Pericardial calcification (PC) typically appears following pericarditis or trauma. The aetiologies of other conditions, such as chronic idiopathic pericarditis, post-cardiac surgery, and mediastinal irradiation, can result in the development of calcified pericardium. This case reports an encounter treating constrictive pericardium which is a belt ring resulting in cardiac champer malformation.

Slow flow and no-reflow phenomenon are taken to sudden loss of coronary artery flow, typically after stenting or angioplasty in primary PCI. Otherwise conventional therapy, we report a technique, which autologous blood into intracoronary to supply oxygen and break process thrombosis results in successfully management no-reflow in primary PCI