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Updated: Jan 31, 2026

Testing the Efficacy of Pharmacological Agents in a Pericardial Target Delivery Model in the Swine
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[Pericardial Hematoma Mimicking Pericardial Tumor;Report of a Case]

Xiaoning Tong1, Hideyuki Harada, Hiroyuki Yamada

  • 1Department of Cardiovascular Surgery, Kushiro Memorial Hospital, Kushiro, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|December 28, 2018
PubMed

Insights

A patient initially diagnosed with a pericardial tumor was found to have a pericardial hematoma with constrictive pericarditis. Surgical resection of the hematoma and pericardiectomy were successfully performed.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Oncology
  • Pathology

Background:

  • Preoperative diagnosis of pericardial masses can be challenging.
  • Distinguishing between neoplastic and non-neoplastic lesions is crucial for appropriate management.
  • Constrictive pericarditis can present with symptoms mimicking other cardiac pathologies.

Observation:

  • A case presented with a preoperative diagnosis of a pericardial tumor.
  • Intraoperative findings revealed a pericardial hematoma and localized constrictive pericarditis.
  • The patient underwent surgical intervention for both conditions.

Findings:

  • The intraoperative diagnosis differed from the preoperative assessment, identifying a pericardial hematoma instead of a tumor.
  • Localized constrictive pericarditis was identified concurrently with the hematoma.
  • Surgical resection of the pericardial hematoma and pericardiectomy were completed.

Implications:

  • This case highlights the importance of intraoperative assessment for accurate diagnosis of pericardial lesions.
  • Prompt surgical management can effectively treat symptomatic pericardial hematomas and constrictive pericarditis.
  • Accurate histopathological analysis post-resection is vital for definitive diagnosis and ruling out malignancy.

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