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  • Title: Primary malignant pericardial mesothelioma presenting as effusive-constrictive pericarditis.
    Author: Sharma PS, Katechis D.
    Journal: J Invasive Cardiol; 2011 Aug; 23(8):E197-9. PubMed ID: 21828406.
    Abstract:
    Effusive-constrictive pericarditis is a clinical hemodynamic syndrome characterized by constriction of the heart by the visceral pericardium in the presence of a tense pericardial effusion. The hallmark of effusive-constrictive pericarditis is the persistence of elevated right atrial pressures and ventricular interdependence after relief of the elevated intrapericardial pressures. The present report discusses the unique case of a 46-year-old white female who presented with dyspnea on exertion and chest tightness in the setting of an effusive-constrictive pericarditis. The patient was subsequently diagnosed with primary malignant pericardial mesothelioma, an extremely rare neoplasm with a very poor prognosis.
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