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Severely calcified constrictive pericarditis simulating a mediastinal tumor and obstructing the right ventricular inflow tract.
Authors:Takashi Yamauchi  Takafumi Masai  Koji Takeda  Satoshi Kainuma  Yoshiki Sawa  Kazuo Abe
Affiliation:Department of Cardiovascular Surgery, Sakurabashi Watanabe Hospital, Osaka, Japan.
Abstract:We report a rare case of constrictive pericarditis that stimulated a large mediastinal tumor obstructing the right ventricular inflow tract. A 58-year-old woman was referred to our hospital because of a recent increase of dyspnea and facial edema. Computed tomography revealed severely thickened calcification, including a low-density area, presenting as a mediastinal tumor, compressing the right ventricular inflow tract. A complete resection was performed, and her symptoms dramatically improved. Idiopathic constrictive pericarditis was diagnosed pathologically.
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