Constrictive Pericarditis in the Presence of Remaining Remnants of a Left Ventricular Assist Device in a Heart Transplanted Patient

Figure 2

Echocardiographic features of constrictive pericarditis. (a) Pulse wave Doppler recording of tricuspid inflow in apical four-chamber view: increased early diastolic filling velocity during inspiration (ascending arrow), opposite during expiration (descending arrow). (b) Pulse wave Doppler recording of hepatic vein inflow in subcostal view: increased velocity during inspiration (descending arrow). (c) Dilated inferior vena cava and hepatic veins with restricted respiratory variation in subcostal view. (d) Abnormal interventricular septum motion (septal bounce) as a sign of ventricular interdependence in apical four-chamber view: septal bounce to the left ventricle during inspiration (arrow).

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