Skip to main content
Thorax logoLink to Thorax
. 1991 Jun;46(6):429–432. doi: 10.1136/thx.46.6.429

Asbestos induced pericardial effusion and constrictive pericarditis.

D Davies 1, M I Andrews 1, J S Jones 1
PMCID: PMC463190  PMID: 1858081

Abstract

The number of disorders attributable to asbestos exposure has increased gradually over the years. The latest to be recorded is pericardial effusion and constrictive pericarditis, and three cases are reported here. A man with bilateral pleural thickening and plaques developed acute pericarditis and an effusion and was treated by pericardiectomy. Two men died from constrictive pericarditis associated with bilateral pleural effusions and diffusion pleural thickening. The pericardium showed nonspecific fibrous thickening. All had been occupationally exposed to asbestos. In the fatal cases the lungs contained amphibole fibres, in keeping with a modest degree of occupational exposure. Asbestos produces progressive fibrosis of the pericardium that is similar to diffuse pleural thickening and may be fatal. Both conditions may develop after relatively short or light exposure.

Full text

PDF
429

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beck B., Konetzke G., Ludwig V., Röthig W., Sturm W. Malignant pericardial mesotheliomas and asbestos exposure: a case report. Am J Ind Med. 1982;3(2):149–159. doi: 10.1002/ajim.4700030205. [DOI] [PubMed] [Google Scholar]
  2. EISENSTADT H. B. ASBESTOS PLEURISY. Dis Chest. 1964 Jul;46:78–81. doi: 10.1378/chest.46.1.78. [DOI] [PubMed] [Google Scholar]
  3. Fischbein L., Namade M., Sachs R. N., Robineau M., Lanfranchi J. Chronic constrictive pericarditis associated with asbestosis. Chest. 1988 Sep;94(3):646–647. doi: 10.1378/chest.94.3.646. [DOI] [PubMed] [Google Scholar]
  4. Fletcher D. E., Edge J. R. The early radiological changes in pulmonary and pleural asbestosis. Clin Radiol. 1970 Oct;21(4):355–365. doi: 10.1016/s0009-9260(70)80068-x. [DOI] [PubMed] [Google Scholar]
  5. KIVILUOTO R. Pleural calcification as a roentgenologic sign of non-occupational endemic anthophyllite-asbestosis. Acta Radiol Suppl. 1960;194:1–67. [PubMed] [Google Scholar]
  6. Kahn E. I., Rohl A., Barrett E. W., Suzuki Y. Primary pericardial mesothelioma following exposure to asbestos. Environ Res. 1980 Dec;23(2):270–281. doi: 10.1016/0013-9351(80)90061-4. [DOI] [PubMed] [Google Scholar]
  7. Meurman L. Asbestos bodies and pleural plaques in a Finnish series of autopsy cases. Acta Pathol Microbiol Scand. 1966;(Suppl):1+–1+. [PubMed] [Google Scholar]
  8. Mintzer R. A., Gore R. M., Vogelzang R. L., Holz S. Rounded atelectasis and its association with asbestos-induced pleural disease. Radiology. 1981 Jun;139(3):567–570. doi: 10.1148/radiology.139.3.7232722. [DOI] [PubMed] [Google Scholar]
  9. Pooley F. D., Clark N. J. A comparison of fibre dimensions in chrysotile, crocidolite and amosite particles from samples of airborne dust and from post-mortem lung tissue specimens. IARC Sci Publ. 1980;(30):79–86. [PubMed] [Google Scholar]
  10. Pope A. R., Sokolowski J. W., Jr, Spirn I. Constrictive pericarditis. Chest. 1989 May;95(5):1172–1172. doi: 10.1378/chest.95.5.1172a. [DOI] [PubMed] [Google Scholar]
  11. Sheers G., Templeton A. R. Effects of asbestos in dockyard workers. Br Med J. 1968 Sep 7;3(5618):574–579. doi: 10.1136/bmj.3.5618.574. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Stephens M., Gibbs A. R., Pooley F. D., Wagner J. C. Asbestos induced diffuse pleural fibrosis: pathology and mineralogy. Thorax. 1987 Aug;42(8):583–588. doi: 10.1136/thx.42.8.583. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Wright P. H., Hanson A., Kreel L., Capel L. H. Respiratory function changes after asbestos pleurisy. Thorax. 1980 Jan;35(1):31–36. doi: 10.1136/thx.35.1.31. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES