Primary pericardial mesothelioma presenting as pericardial constriction: a case report

被引：47
|
作者：
Suman, S [1 ]
Schofield, P
Large, S
机构：
[1] Papworth Hosp, Dept Cardiol, Cambridge CB3 8RE, England
[2] Papworth Hosp, Dept Cardiac Surg, Cambridge CB3 8RE, England
来源：
HEART | 2004年 / 90卷 / 01期
关键词：
D O I：
10.1136/heart.90.1.e4
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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.
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页数：3
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