title: Giant solitary fibrous tumor of the epicardium causing reversible heart failure.
abstract: A 68-year-old woman with a 2-year history of dyspnea and fatigue was admitted to our hospital with a massive pericardial effusion. Computed tomography and cardiovascular magnetic resonance imaging revealed a huge (17 cm maximum diameter) intrapericardial mass. After successful tumor resection, a giant solitary fibrous tumour of the epicardium was diagnosed by histology. Histologic features of malignancy were absent, and the patient is alive and well 1 year after the operation, undergoing close follow-up at regular intervals. Recurrences have been exceptionally reported in benign solitary fibrous tumors, and experience with this exceptionally rare and enigmatic cardiac tumor is lacking.
authors.affiliation: Cardiac Surgery Department, Ospedale del Cuore "G. Pasquinucci," Fondazione Toscana "G. Monasterio," Massa, Italy; Scuola Superiore "Sant'Anna," Institute of Life Sciencies, Pisa, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Bianchi
authors.forename: Matteo
authors.initials: M
authors.lastname: Ferrarini
authors.forename: Marco
authors.initials: M
authors.lastname: Matteucci
authors.forename: Angelo
authors.initials: A
authors.lastname: Monteleone
authors.forename: Giovanni Donato
authors.initials: GD
authors.lastname: Aquaro
authors.forename: Claudio
authors.initials: C
authors.lastname: Passino
authors.forename: Angela
authors.initials: A
authors.lastname: Pucci
authors.forename: Mattia
authors.initials: M
authors.lastname: Glauber
mesh_terms: D000368:Aged; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006338:Heart Neoplasms / Q000150:complications* / Q000473:pathology; D006801:Humans; D010496:Pericardium; D054364:Solitary Fibrous Tumors / Q000150:complications* / Q000473:pathology
keywords: 18