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A 71-year-old man complained of dyspnoea on exertion and oedema. Chest radiograph demonstrated calcified pericardium. Echocardiogram and gated CT revealed abnormal septal motion in diastole (septal bounce) as well as a septal shift with inspiration (see online supplementary video 1 and 2).
A right and left heart catheterisation with high-fidelity manometric catheters was performed simultaneously with M-mode echocardiography. Rapidly …