Progressive breathlessness and intracardiac mass

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A 65-year-old male patient presented with progressive shortness of breath on exertion for 3 months.He underwent aortic valve replacement using a bioprosthetic valve in another city hospital 6 months ago.Clinical examination revealed pulse rate of 96/min, blood pressure of 110/78 mm Hg, and short systolic ejection murmur on CVS examination.Chest X-ray showed linear calcific opacity on the cardiac silhouette.Echocardiogram showed concentric LV-hypertrophy with good LV function and normal prosthetic valve function with a pericardial mass.Postcontrast cardiac MRI study showed an oval-shaped hypotensive focus in the pericardial region with peripheral edge enhancement (image).

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Authors

Baruah Dibyakumar¹, Baruah Dibya¹, Varma Ravikumar¹

1.  Apollo Hospitals, Health City., Visakhapatnam, India