case_images: PMC11808804_01
case_images: Electrocardiogram showed atrial fibrillation tachycardia.
case_images: rjae424f1.jpg
case_images: PMC11808804_01_rjae424f1.jpg
case_images: f1
case_images: Electrocardiogram (Fig. 1) showed an atrial fibrillation at 120 c/mn with normal axis and a T wave inversion in anterior.
case_images: Chest X ray showed pericardial calcification around heart (arrow).
case_images: rjae424f2.jpg
case_images: PMC11808804_01_rjae424f2.jpg
case_images: f2
case_images: Chest radiography (Fig. 2) revealed pericardial calcifications and a mild cardiomegaly.
case_images: Transthoracic echocardiography showed pericardial thickening, moderate tricuspid regurgitation and biatrial dilation. RA: right atrium, RV: right ventricle, LA: left atrium, LV: left ventricle.
case_images: rjae424f3.jpg
case_images: PMC11808804_01_rjae424f3.jpg
case_images: f3
case_images: Transthoracic echocardiography (Figs 3-5) showed a pericardial thickening, an important distension of left atrium (LA diameter = 66 mm, LA surface = 33 cm2) and the inferior vena cava (23.7 mm), a calcified mitral leaflets as well as the subvalvular apparatus, restriction of the posterior mitral leaflet with moderate mitral regurgitation (Pisa: 6 mm and ERO: 35 cm2), dilated right heart cavities with moderate tricuspid regurgitation and severe pulmonary hypertension (62 mmHg), preserved left ventricular systolic function (EF LV: 63%) with paradoxical septum.
case_images: Transthoracic echocardiography showed moderate mitral regurgitation. RA: right atrium, RV: right ventricle, LA: left atrium, LV: left ventricle.
case_images: rjae424f4.jpg
case_images: PMC11808804_01_rjae424f4.jpg
case_images: f4
case_images: Transthoracic echocardiography (Figs 3-5) showed a pericardial thickening, an important distension of left atrium (LA diameter = 66 mm, LA surface = 33 cm2) and the inferior vena cava (23.7 mm), a calcified mitral leaflets as well as the subvalvular apparatus, restriction of the posterior mitral leaflet with moderate mitral regurgitation (Pisa: 6 mm and ERO: 35 cm2), dilated right heart cavities with moderate tricuspid regurgitation and severe pulmonary hypertension (62 mmHg), preserved left ventricular systolic function (EF LV: 63%) with paradoxical septum.
case_images: Transthoracic echocardiography showed inferior vena cava dilation.
case_images: rjae424f5.jpg
case_images: PMC11808804_01_rjae424f5.jpg
case_images: f5
case_images: Transthoracic echocardiography (Figs 3-5) showed a pericardial thickening, an important distension of left atrium (LA diameter = 66 mm, LA surface = 33 cm2) and the inferior vena cava (23.7 mm), a calcified mitral leaflets as well as the subvalvular apparatus, restriction of the posterior mitral leaflet with moderate mitral regurgitation (Pisa: 6 mm and ERO: 35 cm2), dilated right heart cavities with moderate tricuspid regurgitation and severe pulmonary hypertension (62 mmHg), preserved left ventricular systolic function (EF LV: 63%) with paradoxical septum.
case_images: Histological specimen of pericardial tissue.
case_images: rjae424f6.jpg
case_images: PMC11808804_01_rjae424f6.jpg
case_images: f6
case_images: Peroperative finding (Fig. 6) shows a thickened and calcified pericarditis with an extensive calcifications embedded in the myocardium on the anterior and inferior side of the right ventricle.