Heart in a shell-a cascade of classical findings: a case report.

Background: Idiopathic chronic constrictive pericarditis (CP) is an uncommon yet very important clinical entity as prompt diagnosis and early treatment are affiliated with improved outcomes. We describe an uncommon case of CP with a series of textbook findings and received successful treatment with surgical pericardiectomy (SP).

Case Summary: A 58-year-old male presented to the emergency department with exertional dyspnoea and anasarca.