Skip to main content

Advertisement

Log in

A rare case of idiopathic chronic expanding pericardial hematoma presenting as pericardial tamponade: a case report and literature review

  • Case Report
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Chronic expanding pericardial hematoma is a very rare disease that occurs after open-heart surgery. We report successful surgical treatment of a rare case of chronic expanding pericardial hematoma that developed into a large mass and presented as pericardial tamponade without apparent cause. An 82-year-old woman with no history of cardiac surgery, chest trauma, or epicardial injury presented with a 3-year history of progressive exertional dyspnea. Surgical resection of the mass via midsternotomy was planned to release the cardiac symptoms and to confirm the diagnosis of chronic expanding pericardial hematoma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Reid JD, Kommareddi S, Lankerani M, Park MC. Chronic expanding hematomas. A clinicopathologic entity. JAMA. 1980;244:2441–2.

    Article  CAS  Google Scholar 

  2. Ueda H, Baba H, Ondo K. Treatment of chronic expanding hematoma of the thorax with median sternotomy. Gen Thorac Cardiovasc Surg. 2013;61:466–8.

    Article  Google Scholar 

  3. Basha KM, Palanisamy V, Janakiraman E, Jamesraj J, Pandian S, Sangili SK, et al. A rare presentation of intrapericardial hematoma 20 months post aortic valve replacement. Indian Heart J. 2015;67(2):148–51.

    Article  Google Scholar 

  4. Ueyama K, Morishima M, Iida J. First report of chronic expanding intrapericardial hematoma caused by coronary to pulmonary artery fistulas. Ann Thorac Surg. 2015;99(3):1084.

    Article  Google Scholar 

  5. Velibey Y, Sahin S, Altay S, Bakshaliyev N, Tusun E, Unal S, et al. A rare cause of congestive heart failure after seven years of open heart surgery: organized intrapericardial hematoma. Anadolu Kardiyol Derg. 2014;14:205–8.

    Article  Google Scholar 

  6. Tokue H, Tokue A, Okauchi K, Tsushima Y. 2-[18F]fluoro-2-deoxy-D-glucose (FDG) positron-emission tomography (PET) findings of chronic expanding intrapericardial hematoma: a potential interpretive pitfall that mimics a malignant tumor. J Cardiothorac Surg. 2013;17:8–13.

    Google Scholar 

  7. Chamsi-Pasha MA, Anwar AM, Nosir YF, Ajam A, Abukhudair W, Ashmeg A, et al. Organized intrapericardial haematoma: a rare cause of heart failure after 2 years of trauma. Eur J Echocardiogr. 2011;12(1):E1.

    Article  Google Scholar 

  8. Singhal P, Riordan J. Intrapericardial haematoma: a rare cause of congestive cardiac failure after three years of coronary artery bypass grafting. Heart Lung Circ. 2008;17(4):343–4.

    Article  CAS  Google Scholar 

  9. Teraoka K, Hirano M, Tanaka N, Akata S, Yamashina A. Cardiovascular imaging in-a-month. A 65-year-old man complaining of shortness of breath after open heart surgery. Chronic expanding pericardial hematoma after open heart surgery. J Cardiol. 2003;41(5):259–61.

    PubMed  Google Scholar 

  10. Kainuma S, Masai T, Yamauchi T, Takeda K, Iwakura K, Ito H, et al. Chronic expanding intrapericardial hematoma after coronary artery bypass surgery presenting with congestive heart failure. Ann Thorac Cardiovasc Surg. 2008;14(1):52–4.

    PubMed  Google Scholar 

  11. Sughiura T, Nishida H, Ishitoya H, Tomizawa Y, Saito S, Endo M, et al. Chronic expanding intrapericardial hematoma after pericardial paracentesis. J Card Surg. 2006;21(5):491–3.

    Article  Google Scholar 

  12. Hirai S, Hamanaka Y, Mitsui N, Isaka M, Kobayashi T. Chronic expanding hematoma in the pericardial cavity after cardiac surgery. Ann Thorac Surg. 2003;75:1629–31.

    Article  Google Scholar 

  13. Palmer ND, Curtis J, Rodrigues EA. Localised cardiac tamponade caused by intrapericardial haematoma: a rare cause of ascites presenting 10 years after open heart surgery. Heart. 2002;87(1):60.

    Article  CAS  Google Scholar 

  14. Kagaya S, Abe T, Sekine S, Goto Y, Iijima K, Kondoh K. Intrapericardial organized hematoma. A rare complication after open heart surgery. Jpn J Thorac Cardiovasc Surg. 1999;47(6):291–4.

    Article  CAS  Google Scholar 

  15. Sugita T, Ueda Y, Ogino H, Morioka K, Sakakibara Y, Matsubayashi K, et al. Constrictive pericarditis caused by an old hematoma. Thorac Cardiovasc Surg. 1997;45(5):250–2.

    Article  CAS  Google Scholar 

  16. Brown DL, Ivey TD. Giant organized pericardial hematoma producting constrictive pericarditis: case report and review of literature. J Trauma. 1996;41:558–60.

    Article  CAS  Google Scholar 

  17. Meleca MJ, Hoit BD. Previously unrecognized intrapericardial hematoma leading to refractory abdominal ascites. Chest. 1995;108(6):1747–8.

    Article  CAS  Google Scholar 

  18. Isobe M, Yamaoki K, Sugiyama T, Seko Y, Yoshizumi M, Nagai R, et al. Right ventricular inflow obstruction due to giant hematoma formed by chronic constrictive pericarditis. Intern Med. 1993;32(4):346–9.

    Article  CAS  Google Scholar 

  19. Hartl WH, Kreuzer E, Reuschel-Janetschek E, Schmidt D, Reichart B. Pericardial mass mimicking constrictive pericarditis. Ann Thorac Surg. 1991;52(3):557–9.

    Article  CAS  Google Scholar 

  20. Labadie EL, Glover D. Physiopathogenesis of subdural hematomas. Part 1: histological and biochemical comparisons of subcutaneous hematoma in rats with subdural hematoma in man. J Neurosurg. 1976;45(4):382–92.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hiroaki Takahashi.

Ethics declarations

Conflict of interest

The authors declare that they have no conflicts of interest or relationships with industry.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Takahashi, H., Chomei, S. & Gan, K. A rare case of idiopathic chronic expanding pericardial hematoma presenting as pericardial tamponade: a case report and literature review. Gen Thorac Cardiovasc Surg 69, 996–999 (2021). https://doi.org/10.1007/s11748-021-01588-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-021-01588-3

Keywords

Navigation