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Mechanism of septal bounce in constrictive pericarditis: a simultaneous cardiac catheterisation and echocardiographic study
  1. Megan Coylewright,
  2. Terrence D Welch,
  3. Rick A Nishimura
  1. Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA
  1. Correspondence to Dr Megan Coylewright, Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, 200 First St SW, Rochester, MN 55905, USA; coylewright.megan{at}mayo.edu

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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 …

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