%0 Journal Article %T A 69-year-old male patient presenting with chest pain and shortness of breath %A K. Herzallah %A M. Elsayed %A S. Elkinany %A S. Rayamajhi %A Y. Saleh %J Archive of "Netherlands Heart Journal". %D 2019 %R 10.1007/s12471-019-1260-3 %X Computed tomography demonstrated a solid soft-tissue density in the right aspect of the pericardium, significantly compressing the right atrium, measuring 9.1£¿¡Á£¿7.4£¿cm in diameter (Fig. 1). Transthoracic echocardiography showed a good systolic function, a well-functioning aortic valve prothesis and a mass compressing the right atrium (Video 1). The patient underwent transoesophageal echocardiography-guided video-assisted thoracoscopic surgery and the pathology revealed that it was a localised haematoma. The haematoma was successfully drained, and the patient¡¯s symptoms resolved afterwards (Video 2) %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6533322/