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  • Title: Reversible tricuspid valve stenosis due to a metastatic dissemination of a noncardiac sarcoma.
    Author: Uribe-Etxebarria N, Voces R, Rodriguez MA, Llorente A, Perez P, Aramendi JI.
    Journal: Ann Thorac Surg; 2005 Jul; 80(1):e1-2. PubMed ID: 15975327.
    Abstract:
    Malignant disease is present in the pericardium of 1.5% to 20.6% of patients dying of malignant diseases as was examined postmortem. We present a case of a 57-year-old man with a history of Hodgkin's disease and a sarcoma of gluteus who presented with tachypnea, generalized weakness, and anasarca for 7 days. The echocardiogram revealed the presence of a significant pericardial thickening and localized pericardial effusion resulting from a tricuspid stenosis. A right anterior thoracotomy was performed, and a pericardiectomy (4 x 4 cm) was done. The histologic examination of the pericardium revealed the presence of a metastatic dissemination from a sarcoma. The cause for the clinical presentation and the treatment of malignant pericardial disease are discussed.
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