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Constrictive pericarditis is a relatively rare condition and an inflammatory process that involves both the parietal and visceral layers of the pericardium, eventually resulting in heart failure due to impaired ventricular filling. A 28-year-old man was referred to our hospital with a one year history of progressive right heart failure. In his history, the patient underwent a pericardiectomy, limited anteriorly though median sternotomy without the use of cardiopulmonary bypass in 2008.Herein is a case of proven recurrent pericardial constriction following pericardiectomy.