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Ann Thorac Surg 2000;69:1926-1927
© 2000 The Society of Thoracic Surgeons

Case reports

Pericardial mesothelioma: the diagnostic dilemma of misleading imaging

David W. Quinn, FRCSa, Ford Qureshi, FRCSa, Ian M. Mitchell, FRCSa

a Department of Cardiothoracic Surgery, Nottingham City Hospital, Nottingham, United Kingdom

Address reprint requests to Dr Quinn, Office of Cardiopulmonary Transplantation, Department of Cardiothoracic Surgery, Queen Elizabeth Medical Centre, Edgbaston, Birmingham, UK B15, 2TH

A young man with a short history of increasing dyspnea, cough, and ascites was initially diagnosed as having idiopathic constrictive pericarditis and referred for an operation. The procedure revealed an atypical invasive encapsulating disease. Complete resection was impossible, and only partial relief of constriction was achieved. The patient died shortly after. Histology revealed primary mesothelioma of the pericardium. The case illustrates the difficulty in establishing this diagnosis by echocardiography and computed tomography.






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