Isabelle Mahé, MD; Eric Braunberger, MD; Jean-François Bergmann, MD
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Mahé I, Braunberger E, Bergmann J. Angina Caused by Calcific Constrictive Pericarditis. Ann Intern Med. 2002;137:1012-1013. doi: 10.7326/0003-4819-137-12-200212170-00036
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Published: Ann Intern Med. 2002;137(12):1012-1013.
TO THE EDITOR:
The Patient: A 62-year-old man presented with retrosternal chest pain on exertion and progressive dyspnea. Results of laboratory tests were normal. Chest radiography showed cardiac enlargement and apical calcification. Two-dimensional echocardiography revealed dilated cardiopathy with anteroseptal hypokinesis without pericardial effusion or thickening. Coronary angiography showed compression of the marginal coronary artery by a calcification that induced systolic occlusion and diastolic stenosis (Figure, top). The coronary arteries showed no atherosclerotic disease and no ventricular aneurysm. Computed tomography showed basal pericardial calcification with penetration of the myocardium at the basal wall of the left ventricle.
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