Primary malignant pericardial mesothelioma - a rare cause of pericardial effusion and consecutive constrictive pericarditis: a case report.

Journal of Medical Case Reports
Thomas ButzCornelia Piper

Abstract

Primary malignant pericardial mesothelioma is a very rare pericardial tumor of unknown etiology. A 61-year-old Caucasian woman was admitted to our hospital complaining of exertional dyspnea due to a large pericardial effusion. Intrapericardial fluid volume declined after repeated pericardiocentesis, but the patient progressively developed a hemodynamically relevant pericardial constriction. Pericardiectomy revealed a pericardial mesothelioma. Subsequently, four cycles of chemotherapy (dosage according to recently published trials) were administered. The patient remained asymptomatic, and there was no recurrence of the tumor after three years. Pericardial mesothelioma should be considered and managed appropriately in non-responders to pericardiocentesis, and in patients who develop constrictive pericarditis late in their clinical course.

References

May 4, 2004·European Heart Journal·Bernhard MaischUNKNOWN Task Force on the Diagnosis and Management of Pricardial Diseases of the European Society of Cardiology
Mar 15, 2006·Japanese Journal of Clinical Oncology·Riichiroh MaruyamaYukito Ichinose
Aug 16, 2006·Heart·C LangerD Horstkotte
Oct 16, 2007·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Cristina SantosRosa Baga
Mar 21, 2008·Seminars in Diagnostic Pathology·Adriana LukJagdish W Butany
Jul 3, 2008·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Paul TaylorJoachim von Pawel

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Citations

Jan 29, 2013·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Vítor RamosAdelino Correia
Jan 27, 2015·Revue des maladies respiratoires·M Veil-PicardJ-C Dalphin

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