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The Annals of Thoracic Surgery, Vol 52, 557-559, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Pericardial mass mimicking constrictive pericarditis

WH Hartl, E Kreuzer, E Reuschel-Janetschek, D Schmidt and B Reichart
Department of Cardiac Surgery, Klinikum Grosshadern, Ludwig Maximilian University, Munich, Federal Republic of Germany.

Persistent pericardial hematoma due to blunt chest trauma is extremely rare. We report a case of constricted myocardium resulting from a large, partially organized hematoma in the right cardiophrenic angle. The hematoma was assumed to be caused by an occupational accident 17 years before diagnosis. Constriction could only be controlled by complete removal of the fibrous posterior capsule of the hematoma, which covered the epicardium of the right heart.




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Copyright © 1991 by The Society of Thoracic Surgeons.