Document Detail

Constrictive pericarditis caused by an old hematoma.
MedLine Citation:
PMID:  9402668     Owner:  NLM     Status:  MEDLINE    
A 46-year-old woman was admitted for surgery after diagnosis of a constrictive pericarditis. She had suffered from acute pericarditis and undergone pericardiocentesis to relieve pericardial effusion several times 10 years previously. Cardiac catheterization showed elevated mean right-atrial and pulmonary wedge pressures. Chest CT revealed only a calcified mass in the retrosternal space. At surgery, there was no severe adhesion between the pericardium and the epicardium, and the pericardium was thin and almost normal except over the right artio-ventricular groove, where a hard mass with an atheromatous content adhered to the epicardium. After resection of the mass, central venous pressure and pulmonary wedge pressure decreased. The mass was found to be an old hematoma by pathological examination. The patient was subsequently discharged from hospital in good condition.
T Sugita; Y Ueda; H Ogino; K Morioka; Y Sakakibara; K Matsubayashi; T Nomoto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  45     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1998-01-20     Completed Date:  1998-01-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  250-2     Citation Subset:  IM    
Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.
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MeSH Terms
Heart Diseases / complications*,  radiography
Hematoma / complications*,  radiography
Middle Aged
Pericarditis, Constrictive / etiology*
Tomography, X-Ray Computed

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