Constrictive Pericarditis

Hemodynamic comparisons with tamponade and restrictive cardiomyopathy
  • Ralph Shabetai
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 249)


Dr. Hope observed that he had never examined a case after death, a case of complete adhesion of the pericardium without finding enlargement of the heart, generally hypertrophy with dilation. . .With deference to this high authority, I must venture to suggest that the above remarks can be applied only to one class of cases of this description - to those in which, superadded to the adhesion of the pericardial surfaces, there is also disease of the valvular passages of the heart. . .a sufficient number of contrary cases have occurred under my own notice, to prove that, where the valves are healthy, complete and close adhesion of the pericardial surfaces, so far from producing hypertrophy and dilatation, has a tendency to be followed by general diminution in the size of the heart and its vessels, and contraction of its cavities (Norman Chevers 1842).


Tricuspid Regurgitation Cardiac Tamponade Constrictive Pericarditis Cardiac Amyloidosis Respiratory Variation 
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  1. Adolph RJ, Frommer JC. A transducer for recording the instantaneous respiratory waveforms in animals and man. J Appl Physiol 1966; 21:737–740.PubMedGoogle Scholar
  2. Akasaka T, Yoshida K, Yamamuro A, Hozumi T, Takagi T, et al. Phasic coronary flow characteristics in patients with constrictive pericarditis: comparison with restrictive cardiomyopathy. Circulation 1997; 96:1874–1881PubMedCrossRefGoogle Scholar
  3. Albers WH, Hugenholtz PG, Nadas AS. Constrictive pericarditis and atrial septal defect, secundum type. With special reference to left ventricular volumes and related hemodynamic findings. Am J Cardiol 1969; 23:850–857PubMedCrossRefGoogle Scholar
  4. Alexander J, Kelley MJ, Cohen LS, Langou RA. The angiographie appearance of the coronary arteries in constrictive pericarditis. Radiology 1979; 131:609–617PubMedCrossRefGoogle Scholar
  5. Almassi GH, Chapman PD, Troup PJ, Wetherbee JN, Olinger GN. Constrictive pericarditis associated with patch electrodes of the automatic implantable cardioverter-defibrillator. Chest 1987; 8:369–371CrossRefGoogle Scholar
  6. Ammash NM, Seward JB, Bailey KR, Edwards WD, Tajik AJ. Clinical profile and outcome of idiopathic restrictive cardiomyopathy. Circulation. 2000; 101:2490–2496PubMedCrossRefGoogle Scholar
  7. Andrews GWS, Pickering GW Sellors TH. The aetiology of constrictive pericarditis with special reference to tuberculous pericarditis, together with a note on polyserositis. Q J Med 1948; 17:291–321PubMedGoogle Scholar
  8. Appleton CP, Hatle LK, Popp RL. Relation of transmitral flow velocity patterns to left ventricular diastolic function: new insights from a combined hemodynamic and Doppler echocardiographic study. J Am Coll Cardiol 1988; 12:426–440.PubMedCrossRefGoogle Scholar
  9. Asher CR, Klein AL. Diastolic heart failure: restrictive cardiomyopathy, constrictive pericarditis, and cardiac tamponade: clinical and echocardiographic evaluation. Cardiol Rev 2002; 10:218–229.PubMedCrossRefGoogle Scholar
  10. Boonyaratavej S, Oh JK, Tajik AJ, Appleton CP, Seward JB. Comparison of mitral inflow and superior vena cava Doppler velocities in chronic obstructive pulmonary disease and constrictive pericarditis. J Am Coll Cardiol 1998; 32:2043–2048.PubMedCrossRefGoogle Scholar
  11. Brown DL, Ivey TD. Giant organized pericardial hematoma producing constrictive pericarditis: a case report and review of the literature. J Trauma 1996; 41:558–560.PubMedCrossRefGoogle Scholar
  12. Brown DL, Luchi RJ. Cardiac tamponade and constrictive pericarditis complicating endoscopic sclerotherapy. Arch Intern Med 1987; 147:2169–2170PubMedCrossRefGoogle Scholar
  13. Bush CA, Stang JM, Wooley CF, Kilman JW. Occult constrictive pericardial disease. Diagnosis by rapid volume expansion and correction by pericardiectomy. Circulation. 1977; 56:924–930.PubMedCrossRefGoogle Scholar
  14. Cameron J, Oesterle SN, Baldwin JC, Hancock EW. The etiologic spectrum of constrictive pericarditis. Am Heart J 1987; 113:354–360.PubMedCrossRefGoogle Scholar
  15. Carroll JD, Gaasch WH, McAdam KPWJ: Amyloid cardiomyopathy: characterization by a distinctive volume/mass relation. Am J Cardiol 1982; 49:9–13.PubMedCrossRefGoogle Scholar
  16. Chevers N. Observations on the diseases of the orifice and valves of the aorta. Guys Hosp Rep 1842; 7:387–439)Google Scholar
  17. Churchill ED: Decortication of the heart for adhesive pericarditis. Arch Surg 1929; 19:1457–1469.CrossRefGoogle Scholar
  18. Cooper DK, Cleland WP, Bentall HH. Collagen diseases as a cause of constrictive pericarditis. Thorax. 1978; 33:368–371.PubMedCentralPubMedCrossRefGoogle Scholar
  19. Crake T, Sandle GI, Crisp AJ, Record CO. Constrictive pericarditis and intestinal haemorrhage due to Whipple’s disease. Postgrad Med J 1983; 59:194–195PubMedCentralPubMedCrossRefGoogle Scholar
  20. Davies D, Andrews MI, Jones JS. Asbestos induced pericardial effusion and constrictive pericarditis. Thorax. 1991; 46:429–432.PubMedCentralPubMedCrossRefGoogle Scholar
  21. DeValeria PA, Baumgartner WA, Casale AS, Greene PS, Cameron DE, et al. Current indications, risks, and outcome after pericardiectomy. Ann Thorac Surg 1991; 52:219–224.PubMedCrossRefGoogle Scholar
  22. Dines DE, Edwards JE, Burchell HB. Myocardial atrophy in constrictive pericarditis. Proceedings of the Staff Meetings of the Mayo Clinic. 1958; 33:93–99PubMedGoogle Scholar
  23. Engel PJ, Fowler NO, Tei CW, Shah PM, Driedger HJ, et al. M-mode echocardiography in constrictive pericarditis. J Am Coll Cardiol 1985; 6:471–474.PubMedCrossRefGoogle Scholar
  24. Gaasch WH, Peterson KL, Shabetai R. Left ventricular function in chronic constrictive pericarditis. Am J Cardiol 1974; 34:107–110PubMedCrossRefGoogle Scholar
  25. Garcia MJ, Thomas JD, Klein AL. New Doppler echocardiographic applications for the study of diastolic function. J Am Coll Cardiol 1998; 32:865–875PubMedCrossRefGoogle Scholar
  26. Ha JW, Oh JK, Ling LH, Nishimura RA, Seward JB, et al. Annulus paradoxus: transmitral flow velocity to mitral annular velocity ratio is inversely proportional to pulmonary capillary wedge pressure in patients with constrictive pericarditis. Circulation 2001; 104:976–978.PubMedCrossRefGoogle Scholar
  27. Hancock EW. Effusive constrictive pericarditis. In Pericardial Diseases, PS Reddy, DF Leon, JA Shaver (eds). pp 357–369. Raven Press, 1980, New York.Google Scholar
  28. Hancock EW. Subacute effusive-constrictive pericarditis. Circulation 1971; 43:183–192.PubMedCrossRefGoogle Scholar
  29. Hanley PC, Shub C, Lie JT. Constrictive pericarditis associated with combined idiopathic retroperitoneal and mediastinal fibrosis. Mayo Clin Proc 1984; 59:300–304PubMedCrossRefGoogle Scholar
  30. Hansen AT, Eskildsen P, Gótzsche H. Pressure curves from the right auricle and the right ventricle in chronic constrictive pericarditis. Circulation 1951; 3:881–888PubMedCrossRefGoogle Scholar
  31. Himelman RB, Kircher B, Rockey DC, Schiller NB. Inferior vena cava plethora with blunted respiratory response: a sensitive echocardiographic sign of cardiac tamponade. J Am Coll Cardiol 1988; 12:1470–1477PubMedCrossRefGoogle Scholar
  32. Hinds SW, Reisner SA, Amico AF, Meltzer RS. Diagnosis of pericardial abnormalities by 2D-echo: a pathology-echocardiography correlation in 85 patients. Am Heart J 1992; 123:143–150.PubMedCrossRefGoogle Scholar
  33. Hinkamp TJ, Sullivan HJ, Montoya A, Park S, Bartlett L, et al. Chronic cardiac rejection masking as constrictive pericarditis. Ann Thorac Surg 1994; 57:1579–1583PubMedCrossRefGoogle Scholar
  34. Hoit BD. Pericardial heart disease. Curr Probl Cardiol 1997; 22:353–400.PubMedCrossRefGoogle Scholar
  35. Holt JP, Rhode EA, Kines H. Pericardial and ventricular pressure. Circ Res 1960; 8:1171–1181.PubMedCrossRefGoogle Scholar
  36. Hou HD. A case of heart amyloidosis accompanied by chronic pericarditis and calcification within the amyloid. Chin Med J (Engl) 1983; 96:549–550Google Scholar
  37. Hurrell DG, Nishimura RA, Higano ST, Appleton CP, Danielson GK, et al. Value of dynamic respiratory changes in left and right ventricular pressures for the diagnosis of constrictive pericarditis. Circulation 1996; 93:2007–2013.PubMedCrossRefGoogle Scholar
  38. Ilia R, Weizman S, Gueron M. Effects of rapid volume expansion on the right filling pressures after prosthetic valve surgery. Cathet Cardiovasc Diagn 1991; 23:169–171.PubMedCrossRefGoogle Scholar
  39. Johnson TL, Bauman WB, Josephson RA. Worsening tricuspid regurgitation following pericardiectomy for constrictive pericarditis. Chest 1993; 104:79–81.PubMedCrossRefGoogle Scholar
  40. Johnston SD, Johnston PW, O’Rourke D. Carcinoid constrictive pericarditis. Heart 1999; 82:641–643.PubMedCentralPubMedGoogle Scholar
  41. Kao CL, Chang JP. Modified method for epicardial constriction: the electric-Waffle procedure. J Cardiovasc Surg (Torino) 2001; 42:643–646.PubMedGoogle Scholar
  42. Keogh BE, Oakley CM, Taylor KM. Chronic constrictive pericarditis caused by self-mutilation with sewing needles. A case report and review of published reports. Br Heart J 1988; 59:77–80PubMedCentralPubMedCrossRefGoogle Scholar
  43. Kessler R, Follis F, Daube D, Wernly J. Constrictive pericarditis from Nocardia asteroides infection. Ann Thorac Surg 1991; 52:861–862PubMedCrossRefGoogle Scholar
  44. Khan MA, Noah MS, Al-Saddique A, Sharaf el-Deane MS. Constrictive pericarditis as a complication of closed chest injury. Injury 1988; 19:39–40PubMedCrossRefGoogle Scholar
  45. Klein AL, Cohen GI, Pietrolungo JF, White RD, Bailey A, et al. Differentiation of constrictive pericarditis from restrictive cardiomyopathy by Doppler transesophageal echocardiographic measurements of respiratory variations in pulmonary venous flow. J Am Coll Cardiol 1993; 22:1935–1943.PubMedCrossRefGoogle Scholar
  46. Klodas E, Nishimura RA, Appleton CP, Redfield MM, Oh JK. Doppler evaluation of patients with constrictive pericarditis: use of tricuspid regurgitation velocity curves to determine enhanced ventricular interaction. J Am Coll Cardiol 1996; 28:652–657.PubMedCrossRefGoogle Scholar
  47. Kuchel O, Ethier J. Extreme diuretic dependence in idiopathic edema: mechanisms, prevention and therapy. Am J Nephrol 1998; 18:456–459PubMedCrossRefGoogle Scholar
  48. Kumpe DA, Jaffe RB, Waldmann TA, Weinstein MA. Constrictive pericarditis and protein losing enteropathy. An imitator of intestinal lymphangiectasis. Am J Roentgenol Radium Ther Nucl Med 1975; 124:365–373PubMedCrossRefGoogle Scholar
  49. Kushwaha SS, Fallon JT, Fuster V. Restrictive cardiomyopathy.New Engl Med J1997; 336:267–276CrossRefGoogle Scholar
  50. Kussmaul A: Ueber schwielige Mediastino-Pericarditis and den paradoxen Puls. BerlinerKlinische Wochenschrii t1878; 10:461–464Google Scholar
  51. Kutcher MA, King SB 3rd, Alimurung BN, Craver JM, Logue RB. Constrictive pericarditis as a complication of cardiac surgery: recognition of an entity. Am J Cardiol 1982; 50:742–748PubMedCrossRefGoogle Scholar
  52. Levine HD. Myocardial fibrosis in constrictive pericarditis: electrocardiographic and pathologic observations. Circulation 1973; 48:1268–1281.PubMedCrossRefGoogle Scholar
  53. Ling LH, Oh JK, Breen JF, Schaff HV, Danielson GK, et al. Calcific constrictive pericarditis: is it still with us?Ann Intern Med2000; 132:444–450.PubMedCrossRefGoogle Scholar
  54. Ling LH, Oh JK, Schaff HV, Danielson GK, Mahoney DW, et al. Constrictive pericarditis in the modern era: evolving clinical spectrum and impact on outcome after pericardiectomy. Circulation 1999; 100:1380–1386.PubMedCrossRefGoogle Scholar
  55. Ling LH, Oh JK, Tei C, Click RL, Breen JF, et al. Pericardial thickness measured with transesophageal echocardiography: feasibility and potential clinical usefulness. J Am Coll Cardiol 1997; 29:1317–1323PubMedCrossRefGoogle Scholar
  56. Lorell B, Leinbach RC, Pohost GM, Gold HK, Dinsmore RE, Hutter AM Jr, Pastore JO, Desanctis RW. Right ventricular infarction. Clinical diagnosis and differentiation from cardiac tamponade and pericardial constriction. Am J Cardiol 1979; 43:465–471.PubMedCrossRefGoogle Scholar
  57. Lui CY, Makoui C. Severe constrictive pericarditis as an unsuspected cause of death in a patient with idiopathic hypereosinophilic syndrome and restrictive cardiomyopathy. Clin Cardiol 1988; 11:502–504.PubMedCrossRefGoogle Scholar
  58. Magna P, Vythilingum S, Mitha AS. Pulsatile hepatomegaly in constrictive pericarditis. Br Heart J 1984; 52:465–467.CrossRefGoogle Scholar
  59. McRorie ER, Wright RA, Errington ML, Luqmani RA. Rheumatoid constrictive pericarditis. Br J Rheumatol 1997; 36:100–103.PubMedCrossRefGoogle Scholar
  60. Meade RH. Surgery of the pericardium, in A History of Thoracic Surgery. Springfield Illinois, Charles C Thomas, 1961.Google Scholar
  61. Meaney E, Shabetai R, Bhargava V, Shearer M, Weidner C, et al. Cardiac amyloidosis, constrictive pericarditis and restrictive cardiomyopathy.Am J Cardiol1976; 38:547–556.PubMedCrossRefGoogle Scholar
  62. Mounsey P. The early diastolic sound of constrictive pericarditis. Br Heart J 1955; 17:143–152PubMedCentralPubMedCrossRefGoogle Scholar
  63. Nishimura RA. Constrictive pericarditis in the modern era: a diagnostic dilemma. Heart 2001; 86:619–623.PubMedCentralPubMedCrossRefGoogle Scholar
  64. Nishimura RA, Kazmier FJ, Smith HC, Danielson GK. Right ventricular outflow obstruction caused by constrictive pericardial disease. Am J Cardiol 1985; 55:1447–1448PubMedCrossRefGoogle Scholar
  65. Oh JK, Hatle LK, Seward JB, Danielson GK, Schaff 11V, et al. Diagnostic role of Doppler echocardiography in constrictive pericarditis. J Am Coll Cardiol 1994; 23:154–162PubMedCrossRefGoogle Scholar
  66. Oh JK, Tajik AJ, Appleton CP, Hatle LK, Nishimura RA, et al. Preload reduction to unmask the characteristic Doppler features of constrictive pericarditis. A new observation. Circulation 1997; 95:796–799.PubMedCrossRefGoogle Scholar
  67. Oh KY, Shimizu M, Edwards WD, Tazelaar HD, Danielson GK. Surgical pathology of the parietal pericardium: a study of 344 cases(1993–1999). Cardiovasc Pathol 2001; 10:157–168.PubMedCrossRefGoogle Scholar
  68. Okamoto H, Morita S, Fujimoto K, Niimi T, Yasuura K. The “T-shaped” thoracotomy for pericardiectomy after midline crossed IMA grafting. J Thorac Cardiovasc Surg 1998; 46:97–98.CrossRefGoogle Scholar
  69. Ommen SR, Seward JB, Tajik AJ. Clinical and echocardiographic features of hypereosinophilic syndromes. Am J Cardiol. 2000; 86:110–113PubMedCrossRefGoogle Scholar
  70. Oren RM, Grover-McKay M, Stanford W, Weiss RM. Accurate preoperative diagnosis of pericardial constriction using cine computed tomography. J Am Coll Cardiol 1993; 22:832–838PubMedCrossRefGoogle Scholar
  71. Palka P, Lange A, Donnelly JE, Nihoyannopoulos P. Differentiation between restrictive cardiomyopathy and constrictive pericarditis by early diastolic doppler myocardial velocity gradient at the posterior wall. Circulation 2000; 102:655–662.PubMedCrossRefGoogle Scholar
  72. Panchal P, Adams E, Hsieh A. Calcific constructive pericarditis: a rare complication of CREST syndrome. Arthritis Rheum 1996; 39:347–350PubMedCrossRefGoogle Scholar
  73. Ptacin MJ. Uremic constrictive pericarditis: case report. Mil Med 1983; 148:603–605.PubMedGoogle Scholar
  74. Rajagopalan N, Garcia MJ, Rodriguez L, Murray RD, Apperson-Hansen C, et al. Comparison of new Doppler echocardiographic methods to differentiate constrictive pericardial heart disease and restrictive cardiomyopathy. Am J Cardiol 2001; 87:86–94.PubMedCrossRefGoogle Scholar
  75. Ramsey HW, Sbar S, Elliott LP, Eliot RS. The differential diagnosis of restrictive myocardiopathy and chronic constrictive pericarditis without calcification. Value of coronary arteriography. Am J Cardiol 1970; 25:635–638PubMedCrossRefGoogle Scholar
  76. Ronco C, Bellomo R, Ricci Z. Hemodynamic response to fluid withdrawal in overhydrated patients treated with intermittent ultrafiltration and slow continuous ultrafiltration: role of blood volume monitoring. Cardiology 2001; 96:196–201.PubMedCrossRefGoogle Scholar
  77. Sagrista-Sauleda J, Permanyer-Miralda G, Candell-Riera J, Angel J, Soler-Soler J. Transient cardiac constriction: An unrecognized pattern of evolution in effusive acute idiopathic pericarditis. Am J Cardiol 1987; 59:961–966.PubMedCrossRefGoogle Scholar
  78. Schoenfeld MH, Supple EW, Dec GW Jr, Fallon JT, Palacios IF. Restrictive cardiomyopathy versus constrictive pericarditis: role of endomyocardial biopsy in avoiding unnecessary thoracotomy. Circulation 1987; 75:1012–1017.PubMedCrossRefGoogle Scholar
  79. Schrire V, Gotsman MS, Beck W. Unusual diastolic murmurs in constrictive pericarditis and constrictive endocarditis. Am Heart J 1968; 76:4–12.PubMedCrossRefGoogle Scholar
  80. Sechtem U, Tscholakoff D, Higgins CB. MRI of the abnormal pericardium. AJR Am J Roentgenol 1986;147:245–252.PubMedCrossRefGoogle Scholar
  81. Senni M, Redfield MM, Ling LH, Danielson GK, Tajik AJ, et al. Left ventricular systolic and diastolic function after pericardiectomy in patients with constrictive pericarditis: Doppler echocardiographic findings and correlation with clinical status. J Am Coll Cardiol 1999; 33:1182–1188.PubMedCrossRefGoogle Scholar
  82. Shabetai R. Diseases of the pericardium, In: Hurst’s, The Heart. RW Alexander, R Schlant, V Fuster, eds., 9th edition, New York, McGraw Hill, 1994. pp 2169–2203.Google Scholar
  83. Shabetai R, Fowler NO, Fenton JC, Masangkay M. Pulsus paradoxus. J Clin Invest 1965; 44:1882–1898.PubMedCentralPubMedCrossRefGoogle Scholar
  84. Shabetai R, Grossman W. Profiles in constrictive pericarditis, restrictive cardiomyopathy and cardiac tamponade, in Cardiac Catheterization and Angiography, 2nd edition. Wm Grossman (ed.). Philadelphia, Lee & Febiger, 1980Google Scholar
  85. Spodick DH. Etiologic spectrum of constrictive pericarditis. Am Heart J 1987; 114:1529–1530PubMedCrossRefGoogle Scholar
  86. Spodick DH. The normal and diseased pericardium: current concepts of pericardial physiology, diagnosis and treatment. J Am Coll Cardiol 1983; 1:240–251PubMedCrossRefGoogle Scholar
  87. Stanley RJ, Subramanian R, Lie JT. Cholesterol pericarditis terminating as constrictive calcific pericarditis. Follow-up study of patient with 40 year history of disease. Am J Cardiol 1980; 46:511–514PubMedCrossRefGoogle Scholar
  88. Sugimoto T, Ogawa K, Asada T, Mukohara N, Higami T, et al. Pericardiectomy and coronary artery bypass grafting for constrictive pericarditis after heart surgery. Jpn Circ J 1996; 60:177–180PubMedCrossRefGoogle Scholar
  89. Sun JP, Abdalla IA, Yang XS, Rajagopalan N, Stewart WJ, et al. Respiratory variation of mitral and pulmonary venous Doppler flow velocities in constrictive pericarditis before and after pericardiectomy. J Am Soc Echocardiogr 2001; 14:1119–1126.PubMedCrossRefGoogle Scholar
  90. Tabata T, Kabbani SS, Murray RD, Thomas JD, Abdalla I, et al. Difference in the respiratory variation between pulmonary venous and mitral inflow Doppler velocities in patients with constrictive pericarditis with and without atrial fibrillation. J Am Coll Cardiol 2001; 37:1936–1942.PubMedCrossRefGoogle Scholar
  91. Tamir R, Pick AJ, Theodor E. Constrictive pericarditis complicating dermatomyositis. Ann Rheum Dis 1988; 47:961–963.PubMedCentralPubMedCrossRefGoogle Scholar
  92. Tei C, Child JS, Tanaka H, Shah PM. Atrial systolic notch on the interventricular septal echogram: an echocardiographic sign of constrictive pericarditis. J Am Coll Cardiol 1983; 1:907–912PubMedCrossRefGoogle Scholar
  93. van der Wall EE, Vliegen HW, de Roos A, Bruschke AV. Magnetic resonance techniques for assessment of myocardial viability. J Cardiovasc Pharmacol 1996; 28(Suppl 1):S37–44.Google Scholar
  94. Vandenbossche JL, Jacobs P, Decroly P, Primo G, Englert M. Significance of inspiratory premature opening of pulmonic valve in constrictive pericarditis. Am Heart J 1985;110:896–898PubMedCrossRefGoogle Scholar
  95. Van der Merwe S, Dens J, Daenen W, Desmet V, Fevery J. Pericardial disease is often not recognised as a cause of chronic severe ascites. J Hepatol 2000; 32:164–169.Google Scholar
  96. Wasserman AJ, Richardson DW, Baird CL, Wyso EM. Cardiac hemochromatosis simulating constrictive pericarditis. Am J Med 1962; 32:316–323PubMedCrossRefGoogle Scholar
  97. Whalley GA, Doughty RN, Gamble GD, Wright SP, Walsh HJ, et al. Pseudonormal mitral filling pattern predicts hospital re-admission in patients with congestive heart failure.J Am Coll Cardiol 2002; 39:1787–1795.PubMedCrossRefGoogle Scholar
  98. White CS. MR evaluation of the pericardium. Top Magn Reson Imaging 1995; 7:258–266PubMedCrossRefGoogle Scholar
  99. Wondergem J, Strootman EG, Frolich M, Leer JW, Noordijk EM. Circulating atrial natriuretic peptide plasma levels as a marker for cardiac damage after radiotherapy. Radiother Oncol 2001; 58:295–301.PubMedCrossRefGoogle Scholar

Copyright information

© Kluwer Academic Publishers 2003

Authors and Affiliations

  • Ralph Shabetai
    • 1
  1. 1.University of CaliforniaSan DiegoUSA

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