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Pericardial mesothelioma presenting as constrictive pericarditis
Felix Berglund1, Ambreen Ali2, Parvathy Sankar1
1Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Echocardiography (Mount Kisco, N.Y.)
|September 11, 2023
Summary
A patient developed constrictive pericarditis after treatment for pericardial effusion. Diagnosis revealed pericardial mesothelioma, a rare cancer of the pericardium.
Area of Science:
- Cardiology
- Oncology
- Pathology
Background:
- Recurrent pericardial effusion management can involve pericardiocentesis and pericardial window procedures.
- Constrictive pericarditis is a potential long-term complication following pericardial interventions.
Observation:
- A 46-year-old woman presented with symptoms of constrictive pericarditis 17 months post-pericardial procedures.
- Cardiac MRI identified an infiltrative mass encasing the pericardium.
Findings:
- Transcutaneous core needle biopsy confirmed pericardial mesothelioma.
- This rare malignancy can mimic inflammatory or infectious pericardial disease.
Implications:
- Early recognition of pericardial mesothelioma is crucial for appropriate patient management.
- This case highlights the importance of considering malignancy in persistent or recurrent pericardial conditions.
Keywords:
cardiac magnetic resonance imagingconstrictive pericarditismalignant pericardial effusionpericardial mesotheliomaMore Related Videos
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