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Right ventricular inflow obstruction due to giant hematoma formed by chronic constrictive pericarditis
M Isobe1, K Yamaoki, T Sugiyama
1Third Department of Internal Medicine, University of Tokyo, Japan.
Insights
A rare case of constrictive pericarditis complicated by a giant intracavity mass causing right ventricular inflow obstruction is presented. This mass, composed of old bloody fluid and calcified tissue, mimicked tricuspid stenosis on auscultation.
Area of Science:
- Cardiology
- Pathology
Background:
- Chronic constrictive pericarditis can lead to complex cardiac complications.
- Right ventricular inflow obstruction is a serious consequence requiring accurate diagnosis.
Observation:
- A giant intracavity mass was identified in a 26-year-old male with constrictive pericarditis.
- The mass was surrounded by significantly calcified pericardium.
- The mass contained old bloody fluid and calcified tissue.
Findings:
- The intracavity mass caused significant right ventricular inflow obstruction.
- Clinical auscultation findings were highly suggestive of tricuspid valvular stenosis.
- Histopathological analysis revealed a complex mass with calcified elements.
Implications:
- This case highlights rare complications of constrictive pericarditis.
- Accurate differentiation between intracavity masses and valvular stenosis is crucial for effective management.
- Advanced imaging and diagnostic techniques are essential for diagnosing such rare conditions.
Abstract:
A 26-year-old man having chronic constrictive pericarditis with rare complications is described. Right ventricular inflow obstruction was caused by an intracavity giant mass which was surrounded by thick calcified pericardium. The mass consisted of old bloody fluid with some calcified tissue. The findings of auscultation closely mimicked those of tricuspid valvular stenosis.