Mixed constrictive pericarditis and restrictive cardiomyopathy in a 36-year-old female

Mixed lesion of restrictive cardiomyopathy and constrictive pericarditis is a rarely reported clinical entity which poses a diagnostic and therapeutic enigma to physicians. the management of both conditions differs markedly. restrictive cardiomyopathy is managed either conservatively or cardiac transplant may be offered. on the other hand, constrictive pericarditis can be surgically treated by pericardiectomy. we report a rare case of decompensated heart failure presenting with mixed features of both constrictive and restrictive cardiomyopathy.