Highlights the diagnostic and therapeutic challenges of primary pericardial mesothelioma presenting as constrictive pericarditis.
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Highlights diagnostic pitfalls before pericardectomy in atypical constrictive pericarditis; single case leaves optimal evaluation strategies open.
The aim of this report is to present a case of malignant mesothelioma of the pericardium and to illustrate points in diagnosis and treatment of this extremely rare disease. On admission to hospital there were signs of cardiac tamponade, which responded to peri-cardial drainage. The patient subsequently deteriorated and signs of constrictive pericarditis were demonstrated by right heart catheterization and angiography. Surgery was undertaken, but the patient died three hours after pericardectomy due to cardiac failure and multiple thromboembolism.Pericardial mesotheliomas are rare, as are all primary tumours of the heart. The disease is seldom diagnosed antemortem. The aim of this report is to present one further case and discuss points in diagnosis and treatment.
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Bjernulf et al. (1968) studied this question.
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