Reversible tricuspid valve stenosis due to a metastatic dissemination of a noncardiac sarcoma.
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.
Division of Thoracic Surgery, Hospital de Cruces, Bilbao, Spain.
Naia
N
Uribe-Etxebarria
Roberto
R
Voces
Miguel Angel
MA
Rodriguez
Alberto
A
Llorente
Pedro
P
Perez
Jose I
JI
Aramendi
D006338:Heart Neoplasms / Q000150:complications / Q000556:secondary* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D019042:Muscle Neoplasms / Q000473:pathology*; D010490:Pericardial Effusion / Q000209:etiology / Q000601:surgery*; D010491:Pericardial Window Techniques; D010496:Pericardium / Q000473:pathology; D012509:Sarcoma / Q000150:complications / Q000556:secondary* / Q000601:surgery; D014264:Tricuspid Valve Stenosis / Q000209:etiology* / Q000601:surgery