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J Clin Diagn Res. 2017 May;11(5):ED12-ED14. doi: 10.7860/JCDR/2017/26349.9786. Epub 2017 May 1.

Sclerosing Mediastinitis Presenting as Complete Heart Block.

Author information

1
Professor and Head, Department of Pathology, Armed Forces Medical College, Pune, Maharashtra, India.
2
Assistant Professor, Department of Pathology, Armed Forces Medical College, Pune, Maharashtra, India.
3
Professor and Head, Department of Cardiology, Military Hospital, Cardio Thoraic Center, Pune, Maharashtra, India.
4
Classified Specialist, Department of Pathology, Military Hospital, Cardio Thoraic Center, Pune, Maharashtra, India.

Abstract

Sclerosing Mediastinitis (SM) is a rare condition which is characterized by the presence of dense fibrosis which infiltrates and encroaches upon various structures in the mediastinal cavity. Depending on the extent and the predominant organ of involvement, the patient presents with symptomatology of dysphagia, superior vena cava compression syndrome or dyspnoea. However, the involvement of the heart is rarely seen. Aetiologies of SM are several, with infections being the most common. We discuss a case of SM involving the oesophagus, descending aorta, hilum of lungs and the heart secondary to mucormycosis in an immunocompetent male.

KEYWORDS:

Immunocompetent; Mediastinal cavity; Mucormycosis

PMID:
28658779
PMCID:
PMC5483681
[Available on 2017-07-01]
DOI:
10.7860/JCDR/2017/26349.9786

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