Two Cases with Rapidly Developing Malignant Pericardial Mesothelioma
- VernacularTitle:急性増悪した悪性心膜中皮腫の2症例
- Author:
Daiki HIRAYAMA
1
;
Norihisa YUGE
1
;
Ryuki YAMADA
1
;
Mariko HORI
1
;
Susumu MANABE
1
Author Information
- Keywords: Malignant Pericardial Mesothelioma; pericardial constriction
- From:Japanese Journal of Cardiovascular Surgery 2024;53(3):105-108
- CountryJapan
- Language:Japanese
- Abstract: Case 1: Sixty-seven-year-old male. Presented with exertional dyspnea, raising suspicion for constrictive pericarditis. His condition rapidly progressed to a state of shock, necessitating emergency surgery under percutaneous cardiopulmonary support. Pericardiectomy using the waffle procedure was performed. However, there was limited improvement in hemodynamics, and he died on the 17th postoperative day. Postoperative pathological examination diagnosed epithelioid malignant pericardial mesothelioma. Case 2: Sixty-nine-year-old female. Presented with exertional dyspnea, raising suspicion for constrictive pericarditis. While being transported for surgical intervention, she went into shock, followed by cardiopulmonary resuscitation and initiation of percutaneous cardiopulmonary support. Waiting for the improvement of multiple organ failure, pericardiectomy using the waffle procedure was conducted. However, there was limited improvement in hemodynamics, and she died on the 2nd postoperative day. Postoperative pathological examination diagnosed sarcomatoid malignant pericardial mesothelioma.
