title: [Pleural and mediastinal fibrosis with involvement of the external pericardium as a cause of decompensated heart failure].
abstract: Symptoms of cardiac failure were observed in a 60-year-old man 38 years after the therapy of cavernous tuberculosis of the right upper lobe with a paraffin oil plomb. The irritation by the paraffin oil induced a pleural and mediastinal fibrosis involving the pericardium. The rigid pericardium enclosed the heart and caused biventricular cardiac failure by the impaired diastolic filling. Possibilities of medical and surgical treatment are discussed.
mesh_terms: D005355:Fibrosis; D006333:Heart Failure / Q000473:pathology*; D006801:Humans; D008297:Male; D008482:Mediastinum / Q000473:pathology*; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology; D009821:Oils / Q000009:adverse effects; D010232:Paraffin; D010496:Pericardium / Q000473:pathology*; D010994:Pleura / Q000473:pathology*; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000628:therapy
chemical_list: D009821:Oils; D010232:Paraffin; C015418:paraffin oils
vernacular_title: Pleura- und Mediastinalfibrose mit Beteiligung des äusseren Perikards als Ursache einer dekompensierten Herzinsuffizienz.