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| Volume 73 Number 6 October 2006 |
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| Metastatic Signet Ring Adenocarcinoma: An Unusual Cause of Cardiac Constriction | 898-901 |
Ather Anis, M.D., Rajeev L. Narayan, M.D., Suraj Kapa, M.D,. Marc Klapholz, M.D., and Muhamed Saric, M.D., Ph.D. |
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From the Department of Medicine, New Jersey Medical School, Newark, NJ.
Address all correspondence to Muhamed Saric, M.D., Ph.D., F.A.C.C., F.A.S.E., Director, Echocardiography Lab, Division of Cardiovascular Diseases, New Jersey Medical School, 185 South Orange Avenue I-538, University Heights, Newark, NJ 07103; email: saricmu@umdnj.edu.
Accepted for publication March 2006.
Abstract
Pericardial constriction secondary to metastatic adenocarcinoma is exceedingly rare. We present the first recorded case of pericardial constriction secondary to metastatic signet-ring mucinous adenocarcinoma diagnosed by echocardiography. The cornerstones of echocardiographic diagnosis of constriction are the following: interventricular septal bounce phasic with respiration, M-mode recordings of the inferior vena cava, and the characteristic Doppler velocity patterns recorded from the mitral valve, hepatic veins, and mitral annulus.
Key Words
Echocardiography, adenocarcinoma, cardiac constriction.
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