Unmasking of Constrictive Pericarditis Ventricular Interdependence After Transcatheter Aortic Valve Replacement

Abstract

A 59-year-old man presented with dyspnea on exertion and bilateral lower-extremity swelling over the previous 3 months. His medical history included Hodgkin lymphoma, for which he had received chemotherapy and radiation therapy 21 years ago. Physical examination was significant for basal crackles on lung auscultation, a jugular venous pressure of 15 cm, ascites, 3+ bilateral lower-extremity swelling, and a grade 5 or 6 systolic ejection murmur with a soft second heart sound.