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(Circulation. 1950;2:441.)
© 1950 American Heart Association, Inc.

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Primary Systemic Amyloidosis Mimicking Chronic Constrictive Pericardial Disease

WILLIAM T. COUTER M.D.¹ RUDOLPH E. REICHET JR. M.D¹

¹ From the Department of Internal Medicine, The Medical School, University of Michigan, Ann Arbor, Michigan.

The characteristically altered physiologic pattern in chronic constrictive pericarditis is the resultant of the diminished cardiac expansibility. A widespread infiltrative myocardial disease in which cardiac expansibility was equally limited should simulate the former entity very closely. This extremely rare entity is illustrated in this case report.

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