Document Detail

Primary malignant pericardial mesothelioma presenting as pericardial constriction.
MedLine Citation:
PMID:  19131929     Owner:  NLM     Status:  MEDLINE    
A 55-year-old man with a history of pericardiocentesis for massive pericardial effusion of unknown etiology was admitted to our hospital because of shortness of breath and systemic edema in September 2005. Transthoracic echocardiography demonstrated the massive PE 2 cm in diameter and with several areas of thick hyperrefractile echoes arising from the pericardium. Computed tomography (CT) demonstrated a large mediastinal mass encasing the heart; a pressure of the right ventricle (RV) showed a pattern of dips and plateaus on cardiac catheterization. Pericardiocentesis was attempted, but no fluid could be aspirated. The patient's symptoms progressed day by day despite maximum pharmacological support with catecholamines and diuretics. Surgical treatment was planned to relieve the symptoms and confirm the definitive diagnosis. Pericardiectomy and partial resection of the tumor under cardiopulmonary bypass (CPB) could be performed, and this resulted in a marked relief of symptoms. Histological examination confirmed the malignant pericardial mesothelioma. In conclusion, pericardiectomy and resection of the tumor might be indicated for the relief of symptoms in a critical case presenting as pericardial constriction associated with malignant pericardial mesothelioma.
Satoshi Kainuma; Takafumi Masai; Takashi Yamauchi; Koji Takeda; Hiroshi Ito; Yoshiki Sawa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  14     ISSN:  2186-1005     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2009-01-09     Completed Date:  2009-03-19     Revised Date:  2012-06-18    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  396-8     Citation Subset:  IM    
Department of Cardiovascular Surgery, Sakurabashi Watanabe Hospital, and Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
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MeSH Terms
Cardiac Surgical Procedures
Cardiopulmonary Bypass
Heart Catheterization
Heart Neoplasms / complications*,  pathology,  surgery
Mesothelioma / complications*,  pathology,  surgery
Middle Aged
Pericardial Effusion / etiology
Pericarditis, Constrictive / etiology*,  pathology,  surgery
Pericardium / pathology*,  surgery
Tomography, X-Ray Computed
Treatment Outcome

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