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Extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis

BACKGROUND: Fibrosing mediastinitis (FM) is considered a benign disease, but it can be fatal if progression leads to compression of the hilum of the lungs or invasion of the heart. Echocardiographic reports of this disease are very rare. CASE PRESENTATION: We present a 14-year-old male patient whose...

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Autores principales: Jiang, Wei, Xu, Lili, Guo, Xiaojuan, Li, Yidan, Lv, Xiuzhang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9310488/
https://www.ncbi.nlm.nih.gov/pubmed/35879720
http://dx.doi.org/10.1186/s12947-022-00289-y
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author Jiang, Wei
Xu, Lili
Guo, Xiaojuan
Li, Yidan
Lv, Xiuzhang
author_facet Jiang, Wei
Xu, Lili
Guo, Xiaojuan
Li, Yidan
Lv, Xiuzhang
author_sort Jiang, Wei
collection PubMed
description BACKGROUND: Fibrosing mediastinitis (FM) is considered a benign disease, but it can be fatal if progression leads to compression of the hilum of the lungs or invasion of the heart. Echocardiographic reports of this disease are very rare. CASE PRESENTATION: We present a 14-year-old male patient whose non-enhanced chest computed tomography showed unclear soft-tissue dense lesions in the anterior superior mediastinum. Echocardiography showed the heart was extensively wrapped by soft tissue lesions. The histology confirmed FM. CONCLUSIONS: When FM affects the heart, echocardiography can help to characterize the disease and aid in the diagnosis. Echocardiography should be considered an important tool to follow the progression of this disease and guide the therapeutic approach. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12947-022-00289-y.
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spelling pubmed-93104882022-07-26 Extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis Jiang, Wei Xu, Lili Guo, Xiaojuan Li, Yidan Lv, Xiuzhang Cardiovasc Ultrasound Case Report BACKGROUND: Fibrosing mediastinitis (FM) is considered a benign disease, but it can be fatal if progression leads to compression of the hilum of the lungs or invasion of the heart. Echocardiographic reports of this disease are very rare. CASE PRESENTATION: We present a 14-year-old male patient whose non-enhanced chest computed tomography showed unclear soft-tissue dense lesions in the anterior superior mediastinum. Echocardiography showed the heart was extensively wrapped by soft tissue lesions. The histology confirmed FM. CONCLUSIONS: When FM affects the heart, echocardiography can help to characterize the disease and aid in the diagnosis. Echocardiography should be considered an important tool to follow the progression of this disease and guide the therapeutic approach. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12947-022-00289-y. BioMed Central 2022-07-25 /pmc/articles/PMC9310488/ /pubmed/35879720 http://dx.doi.org/10.1186/s12947-022-00289-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Jiang, Wei
Xu, Lili
Guo, Xiaojuan
Li, Yidan
Lv, Xiuzhang
Extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis
title Extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis
title_full Extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis
title_fullStr Extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis
title_full_unstemmed Extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis
title_short Extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis
title_sort extensive fibrotic wrapping of the heart: a rare echocardiographic diagnosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9310488/
https://www.ncbi.nlm.nih.gov/pubmed/35879720
http://dx.doi.org/10.1186/s12947-022-00289-y
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