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. 2020 Jun 16;2(2):270–292. doi: 10.1016/j.jaccao.2020.04.011

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© 2020 The Authors

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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CMR Case Example of Pericardial Constriction

Real-time short-axis mid-ventricular SSFP cine imaging during deep breathing (A) during expiration, and (B) at onset of inspiration. Note the D-shaped LV due to septal flattening (arrow). (C) Axial phase-contrast imaging of the inferior vena cava, with a flow pattern (D) showing rapid and steep y descent with flow reversal in diastole (arrow) reminiscent of the jugular venous waveform encountered in pericardial constriction. Abbreviations as in Figures 1 and 6.