When cardiac surgery comes to its limits: a case report of pericardial mesothelioma invading the myocardium.

ABSTRACT:

Background

Primary pericardial mesothelioma (PPM) is a rare form of highly aggressive cancer. Many patients are diagnosed only at an advanced stage. Therefore, the overall survival rate is poor with a median survival of 3 months. In some rare cases, the PPM infiltrates the myocardium causing lethal myocardial dysfunction.

Case summary

A 66-year-old patient was transferred to our centre with the provisional diagnose of pericarditis of unknown origin. Using extensive cardiac imaging [echocardiography, computed tomography (CT), positron emission tomography-CT, cardiac magnetic resonance imaging, left and right heart catheterization, coronary angiography], PPM was finally diagnosed. After consultation with the oncologists, the heart team decided to resect the tumour first due to

SUBMITTER: Polzl L 

PROVIDER: S-EPMC8261120 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature