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A 66-year-old female patient with a history of mechanical mitral valve replacement (MVR) due to endocarditis 5 years ago was referred with shortness of breath, tachycardia, and beginning hypotension. In addition, the patient appeared to have prominent jugular veins suggesting a pericardial tamponade. Transthoracic echocardiography (TTE) displayed a partly calcified pericardial effusion (13 × 8 cm) compressing the right ventricle (RV) and the right atrium (RA) ( Panel …

Impressive left ventricular pseudoaneurysm mimicking a pericardial tamponade 5 years after mitral valve replacement for endocarditis