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Year : 2017  |  Volume : 18  |  Issue : 1  |  Page : 26-29

External compression of epicardial coronary arteries with partial calcific pericarditis

1 Department of Cardiovascular Diseases, Cooper University Hospital, Camden, NJ, USA
2 Department of Cardiovascular Diseases, Cooper University Hospital, Camden, NJ; Department of Cardiovascular Diseases, Alpert School of Medicine, Brown University, RI, USA

Correspondence Address:
Muhammad Rizwan Sardar
Alpert School of Medicine, Brown University, RI 02903
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1995-705X.206207

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Calcific pericarditis(CP) is a rare disease which results from long-standing pericardial inflammation. Pericardial calcification may completely or partially encase the ventricles, resulting in impaired diastolic filling. We present a case of a 53-year-old male who was incidentally found to have annular CP resulting in external compression of a large territory diagonal branch(D1) reaching the apex with likely chronically occluded left anterior descending artery with collateral circulation from the right coronary artery with hemodynamic compromise on coronary angiography. This was emergently treated with a drug-eluting stent with improved D1 flow and entailed the importance of percutaneous coronary intervention as a viable option in cases of CP resulting in acute hemodynamic compromise.

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