Surgical Experience of Pericardial Mesothelioma: 2 Cases
| Autor: | Kwon Jae Park, Phil Jo Choi, Roh Mee Sook, Jung Hee Bang, Sook-Hee Hong |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Pulmonary and Respiratory Medicine
Constrictive pericarditis medicine.medical_specialty business.industry medicine.medical_treatment Pericardial Mesothelioma medicine.disease Pericardial effusion Surgery medicine.anatomical_structure Median sternotomy cardiovascular system Medicine Pericardium Mesothelioma Cardiology and Cardiovascular Medicine business Pericardiectomy Phrenic nerve |
| Zdroj: | The Korean Journal of Thoracic and Cardiovascular Surgery. 43:437-440 |
| ISSN: | 2093-6516 2233-601X |
| DOI: | 10.5090/kjtcs.2010.43.4.437 |
| Popis: | Cardiac mesotheliomas are rare. It is difficult to diagnose them at an early stage because the symptoms are nonspecific. Here we report two cases that had been initially diagnosed as constrictive pericarditis but later were definitively diagnosed, after pericardiectomy, as mesothelioma. The two patients complained of dyspnea that lasted 4 months and 10 years. Chest CT showed mild pericardial effusion and thickened pericardium, which was found enveloping the heart without any lumps. Median sternotomy showed that the overall pericardium was thickened by more than 10 ㎜. Pericardiectomy (phrenic nerve to phrenic nerve) was performed and post-operative histology confirmed malignant mesothelioma. In one patient the disease recurred near the pericardium post-operatively at 7 months and the patient died at 11 months. The other patient received chemotherapy and was still alive at post-operative month 16. Pericardial mesothelioma is an extremely rare disease exhibiting clinical signs similar to those of constrictive pericarditis, and should be diagnosed at an early stage of onset. |
| Databáze: | OpenAIRE |
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