Primary pericardial mesothelioma presenting as pericardial constriction: a case report.
case_report · Level V
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- Record sourced from PubMed, PMID 14676267.
- Also identified by PMC identifier 1767997.
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Abstract
A 19 year old man presented with a six month history of chest pain, dyspnoea, and lethargy and was found on an echocardiogram to have a dilated left ventricle with a small pericardial effusion. Ramipril and a course of steroids were tried but serial echocardiograms showed a persistently thickened pericardium and slowly developing features of constriction. On computed tomography, a large mediastinal mass encasing the heart, along with para-aortic and paratracheal lymphadenopathy, was found. Right heart catheter studies showed equal pressures in all four chambers. His deteriorating clinical condition led to a pericardiectomy. Histology confirmed primary pericardial mesothelioma. The patient died soon after surgery.
Medical subject headings
- Heart Neoplasms
- Mediastinal Neoplasms
- Mesothelioma
- Pericarditis, Constrictive
- Pericardium