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Chronic expanding intrapericardial hematoma associated with blunt chest trauma 50 years earlier. J Cardiol Cases 2022; 26:375-378. [DOI: 10.1016/j.jccase.2022.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 07/22/2022] [Accepted: 07/30/2022] [Indexed: 11/23/2022] Open
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Nakawatase S, Asae Y, Miyamoto Y, Miyamoto M, Okumoto Y, Mizoguchi H, Sakaki M, Kimura K. A Rare Case of Chronic Expanding Intrapericardial Hematoma with Refractory Right-sided Heart Failure 30 Years after the Surgical Repair of Tetralogy of Fallot. Intern Med 2021; 60:2627-2631. [PMID: 33678745 PMCID: PMC8429310 DOI: 10.2169/internalmedicine.6800-20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
We herein report the case of a 79-year-old man who presented with right-sided heart failure (HF) 27 years after undergoing surgery for tetralogy of Fallot. The HF did not respond well to oral diuretics. Transthoracic echocardiography and chest X-ray failed to determine the cause of the HF for three years. An intrapericardial mass located just behind the sternum, was finally identified on computed tomography. The mass had compressed the right ventricle, causing right-sided HF. Pre-surgical diagnostic images led to suspicion of a chronic expanding intrapericardial hematoma (CEIH), and the CEIH was surgically removed. The patient's symptoms improved markedly.
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Affiliation(s)
| | - Yoshinori Asae
- Division of Cardiology, Heart Center, Kinan Hospital, Japan
| | | | | | | | - Hiroki Mizoguchi
- Division of Cardiovascular Surgery, Heart Center, Kinan Hospital, Japan
| | - Masayuki Sakaki
- Division of Cardiovascular Surgery, Heart Center, Kinan Hospital, Japan
| | - Keizo Kimura
- Division of Cardiology, Heart Center, Kinan Hospital, Japan
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Takahashi H, Chomei S, Gan K. A rare case of idiopathic chronic expanding pericardial hematoma presenting as pericardial tamponade: a case report and literature review. Gen Thorac Cardiovasc Surg 2021; 69:996-999. [PMID: 33462649 DOI: 10.1007/s11748-021-01588-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Accepted: 01/04/2021] [Indexed: 11/29/2022]
Abstract
Chronic expanding pericardial hematoma is a very rare disease that occurs after open-heart surgery. We report successful surgical treatment of a rare case of chronic expanding pericardial hematoma that developed into a large mass and presented as pericardial tamponade without apparent cause. An 82-year-old woman with no history of cardiac surgery, chest trauma, or epicardial injury presented with a 3-year history of progressive exertional dyspnea. Surgical resection of the mass via midsternotomy was planned to release the cardiac symptoms and to confirm the diagnosis of chronic expanding pericardial hematoma.
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Affiliation(s)
- Hiroaki Takahashi
- Department of Cardiovascular Surgery, Kita-Harima Medical Center, 926-250 Ichiba-cho, Ono, Hyogo, 675-1392, Japan.
| | - Shunya Chomei
- Department of Cardiovascular Surgery, Kita-Harima Medical Center, 926-250 Ichiba-cho, Ono, Hyogo, 675-1392, Japan
| | - Kunio Gan
- Department of Cardiovascular Surgery, Kita-Harima Medical Center, 926-250 Ichiba-cho, Ono, Hyogo, 675-1392, Japan
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Nakae M, Mizoguchi H, Yoshitatsu M, Toda K, Sawa Y. Successful surgical case of refractory chronic expanding intrapericardial hematoma treated with preoperative coil embolization of the feeding vessels. Clin Case Rep 2019; 7:1526-1528. [PMID: 31428381 PMCID: PMC6692992 DOI: 10.1002/ccr3.2252] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2019] [Revised: 05/06/2019] [Accepted: 05/16/2019] [Indexed: 11/11/2022] Open
Abstract
Complete surgical resection of chronic expanding intrapericardial hematoma was often difficult because of the severe adhesion. Preoperative coil embolization of the feeding vessels can prevent recurrent expanding of the residual hematoma and would achieve good results.
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Affiliation(s)
- Masaro Nakae
- Department of Cardiovascular SurgeryKansai Rosai HospitalAmagasakiJapan
| | - Hiroki Mizoguchi
- Department of Cardiovascular SurgeryKansai Rosai HospitalAmagasakiJapan
| | - Masao Yoshitatsu
- Department of Cardiovascular SurgeryKansai Rosai HospitalAmagasakiJapan
| | - Koichi Toda
- Department of Cardiovascular SurgeryOsaka University Graduate School of MedicineSuitaJapan
| | - Yoshiki Sawa
- Department of Cardiovascular SurgeryOsaka University Graduate School of MedicineSuitaJapan
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Basha KMS, Palanisamy V, Janakiraman E, Jamesraj J, Pandian S, Sangili SK, Ajit Sankardas M. A rare presentation of intrapericardial hematoma 20 months post aortic valve replacement. Indian Heart J 2015; 67:148-51. [PMID: 26071296 DOI: 10.1016/j.ihj.2015.02.029] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2014] [Revised: 10/09/2014] [Accepted: 02/19/2015] [Indexed: 11/29/2022] Open
Abstract
We report the successful treatment of a rare case of chronic intrapericardial hematoma which presented with congestive cardiac failure 20 months after aortic valve replacement surgery for severe calcific aortic stenosis. Chest roentgenograph demonstrated paracardiac mass over lower left ventricle border, left pleural effusion and pulmonary venous hypertension. An echocardiographic study demonstrated intrapericardial mass posterolateral to left ventricle compressing left ventricular cavity both during systole and diastole causing septum to bulge into right ventricle. Computed tomography showed a loculated pericardial mass in left heart margin, left pleural effusion, bilateral axillary and mediastinal lymphadenopathy. Surgical resection was planned to relieve the symptoms and to confirm the diagnosis of the mass. The mass was completely resected through left anterolateral thoracotomy and histopathology findings confirmed the diagnosis of hematoma with cystic degeneration. Postoperative course was uneventful, and his symptoms improved markedly.
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Affiliation(s)
- Khadhar Mohamed Sarjun Basha
- Senior Registrar, Department of Cardiology, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India.
| | - Vijayanand Palanisamy
- Registrar, Department of Cardiothoracic Surgery, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
| | - Ezhilan Janakiraman
- Senior Consultant, Department of Cardiology, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
| | - Jacob Jamesraj
- Senior Consultant, Department of Cardiothoracic Surgery, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
| | - Sivakumar Pandian
- Consultant, Department of Cardiothoracic Surgery, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
| | - Suresh Kumar Sangili
- Consultant, Department of Cardiothoracic Surgery, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
| | - Mullasari Ajit Sankardas
- Director, Department of Cardiology, Institute of Cardiovascular Diseases, The Madras Medical Mission, Chennai, India
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6
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Unusual body in the pericardium. COR ET VASA 2011. [DOI: 10.33678/cor.2011.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Joo YW, Son CN, Jung KH, Park HJ, Kim SH, Kim TH, Sohn JW, Yoon HJ, Choi YW, Chung WS, Shin DH, Park SS. A Case of Spontaneous Chronic Expanding Hematoma in the Thorax. Tuberc Respir Dis (Seoul) 2008. [DOI: 10.4046/trd.2008.65.3.216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Yong Won Joo
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Chang Nam Son
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Kyong Hee Jung
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Hae Jeong Park
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Sang-Heon Kim
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Tae Hyung Kim
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Jang Won Sohn
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Ho Joo Yoon
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Yo Won Choi
- Department of Diagnostic Radiology, Hanyang University College of Medicine, Seoul, Korea
| | - Won Sang Chung
- Department of Thoracic and Cardiovascular Surgery, Hanyang University College of Medicine, Seoul, Korea
| | - Dong Ho Shin
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
| | - Sung Soo Park
- Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
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