A 32-year-old woman who suffered from acute myopericarditis after an upper respiratory infection when she was 15 years old was diagnosed 4 years later with restrictive cardiomyopathy. Ten years later, she became symptomatic, with episodes of right-sided heart failure, lower extremity edema, hepatosplenomegaly, and mild ascites. Echocardiography revealed normal right and left ventricular function without tricuspid regurgitation but with severe dilation of both atrial chambers. Cardiac catheterization revealed the presence of the square root sign with equalization of right and left ventricular end-diastolic pressures, together with modest elevation in right ventricular systolic pressure (40 mmHg) and absence of respiratory variations. Finally, contrastenhanced thoracic computed tomography revealed severe concentric pericardial calcification with partial infiltration of the myocardial free wall of the right ventricle with a maximum width of 10 mm (Figure 1, 2). The patient was finally diagnosed with constrictive pericarditis. Our multidisciplinary team decided to inform the patient to undergo cardiac transplantation.Informed Consent: Written informed consent was obtained from the patients who participated in this study.
A 68-year-old woman who had undergone mitral valve replacement 7 years ago developed severe aortic stenosis. Coronal contrast-enhanced chest computed tomography (Figure 1) and 3D volume-rendered magnetic resonance imaging (Figure 2) revealed an unruptured and calcified pseudoaneurysm of the atrioventricular groove. The red arrow shows the pseudoaneurysm, and the red star shows fistulae between the left ventricle and the pseudoaneurysm. The patient underwent transcatheter aortic valve replacement; the procedure was uneventful, and the patient showed successful outcomes.Informed Consent: Written informed consent was obtained from the patients who participated in this study.
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