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(Chest. 1973;64:769-771.)
© 1973 American College of Chest Physicians

Calcific Rheumatoid Constrictive Pericarditis with Cardiac Failure Treated by Pericardiectomy

Arvin Arthur M.D.1; Roger Oskvig B.A.1; and Lotfy L. Basta M.D.1

1 Cardiovascular Division, University of Iowa and Veterans Administration Hospitals, Iowa City, Iowa

A 74-year-old man with classic rheumatoid arthritis developed constrictive pericarditis accompanied by gross pericardial calcification. Pericardiectomy was followed by marked clinical improvement, substantiated by hemodynamic data. Immunofluorescent staining of the resected pericardium demonstrated precipitates of IgG, IgM, and complement C3. Similar precipitates were not encountered in normal pericardium or pericarditis due to other etiology.






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Copyright © 1973 by the American College of Chest Physicians.