Krishnakumar, NHankrishnan, STharakan, JM2017-03-102017-03-102007114 ,1;135-13610.1016/j.ijcard.2005.11.054https://dspace.sctimst.ac.in/handle/123456789/10413A 33-year-old male with idiopathic restrictive cardiomyopathy had dilated and tortuous veins over both lower limbs and over the scrotum with multiple hyperpigmented scars. He was in the habit of puncturing the veins to let out blood during episodes of worsening of dyspnoea, thereby relieving dyspnoea by decreasing the preload. (c) 2005 Elsevier Ireland Ltd. All rights reserved.Cardiovascular System & Cardiology