Because of this, he was referred to a cardiologist, who found signs of pericardial effusion, which was confirmed by echocardiography.
The angiosarcoma, due to its invasive nature, required extensive resection, after which pericardial patches were needed to reconstruct the right atrium and the septum.
Stenoses of the branches of the pulmonary arteries were enlarged with a pericardial patch in four patients.
Exposures to high densities of cercariae could lead to encystment in other sites such as the kidney lumen or pericardial cavity.
This patient suffered from recurrent pericardial effusions and the susceptibility differences may be caused by various layers of deposits of fibrin.
In patients with large pericardial effusions, however, clear identification of the site of drainage of the coronary sinus was difficult.
Metacercarial cysts localize in the pericardial cavity and the kidney lumen of the snail and these organs would have a finite capacity for carrying cysts.
If the sites chosen for anastomosis are far distant from each other, a graft of azygos vein or a small pericardial roll can be interposed.