Cor Vasa 2011, 53(8-9):490-492 | DOI: 10.33678/cor.2011.120

Unusual body in the pericardium

Tomáš Lazarák^1,*, Libor Hemžský¹, Petr Vojtíšek¹, Blanka Lacmanová², Vladimír Rozsíval³, Ivo Skalský⁴, Tomáš Marek⁵

¹ Kardiologické oddělení Interní kliniky, Pardubická krajská nemocnice, a.s., Pardubice

² Radiodiagnostické oddělení, Pardubická krajská nemocnice a.s., Pardubice

³ Kardio-Troll s.r.o., Pardubice

⁴ Klinika kardiovaskulární chirurgie, Kardiocentrum IKEM, Praha

⁵ Klinika kardiologie, Kardiocentrum IKEM, Praha, Česká republika

Chronic expansive intrapericardial hematoma is rare. Sporadic cases following cardiac surgeries, chest traumas, pericardial traumas and percutaneous coronary interventions (PCI) are described in the literature. We present a case report of a 64-year-old man with expansive pericardial hematoma and clinical presentation suggestive of constrictive pericarditis. Three years prior to the diagnosis of chronic pericardial hematoma, the patient had underwent aortocoronary bypass surgery, followed by repeated PCIs. The hematoma was removed surgically. One year after its extirpation, the hematoma recurred and reoperation was necessary. The patient has been free from any recurrence during the following two years.

Keywords: Pericardial hematoma; Constrictive pericarditis; Cardiac surgery

Published: August 1, 2011  Show citation