduction:
CP is an inflammatory disease of pericardium. Its etiology includes infection, connective tissue disorders, chest trauma, irradiation, post-cardiac surgery and idiopathic-type. Extensive pericardial calcification is rarely seen in CP. We hereby report a case of CP presented with extensive “eggshell” like calcification of whole of pericardium.

Case Report:
A 43-year-old male presented with shortness of breath, NYHA class-III of 6-mo duration. There was no history of fever, productive cough, joint pain, orthopnea and pedal edema. Clinical examination revealed a jugular venous pulse of 18 cm, prominent X and Y descents. Cardiac auscultation revealed a pericardial knock. Two-dimensional echocardiogram showed 10-mm thick, calcified pericardium; about 25%-variation in mitral diastolic flow velocities with respiration and a dilated inferior vena cava of 24-mm dimension. Fluoroscopy revealed dense circumferential calcification all around the heart.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4577685/
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