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Updated: Jan 25, 2026

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
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Surgical resection of enlarged calcification formed by idiopathic localized constrictive pericarditis during total

Aiko Sonobe1, Motoo Osaka1, Bryan J Mathis1

  • 1Department of Cardiovascular Surgery, University of Tsukuba, Ibaraki, Japan.

Journal of Cardiac Surgery
|April 25, 2019
PubMed

Insights

A chronic aortic dissection was managed alongside a large pericardial mass. Surgical resection of the mass preceded aortic arch replacement, leading to a successful outcome for constrictive pericarditis.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Cardiology

Background:

  • A 75-year-old woman presented with persistent cough, initially treated for aortic dissection (Stanford A).
  • One year later, imaging revealed a DeBakey type II chronic dissecting aortic aneurysm (54 mm) and a large anterior pericardial mass.

Observation:

  • The patient exhibited facial and extremity edema, with chest radiography showing cardiac calcification.
  • Preoperative imaging identified a large, spherical mass in the anterior pericardium coexisting with the aortic dissection.

Findings:

  • Surgical resection of the pericardial mass was performed successfully prior to total aortic arch replacement.
  • The patient experienced an uneventful recovery and was discharged on postoperative day 21.

Implications:

  • This case underscores the necessity of thorough diagnostic workups for patients with complex aortic and pericardial pathologies.
  • The successful combined surgical approach offers a potential management strategy for similar coexisting conditions.

Keywords:
aorta and great vesselscardiovascular pathologyconstrictive pericarditis

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