LAUSR

It is very rare to encounter tubercular chronic constrictive pericarditis and hypertrophic cardiomyopathy together. A 49-year-old man with a history of tuberculosis was evaluated for right heart failure. There was extensive pericardial calcification, fibrosis and calcification of the left lung, and hypertrophic obstructive cardiomyopathy (Figure 1, Video 1). The coronary angiogram was normal. The systolic and diastolic movement of the right coronary artery in the densely calcified pericardial cavity was interesting (Figure 2, Video 2). The densely calcified pericardial cavity with the top being relatively free of calcification resembled an open top flask. A left ventricular angiogram was suggestive of hypertrophic obstructive cardiomyopathy (Video 3). Pericardial resection and Morrow’s procedure were performed in the same session.