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Eur J Cardiothorac Surg 2002;22:640-642
© 2002 Elsevier Science NL

Case report

An unusual presentation of solitary fibrous tumour of the pleura: right atrium and inferior vena cava compression

Department of Thoracic Surgery, Georges Pompidou European Hospital, 20-40 rue Leblanc, 75908 Paris Cedex 15, France

Received 12 April 2002; received in revised form 28 June 2002; accepted 1 July 2002.

* Corresponding author. Tel.: +33-1-5609-3450; fax: +33-1-5609-3380
e-mail: marc.riquet{at}hop.egp.ap-hop-paris.fr

Solitary fibrous tumours of the pleura are rare and usually present with unpredictable clinical signs. We report a 58-year-old patient presenting with signs of cardiac decompensation and external compression of the right atrium and inferior vena cava by a voluminous solitary fibrous tumour arising from the diaphragmatic pleura. Marked clinical improvement was obtained after excision of the mass with complete disappearance of the cardiac signs.

Key Words: Pleural tumour • Cardiac compression • Inferior vena cava

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