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Two-Chamber Intracardiac Mesothelioma

Department of Cardiothoracic Surgery, St Mary’s & Royal Brompton Hospital, London, United Kingdom

For reprint information contact: Thanos Athanasiou, MD Tel: 44 207 886 6147 Fax: 44 207 886 1762 Email: tathan5253{at}aol.com, Department of Cardiothoracic Surgery, St Mary’s & Royal Brompton Hospital, 70 St Olaf’s Road, London, England SW6 7DN, United Kingdom.

Primary intracardiac malignant mesotheliomas are extremely rare and carry a very poor prognosis. We present such a case where the lesion encompassed two chambers, the left atrium and ventricle, with no pericardial involvement. Initial echocardiography mimicked a myxoma, and urgent surgical intervention was required in view of significant cardiorespiratory compromise. To the best of our knowledge this is the first case of a primary two-chamber intracardiac malignant sarcomatoid mesothelioma.