{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T16:43:16Z","timestamp":1786293796781,"version":"build-2736575974"},"reference-count":4,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Constrictive pericarditis in the setting of cardiac sarcoidosis is an uncommon but severe manifestation of granulomatous heart disease, capable of producing irreversible structural deformation and life\u2010threatening haemodynamic compromise. Progressive calcific pericardial encasement can result in focal aneurysm\u2010like deformation of the right ventricular outflow tract\u2014a consequence of chronic external constraint rather than intrinsic myocardial pathology. This case illustrates the complementary role of multimodal cardiac imaging in characterizing this phenotype and documents the catastrophic thromboembolic vulnerability inherent to its clinical context. Despite periprocedural interruption of oral anticoagulation limited to a single withheld dose before cavotricuspid isthmus ablation for atrial flutter, the patient sustained simultaneous acute left middle cerebral artery infarction and bilateral pulmonary embolism within 48 h, underscoring the imperative for risk\u2010stratified, individualized anticoagulation management in this population.<\/jats:p>","DOI":"10.1111\/echo.70510","type":"journal-article","created":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T11:10:52Z","timestamp":1779361852000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Squeezing the Heart: Right Ventricular Aneurysmal Deformation and Extreme Thrombotic Risk in Constrictive Pericarditis due to Cardiac Sarcoidosis"],"prefix":"10.1111","volume":"43","author":[{"given":"Alexander","family":"Suchodolski","sequence":"first","affiliation":[{"name":"1st Department of Cardiology and Angiology Silesian Center for Heart Diseases  Zabrze Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasza","family":"Millan","sequence":"additional","affiliation":[{"name":"Student Research Group Medical University of Silesia  Zabrze Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"G\u0142owacki","sequence":"additional","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging Faculty of Medical Sciences in Zabrze Medical University of Silesia  Katowice Poland"},{"name":"Computed Tomography Laboratory Silesian Centre for Heart Diseases  Zabrze Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Niklewski","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Transplantation, Vascular and Endovascular Surgery, Silesian Center for Heart Diseases, Medical University of Silesia  Katowice Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuzanna","family":"Jackowska","sequence":"additional","affiliation":[{"name":"Department of Radiology and Diagnostic Imaging Faculty of Medical Sciences in Zabrze Medical University of Silesia  Katowice Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Walig\u00f3ra","sequence":"additional","affiliation":[{"name":"Computed Tomography Laboratory Silesian Centre for Heart Diseases  Zabrze Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariola","family":"Szulik","sequence":"additional","affiliation":[{"name":"1st Department of Cardiology and Angiology Silesian Center for Heart Diseases  Zabrze Poland"},{"name":"Department of Medical Sciences, Collegium Medicum WSB University  D\u0105browa G\u00f3rnicza Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001219"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.09.009"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.006426"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaf192"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70510","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/echo.70510","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70510","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T16:26:20Z","timestamp":1786292780000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.70510"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":4,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1111\/echo.70510"],"URL":"https:\/\/doi.org\/10.1111\/echo.70510","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2026-04-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70510"}}