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Ann Thorac Surg 2007;83:2222-2224
© 2007 The Society of Thoracic Surgeons

Case Reports

Localized Pericardial Constriction Resulting in a "Dumbbell" Heart

Zainul A. Hamdulay, MCha, Pawan Kumar, MCha,*, Mohammed Ali, MCha, Shilpa S. Bhojraj, MDb, Sanjesh B. Jain, MDb, Anil M. Patwardhan, MChc

a Department of Cardiovascular Surgery, Prince Aly Khan Hospital, Mumbai, India
b Department of Cardiac Anaesthesia, Prince Aly Khan Hospital, Mumbai, India
c Department of Cardiovascular Surgery, King Edward Memorial Hospital, Mumbai, India

Accepted for publication December 29, 2006.

* Address correspondence to Dr Kumar, Department of Cardiovascular Surgery, Prince Aly Khan Hospital, Nesbit Rd, Mazagaon, Mumbai, 400 010, India (Email: pawkum73{at}yahoo.com).

We describe an unusual case of a young man presenting with calcific constrictive pericarditis. The patient had a history of restrictive cardiomyopathy and pericardial effusion during infancy and received antituberculous treatment. Investigations revealed the presence of thickened pericardium and a thickened calcific constrictive band around the atrioventricular groove posteriorly and over the infundibulum anteriorly. Intraoperatively, the band caused the heart to have a "dumbbell" appearance. A pericardiectomy was performed along with excision of the constricting band. The patient had an uneventful recovery.






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