A Rare Case of Chronic Expanding Intrapericardial Hematoma with Refractory Right-sided Heart Failure 30 Years after the Surgical Repair of Tetralogy of Fallot

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...

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Autores principales: Nakawatase, Satoshi, Asae, Yoshinori, Miyamoto, Yoshiyuki, Miyamoto, Masaoki, Okumoto, Yasushi, Mizoguchi, Hiroki, Sakaki, Masayuki, Kimura, Keizo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429310/
https://www.ncbi.nlm.nih.gov/pubmed/33678745
http://dx.doi.org/10.2169/internalmedicine.6800-20
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author Nakawatase, Satoshi
Asae, Yoshinori
Miyamoto, Yoshiyuki
Miyamoto, Masaoki
Okumoto, Yasushi
Mizoguchi, Hiroki
Sakaki, Masayuki
Kimura, Keizo
author_facet Nakawatase, Satoshi
Asae, Yoshinori
Miyamoto, Yoshiyuki
Miyamoto, Masaoki
Okumoto, Yasushi
Mizoguchi, Hiroki
Sakaki, Masayuki
Kimura, Keizo
author_sort Nakawatase, Satoshi
collection PubMed
description 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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spelling pubmed-84293102021-09-24 A Rare Case of Chronic Expanding Intrapericardial Hematoma with Refractory Right-sided Heart Failure 30 Years after the Surgical Repair of Tetralogy of Fallot Nakawatase, Satoshi Asae, Yoshinori Miyamoto, Yoshiyuki Miyamoto, Masaoki Okumoto, Yasushi Mizoguchi, Hiroki Sakaki, Masayuki Kimura, Keizo Intern Med Case Report 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. The Japanese Society of Internal Medicine 2021-03-08 2021-08-15 /pmc/articles/PMC8429310/ /pubmed/33678745 http://dx.doi.org/10.2169/internalmedicine.6800-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal 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
Nakawatase, Satoshi
Asae, Yoshinori
Miyamoto, Yoshiyuki
Miyamoto, Masaoki
Okumoto, Yasushi
Mizoguchi, Hiroki
Sakaki, Masayuki
Kimura, Keizo
A Rare Case of Chronic Expanding Intrapericardial Hematoma with Refractory Right-sided Heart Failure 30 Years after the Surgical Repair of Tetralogy of Fallot
title A Rare Case of Chronic Expanding Intrapericardial Hematoma with Refractory Right-sided Heart Failure 30 Years after the Surgical Repair of Tetralogy of Fallot
title_full A Rare Case of Chronic Expanding Intrapericardial Hematoma with Refractory Right-sided Heart Failure 30 Years after the Surgical Repair of Tetralogy of Fallot
title_fullStr A Rare Case of Chronic Expanding Intrapericardial Hematoma with Refractory Right-sided Heart Failure 30 Years after the Surgical Repair of Tetralogy of Fallot
title_full_unstemmed A Rare Case of Chronic Expanding Intrapericardial Hematoma with Refractory Right-sided Heart Failure 30 Years after the Surgical Repair of Tetralogy of Fallot
title_short A Rare Case of Chronic Expanding Intrapericardial Hematoma with Refractory Right-sided Heart Failure 30 Years after the Surgical Repair of Tetralogy of Fallot
title_sort rare case of chronic expanding intrapericardial hematoma with refractory right-sided heart failure 30 years after the surgical repair of tetralogy of fallot
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8429310/
https://www.ncbi.nlm.nih.gov/pubmed/33678745
http://dx.doi.org/10.2169/internalmedicine.6800-20
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