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Ann Thorac Surg 1991;52:557-559
© 1991 The Society of Thoracic Surgeons

Articles

Pericardial mass mimicking constrictive pericarditis

Wolfgang H. Hartl, MD*, Eckart Kreuzer, MD, Elisabeth Reuschel-Janetschek, MD, Dorothea Schmidt, MD, Bruno Reichart, MD

Departments of Cardiac Surgery, Internal Medicine (Division of Cardiology), and Radiology, Klinikum Grosshadern, Ludwig Maximilian University, Munich, Federal Republic of Germany

Accepted for publication January 30, 1991.

* Address reprint requests to Dr Hartl, Department of Surgery, Klinikum Grosshadern, Marchioninistr. 15, D-8000 Munich 70, 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.