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Ann Thorac Surg 2005;80:e1-e2
© 2005 The Society of Thoracic Surgeons

Case report: e-only content

Reversible Tricuspid Valve Stenosis Due to a Metastatic Dissemination of a Noncardiac Sarcoma

Naia Uribe-Etxebarria, MDa, Roberto Voces, MDb, Miguel Angel Rodriguez, MDb, Alberto Llorente, MDb, Pedro Perez, MDc, Jose I. Aramendi, MDb,*

a Division of Thoracic Surgery, Hospital de Cruces, Bilbao, Spain
b Division of Cardiac Surgery, Hospital de Cruces, Bilbao, Spain
c Division of Cardiology, Hospital de Cruces, Bilbao, Spain

Accepted for publication March 8, 2005.

* Address reprint requests to Dr Aramendi, Division of Cardiac Surgery, Hospital de Cruces, Plaza Cruces, Barakaldo, Vizcaya, 48903 Spain (Email: jiaramendi{at}hcru.osakidetza.net).

Malignant disease is present in the pericardium of 1.5% to 20.6% of patients dying of malignant diseases as was examined postmortem. We present a case of a 57-year-old man with a history of Hodgkin’s disease and a sarcoma of gluteus who presented with tachypnea, generalized weakness, and anasarca for 7 days. The echocardiogram revealed the presence of a significant pericardial thickening and localized pericardial effusion resulting from a tricuspid stenosis. A right anterior thoracotomy was performed, and a pericardiectomy (4 x 4 cm) was done. The histologic examination of the pericardium revealed the presence of a metastatic dissemination from a sarcoma. The cause for the clinical presentation and the treatment of malignant pericardial disease are discussed.




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