Cardiac Magnetic Resonance Imaging of Very Late Intrapericardial Hematoma 8 Years after Coronary Artery Bypass Grafting

A 55-year-old man presented with dyspnea, edema, and appetite loss. He had undergone coronary artery bypass grafting 8 years previously. He had jugular venous distention and Kussmaul's sign. Contrast-enhanced cardiac magnetic resonance imaging (CMRI) demonstrated an intrapericardial mass compre...

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Autores principales: Yamaguchi, Tetsuo, Terashima, Masahiro, Takamura, Chisato, Sakurai, Hironobu, Ooishi, Kiyotoshi, Yoshizaki, Tomoya, Yamaguchi, Junji, Hijikata, Sadahiro, Iwai, Takamasa, Sagawa, Yuichiro, Watanabe, Keita, Miyazaki, Ryoichi, Masuda, Ryo, Miwa, Naoyuki, Sekigawa, Masahiro, Hara, Nobuhiro, Nagata, Yasutoshi, Miyamoto, Takamichi, Obayashi, Toru, Nozato, Toshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919856/
https://www.ncbi.nlm.nih.gov/pubmed/29269664
http://dx.doi.org/10.2169/internalmedicine.9605-17
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author Yamaguchi, Tetsuo
Terashima, Masahiro
Takamura, Chisato
Sakurai, Hironobu
Ooishi, Kiyotoshi
Yoshizaki, Tomoya
Yamaguchi, Junji
Hijikata, Sadahiro
Iwai, Takamasa
Sagawa, Yuichiro
Watanabe, Keita
Miyazaki, Ryoichi
Masuda, Ryo
Miwa, Naoyuki
Sekigawa, Masahiro
Hara, Nobuhiro
Nagata, Yasutoshi
Miyamoto, Takamichi
Obayashi, Toru
Nozato, Toshihiro
author_facet Yamaguchi, Tetsuo
Terashima, Masahiro
Takamura, Chisato
Sakurai, Hironobu
Ooishi, Kiyotoshi
Yoshizaki, Tomoya
Yamaguchi, Junji
Hijikata, Sadahiro
Iwai, Takamasa
Sagawa, Yuichiro
Watanabe, Keita
Miyazaki, Ryoichi
Masuda, Ryo
Miwa, Naoyuki
Sekigawa, Masahiro
Hara, Nobuhiro
Nagata, Yasutoshi
Miyamoto, Takamichi
Obayashi, Toru
Nozato, Toshihiro
author_sort Yamaguchi, Tetsuo
collection PubMed
description A 55-year-old man presented with dyspnea, edema, and appetite loss. He had undergone coronary artery bypass grafting 8 years previously. He had jugular venous distention and Kussmaul's sign. Contrast-enhanced cardiac magnetic resonance imaging (CMRI) demonstrated an intrapericardial mass compressing the right ventricular (RV) cavity. T1- and T2-weighted black-blood images showed a mass with heterogeneous high signal intensity and a thick and dark rim. The mass was considered to be a chronic hematoma. After pericardiotomy with surgical removal of the hematoma, CMRI showed the marked improvement of the RV function. Late intrapericardial hematoma is rare and CMRI is useful for making a differential diagnosis.
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spelling pubmed-59198562018-04-27 Cardiac Magnetic Resonance Imaging of Very Late Intrapericardial Hematoma 8 Years after Coronary Artery Bypass Grafting Yamaguchi, Tetsuo Terashima, Masahiro Takamura, Chisato Sakurai, Hironobu Ooishi, Kiyotoshi Yoshizaki, Tomoya Yamaguchi, Junji Hijikata, Sadahiro Iwai, Takamasa Sagawa, Yuichiro Watanabe, Keita Miyazaki, Ryoichi Masuda, Ryo Miwa, Naoyuki Sekigawa, Masahiro Hara, Nobuhiro Nagata, Yasutoshi Miyamoto, Takamichi Obayashi, Toru Nozato, Toshihiro Intern Med Case Report A 55-year-old man presented with dyspnea, edema, and appetite loss. He had undergone coronary artery bypass grafting 8 years previously. He had jugular venous distention and Kussmaul's sign. Contrast-enhanced cardiac magnetic resonance imaging (CMRI) demonstrated an intrapericardial mass compressing the right ventricular (RV) cavity. T1- and T2-weighted black-blood images showed a mass with heterogeneous high signal intensity and a thick and dark rim. The mass was considered to be a chronic hematoma. After pericardiotomy with surgical removal of the hematoma, CMRI showed the marked improvement of the RV function. Late intrapericardial hematoma is rare and CMRI is useful for making a differential diagnosis. The Japanese Society of Internal Medicine 2017-12-21 2018-04-01 /pmc/articles/PMC5919856/ /pubmed/29269664 http://dx.doi.org/10.2169/internalmedicine.9605-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yamaguchi, Tetsuo
Terashima, Masahiro
Takamura, Chisato
Sakurai, Hironobu
Ooishi, Kiyotoshi
Yoshizaki, Tomoya
Yamaguchi, Junji
Hijikata, Sadahiro
Iwai, Takamasa
Sagawa, Yuichiro
Watanabe, Keita
Miyazaki, Ryoichi
Masuda, Ryo
Miwa, Naoyuki
Sekigawa, Masahiro
Hara, Nobuhiro
Nagata, Yasutoshi
Miyamoto, Takamichi
Obayashi, Toru
Nozato, Toshihiro
Cardiac Magnetic Resonance Imaging of Very Late Intrapericardial Hematoma 8 Years after Coronary Artery Bypass Grafting
title Cardiac Magnetic Resonance Imaging of Very Late Intrapericardial Hematoma 8 Years after Coronary Artery Bypass Grafting
title_full Cardiac Magnetic Resonance Imaging of Very Late Intrapericardial Hematoma 8 Years after Coronary Artery Bypass Grafting
title_fullStr Cardiac Magnetic Resonance Imaging of Very Late Intrapericardial Hematoma 8 Years after Coronary Artery Bypass Grafting
title_full_unstemmed Cardiac Magnetic Resonance Imaging of Very Late Intrapericardial Hematoma 8 Years after Coronary Artery Bypass Grafting
title_short Cardiac Magnetic Resonance Imaging of Very Late Intrapericardial Hematoma 8 Years after Coronary Artery Bypass Grafting
title_sort cardiac magnetic resonance imaging of very late intrapericardial hematoma 8 years after coronary artery bypass grafting
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5919856/
https://www.ncbi.nlm.nih.gov/pubmed/29269664
http://dx.doi.org/10.2169/internalmedicine.9605-17
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