RT Journal Article SR Electronic T1 A rare cause of heart failure with preserved ejection fraction: primary pericardial mesothelioma masquerading as pericardial constriction JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr2013203194 DO 10.1136/bcr-2013-203194 VO 2014 A1 Russell Fernandes A1 Shravan Nosib A1 Dorothy Thomson A1 Nick Baniak YR 2014 UL http://casereports.bmj.com/content/2014/bcr-2013-203194.abstract AB We present a case of a 30-year-old woman with a history of HIV and hepatitis C who sought medical attention because of severe oedema of the lower limbs and abdomen. CT of the chest showed a thickened pericardium, and cardiac catheterisation demonstrated constrictive physiology. She underwent pericardiectomy, but the procedure was unsuccessful because the pericardium was densely adherent to the myocardium. After consultation with several pathologists, she was diagnosed with primary pericardial mesothelioma (PPM), an exceedingly rare cardiac tumour with a fatal prognosis. She died within 3 months of presentation. The details of the case as well as pertinent literature are reviewed.