To access publisher full text version of this article. Please click on the hyperlink in Additional Links fieldConstricitve pericarditis is an uncommon condition, often of unknown etiology but can be caused by infections, such as tuberculosis, inflammation of the pericardium, radiation therapy or asbestos exposure. Constrictive pericarditis is characterized by fibrosis and often severe calcifications of the pericardial sac which eventually restricts normal diastolic filling of the heart. This consequently leads to a combination of left and right heart failure, often with prominent jugular venous distentsion, liver enlargement, peripheral edema and lethargy. Diagnosis can be difficult and is often delayed. Surgery, involving partial removal of the pericardial sac, usually leads to relief of symptoms. Here we report a case from Landspitali together with a review of the literature.Trefjagollurshús er sjaldgæft fyrirbæri þar sem gollurshúsið þrengir að hjartanu og hindrar eðlilega fyllingu þess. Afleiðingin er vinstri og hægri hjartabilun með þróttleysi, mæði og bjúg á útlimum. Trefjagollurshús er oftast af óþekktum orsökum, en getur komið í kjölfar sýkinga, geislameðferðar, bandvefssjúkdóma og asbestmengunar. Greining getur verið flókin og tefst oft. Meðferð er yfirleitt skurðaðgerð þar sem hluti gollurshúsins er fjarlægður. Hér er lýst tilfelli af Landspítala
