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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 …
Contributors All authors contributed to the design, execution and drafting of the manuscript, as well as interpretation of the data.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.