{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:50:31Z","timestamp":1753876231110,"version":"3.41.2"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,2,15]],"date-time":"2022-02-15T00:00:00Z","timestamp":1644883200000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Constrictive pericarditis (CP), also known as Pick\u2019s disease, is a sequela of chronic inflammation of the pericardium. Pericardial calcification is a common occurrence in CP; however, extensive egg-shell like calcification is rare. Our case, highlights, how a multi-modality imaging in a middle aged female helped to diagnose chronic constrictive pericarditis (CCP) with egg-shell like calcification encasing the heart.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>Middle aged female with features of right heart failure, was diagnosed as CP based on two-dimensional echocardiography and cardiac catheterization. Computed tomography (CT) scan chest showed extensive egg-shell like calcification encasing the heart, suggestive of calcific CP. Subsequently, she underwent pericardiectomy, through median sternotomy approach and is currently on follow-up with asymptomatic cardiac status.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Extensive pericardial calcification encasing the heart like an egg-shell is rare in CCP. Likelihood of incomplete pericardial resection is high in calcific CP and hence a median sternotomy is preferred over anterolateral thoracotomy. A preoperative non-contrast CT scan defines the thickness, anatomic extent the calcification and its adherence to myocardium and surrounding structures. A reconstructed volume-rendered image delineates the extent of calcification precisely, thus determining the optimum surgical approach. A multi-modality imaging in CP, especially in calcific CP, is thus of paramount importance.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac075","type":"journal-article","created":{"date-parts":[[2022,2,15]],"date-time":"2022-02-15T19:52:50Z","timestamp":1644954770000},"source":"Crossref","is-referenced-by-count":0,"title":["\u2018Egg-cased heart\u2019: a multimodality imaging approach to chronic constrictive pericarditis with egg-shell calcification: a case report"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1774-1775","authenticated-orcid":false,"given":"Pratik Sudhir","family":"Sane","sequence":"first","affiliation":[{"name":"Narayana Hrudayalaya, 258\/A, Hosur Road Anekal, Taluk, Bommasandra Industrial Area, Bengaluru, Karnataka 560099, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2968-0057","authenticated-orcid":false,"given":"Ajit Mullasari","family":"Sankardas","sequence":"additional","affiliation":[{"name":"Department of Cardiology, ICVD, Madras Medical Mission, 4-A, Dr JJ Nagar, Mogappair, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5553-5489","authenticated-orcid":false,"given":"Kambarnatham Srinivasan","family":"Bhardwaj","sequence":"additional","affiliation":[{"name":"Maham Heart Care, First St, LIC Colony, Sundram Nagar, Thanjavur, Tamil Nadu 613007, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"and Valikapathalil Mathew","family":"Kurian","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, ICVD, Madras Medical Mission, 4-A J.J. Nagar, Mogappair, Chennai 600037, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,2,15]]},"reference":[{"key":"2022022722002928900_ytac075-B1","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.1093\/eurheartj\/ehv318","article-title":"2015 ESC Guidelines for the diagnosis and management of pericardial diseases: the Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS)","volume":"36","author":"Adler","year":"2015","journal-title":"Eur Heart J"},{"key":"2022022722002928900_ytac075-B2","first-page":"177","article-title":"Long-term outcomes of pericardiectomy for constrictive pericarditis","volume":"10","author":"Bi\u00e7er","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022022722002928900_ytac075-B3","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1016\/j.athoracsur.2012.03.079","article-title":"Contemporary etiologies, risk factors, and outcomes after pericardiectomy","volume":"94","author":"George","year":"2012","journal-title":"Ann. 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Surg"},{"key":"2022022722002928900_ytac075-B4","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.athoracsur.2015.02.054","article-title":"Pericardiectomy for constrictive pericarditis: 20 years of experience at the Montreal Heart Institute","volume":"100","author":"Vistarini","year":"2015","journal-title":"Ann Thorac Surg"},{"key":"2022022722002928900_ytac075-B5","article-title":"Risk factors for mortality after pericardiectomy for chronic constrictive pericarditis in a large single-centre cohort","volume":"48","author":"Busch","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022022722002928900_ytac075-B6","first-page":"224","article-title":"Severe calcific chronic constrictive tuberculous pericarditis","volume":"35","author":"Yetkin","year":"2008","journal-title":"Tex Heart Inst J"},{"key":"2022022722002928900_ytac075-B7","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.echo.2013.06.023","article-title":"American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography","volume":"26","author":"Klein","year":"2013","journal-title":"J Am Soc Echocardiogr"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/advance-article-pdf\/doi\/10.1093\/ehjcr\/ytac075\/42536757\/ytac075.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/2\/ytac075\/42623229\/ytac075.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/2\/ytac075\/42623229\/ytac075.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,27]],"date-time":"2022-02-27T22:00:38Z","timestamp":1645999238000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac075\/6529002"}},"subtitle":[],"editor":[{"given":"Harry","family":"Kimis","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Annagrazia","family":"Cecere","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Edoardo","family":"Conte","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Daniel","family":"Tardo","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Mariame","family":"Chakir","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,2,1]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022,2,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac075","relation":{},"ISSN":["2514-2119"],"issn-type":[{"type":"electronic","value":"2514-2119"}],"subject":[],"published-other":{"date-parts":[[2022,2,1]]},"published":{"date-parts":[[2022,2,1]]},"article-number":"ytac075"}}