A case of asbestos-related constrictive pericarditis

A 78-year-old man presented with exertional dyspnea and lower leg edema for 3 months. He had a 25-year history of the exposure to asbestos, and pulmonary asbestosis was diagnosed 3 years ago. An echocardiogram and cardiac catheterization were compatible with constrictive pericarditis. He underwent pericardiectomy. On the right ventricle, the pericardium was firmly attached to the epicardium. Pathological examination confirmed the thickness of the pericardium and epicardium without specific findings indicating pathogeneses.