Post-Irradiation Malignant Pericardial Mesothelioma with Recurrent Bloody Pericardial Effusion : a Case Report
- VernacularTitle:血性心嚢液貯留を繰り返した胸部放射線治療歴のある悪性心膜中皮腫の1手術例
- Author:
Shuntaro ITO
1
;
Kenji MOGI
1
;
Manabu SAKURAI
1
;
Kengo TANI
1
;
Masafumi HASHIMOTO
1
;
Yoshiharu TAKAHARA
1
Author Information
- Keywords: malignant pericardial mesothelioma; post-irradiation; constrictive pericarditis
- From:Japanese Journal of Cardiovascular Surgery 2021;50(1):34-37
- CountryJapan
- Language:Japanese
- Abstract: We report a case of a 64-year-old woman with a history of radiation therapy for breast cancer 27 years ago who developed malignant pericardial mesothelioma. Since 3 years ago, the recurrent bloody pericardial effusion was getting worse, which caused general edema and nocturnal dyspnea. She had a thickened pericardium and the right ventricular pressure curve showed a dip-and-plateau pattern. We diagnosed constrictive pericarditis and performed a pericardiectomy and waffle procedure on the thickened epicardium without cardiopulmonary bypass. The post-operative histology confirmed malignant pericardial mesothelioma and she died on the 17th postoperative day. Pericardial malignant mesothelioma is a rare disorder but very aggressive. This fatal disease may be considered in a patient with recurrent bloody pericardial effusion who has a history of thoracic radiation therapy.
