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Angiographic Series Demonstrating Entrapped Coronary Arteries in Constrictive Pericarditis

07/30/2021

Introduction

A 49-year-old female patient presented with progressive shortness of breath, and abdominal and leg swelling. Her medical history was significant for stage 3 breast cancer, which was treated with multiple rounds of chemotherapy and radiation. Electrocardiogram showed Q-waves in V1 and V2. Bedside echo showed a left ventricular ejection fraction of 25% with severe global hypokinesis. Coronary angiogram showed no obstructive coronary artery disease, but revealed an unusual motion abnormality of the coronary arteries that is typical for pericardial constriction.

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