Primary Pericardial Malignant Fibrous Histiocytoma Causing Cardiac Tamponade Seiji Matsukuma, MD, Hiroshi Yamaguchi, MD, Masayoshi Hamawaki, MD, Masahiro.

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Primary Pericardial Malignant Fibrous Histiocytoma Causing Cardiac Tamponade Seiji Matsukuma, MD, Hiroshi Yamaguchi, MD, Masayoshi Hamawaki, MD, Masahiro Ito, MD, Yohjiro Matsuoka, MD The Annals of Thoracic Surgery Volume 86, Issue 2, Pages 646-649 (August 2008) DOI: 10.1016/j.athoracsur.2008.02.040 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Computed tomographic image of first admission reveals a large circumferential pericardial effusion. Mass lesions were absent. (B) Computed tomographic image taken 34 days after the first admission reveals mass lesion (arrows). The Annals of Thoracic Surgery 2008 86, 646-649DOI: (10.1016/j.athoracsur.2008.02.040) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) T2-weighted spin echocardiographic image shows a large nonhomogenous mass pushing the ventricles upward (arrows). (B) T1-weighted gadolinium-enhanced magnetic resonance imaging demonstrates the mass with an enhanced wall and partially enhanced contents (white arrows). The mass does not extend over the atrioventricular groove (black arrows). The Annals of Thoracic Surgery 2008 86, 646-649DOI: (10.1016/j.athoracsur.2008.02.040) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) A part of resected yellow myxoid material. (B) Microscopic appearance of the tumor showing a striform pattern of spindle and foamy cells (hematoxylin-eosin stain, × 100). (C) Myxomatous area of the tumor with a giant cell (arrow) (hematoxylin-eosin stain, × 120). The Annals of Thoracic Surgery 2008 86, 646-649DOI: (10.1016/j.athoracsur.2008.02.040) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions