Severely calcified constrictive pericarditis simulating a mediastinal tumor and obstructing the right ventricular inflow tract.
We report a rare case of constrictive pericarditis that stimulated a large mediastinal tumor obstructing the right ventricular inflow tract. A 58-year-old woman was referred to our hospital because of a recent increase of dyspnea and facial edema. Computed tomography revealed severely thickened calcification, including a low-density area, presenting as a mediastinal tumor, compressing the right ventricular inflow tract. A complete resection was performed, and her symptoms dramatically improved. Idiopathic constrictive pericarditis was diagnosed pathologically.
Yamauchi
Takashi
T
Department of Cardiovascular Surgery, Sakurabashi Watanabe Hospital, Osaka, Japan.
Masai
Takafumi
T
Takeda
Koji
K
Kainuma
Satoshi
S
Sawa
Yoshiki
Y
Abe
Kazuo
K
D002114:Calcinosis / Q000150:complications; D003937:Diagnosis, Differential; D005260:Female; D006331:Heart Diseases / Q000209:etiology*; D006352:Heart Ventricles; D006801:Humans; D008479:Mediastinal Neoplasms / Q000473:pathology*; D008875:Middle Aged; D010494:Pericarditis, Constrictive / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed