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Updated: Apr 16, 2026

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Aneurysm-like outpouching of ventricular wall through a gap caused by constrictive pericarditis with focal sparing
Abhinav Ranwaka1, Manisha V Joshi
1Seth G.S.Medical College and KEM Hospital, Mumbai, India, abhinav.ichi@gmail.com.
Abstract:
Constrictive pericarditis is usually generalized though it can be focal, affecting only a patch of pericardium, or very rarely, generalized with focal sparing. We describe a case of constrictive pericarditis with focal sparing along the right ventricle. This focal sparing behaved like a defect in the otherwise thickened pericardium, resulting in protrusion of normal right ventricular myocardium between the margins of the thickened pericardium simulating an aneurysm.
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