Open AccessPrimary pericardial fibrosarcoma presenting as “near” cardiac tamponade
Author(s) -
Matsakas Evangelos P.,
Lazaros George A.,
Panou Fotis K.,
Karavidas Apostolos I.,
Papalimberi Elisavet P,
Scotis Ioannis D.,
Zacharoulis Apostolos A.
Publication year - 2002
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4950250210
Subject(s) - medicine , pericardium , pericardiectomy , cardiac tamponade , magnetic resonance imaging , hemopericardium , autopsy , fibrosarcoma , tamponade , ventricle , radiology , surgery , pathology , cardiology
A 19‐year‐old male presented with fever, substernal pain, dyspnea, and distended neck veins. Diagnostic investigations, such as echocardiography and magnetic resonance imaging, provided evidence of a large mass within the pericardial sac, attached by a broad base to the parietal pericardium and lying along the right ventricular free wall. A partial pericardiectomy was performed to relieve the patient's symptoms, and histologic examination of a biopsy specimen showed features of a malignant, spindle cell, mesenchymal neoplasm. The patient underwent surgical treatment during which the tumor was found to infiltrate the anterior surface of the right ventricle. Histologically, the tumor was identified as a high‐grade fibrosarcoma, and additional chemotherapy was given.