1. Introduction Constrictive pericarditis presents with diagnostic challenges because of its nonspecific presentation which can resemble heart failure with preserved ejection fraction, restrictive myocardial diseases, and cardiac tamponade [1]. Worldwide, the leading cause of constrictive pericarditis is tuberculosis. However, in developed countries the most common causes are idiopathic or post viral infection, accounting for 40% - 60% of the total number of cases.