scholarly journals Mechanical Cardiac Tamponade as an Initial Presentation of Malignant Lymphoma: Case Report

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Maha Bouziane
Keyword(s):  
Case Report ◽  
Malignant Lymphoma ◽  
Cardiac Tamponade ◽  
Medical History ◽  
Pericardial Fluid ◽  
Initial Presentation ◽  
Neoplastic Disease ◽  
Mediastinal Lymphoma ◽  
Cardiac Filling ◽  
Pericardial Involvement

Cardiac tamponade results from an accumulation of pericardial fluid under pressure, leading to impaired cardiac filling and haemodynamic compromise. In malignant lymphoma, cardiac and pericardial involvement, even though relatively uncommon, can be one early manifestations of this neoplastic disease. We describe a case of a 21 year old female with no medical history, whose first presentation for mediastinal lymphoma was a mechanical cardiac tamponade.

scholarly journals Cardiac Tamponade as Initial Presentation of Hodgkin Lymphoma

2015 ◽  
Vol 5 ◽  
pp. 67 ◽  
Author(s):  
Adrija Hajra ◽  
Dhrubajyoti Bandyopadhyay ◽  
Manas Layek ◽  
Sabyasachi Mukhopadhyay
Keyword(s):  
Pericardial Effusion ◽  
Malignant Lymphoma ◽  
Cardiac Tamponade ◽  
Hodgkin Lymphoma ◽  
Male Patient ◽  
Cardiac Involvement ◽  
Case Reports ◽  
Initial Presentation ◽  
Classical Type

Cardiac involvement in malignant lymphoma is one of the least investigated subjects. Pericardial effusion is rarely symptomatic in patients of Hodgkin lymphoma (HL). Few case reports are available in the literature. There are case reports of diagnosed HL patients presenting with pericardial effusion. HL patients who present with recurrent episodes of pericardial effusion have also been reported. Pericardial effusion has also been reported in cases of non HL. However, pericardial effusion leading to cardiac tamponade as an initial presentation of HL is extremely rare. Very few such cases are there in the literature. Here, we present a case of a 26-year-old male patient who presented with cardiac tamponade and in due course was found to be a case of classical type of HL. This case is interesting because of its presentation.

scholarly journals A Case Report: Painless Type A Aortic Dissection with Cardiac Tamponade as Initial Presentation

2018 ◽  
Vol 6 (10) ◽  
pp. 204-209
Author(s):  
Yanling Su ◽  
Oleg Yurevich ◽  
Hal Chadow ◽  
Shahrokh E Rafii ◽  
Sunil Abrol
Keyword(s):  
Case Report ◽  
Aortic Dissection ◽  
Cardiac Tamponade ◽  
Type A ◽  
Initial Presentation ◽  
Type A Aortic Dissection

scholarly journals The Facilitation of Pericardiocentesis Using Imaging Techniques. A Case Report

2016 ◽  
Vol 2 (3) ◽  
pp. 129-133
Author(s):  
Ioan Manițiu ◽  
Iulia Cobârje ◽  
Ionuț Bitea ◽  
Radu Cojan ◽  
Andra-Maria Bebeşelea
Keyword(s):  
Case Report ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Bacterial Infections ◽  
Ultrasound Guidance ◽  
Imaging Techniques ◽  
Pericardial Fluid ◽  
Cardiac Ultrasound ◽  
Chest X Ray ◽  
Effusion Fluid

Abstract Introduction: Pericardiocentesis is a procedure performed for diagnostic and therapeutic purposes, and it consists in draining the pericardial effusion liquid in sterile conditions. The accumulation of fluid in the pericardial space may be caused by several systemic conditions, including viral or bacterial infections, autoimmune disease, cancer, as well as thyroid malfunction. A rapidly growing pericardial effusion can lead to cardiac tamponade, and consequently to acute hypodiastolic heart failure. Case report: We report the case of a 79-year-old female, without previously known cardiovascular pathologies, who presented to the Emergency Room due to a gradual deterioration in her health status. Imaging procedures included a chest X-ray and an echocardiography that confirmed the diagnosis of pericardial effusion. Pericardiocentesis was performed using cardiac ultrasound guidance, resulting in the draining of a small quantity of yellowish, partly haemorrhagic fluid. The patient's general condition did not improve, thus another pericardiocentesis was carried out, this time with fluoroscopical and cardiac ultrasound guidance, and 1200 milliliters of sero-haemorrhagic fluid was drained. The laboratory analysis revealed that the patient had hypothyroidism, and the cytological analysis of the drained pericardial fluid excluded a neoplastic origin, tuberculosis, and other infectious etiologies. The particularity of the case consists in a pericardial effusion evolving into cardiac tamponade, for which the pericardiocentesis was guided using echocardiographic, fluoroscopic and radiologic methods, because simple ultrasound-guided drainage was not efficient. Conclusion: The superiority of a combined imaging-guided approach in cases of pericardial effusion recommends it as an alternative to a surgical procedure, guided solely by echocardiography, which is often used in cases of unsuccessful drainage of pericar-dial effusion fluid.

scholarly journals Cardiac tamponade as initial presentation of primary hypothyriodism: A rare 21 case report

2019 ◽  
Vol 6 (2) ◽  
pp. 35-37
Author(s):  
Anusha Gupta ◽  
◽  
Sourya Acharya ◽  
Ayush Somani ◽  
Deep Hathi ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiac Tamponade ◽  
Initial Presentation

Cardiac Tamponade

2019 ◽  
pp. 66-75
Author(s):  
Todd Novak ◽  
Silas Hoxie
Keyword(s):  
Cardiac Tamponade ◽  
Early Recognition ◽  
Hemodynamic Instability ◽  
Pericardial Fluid ◽  
Anesthetic Techniques ◽  
Physiological Changes ◽  
Threatening Condition ◽  
Life Threatening ◽  
Cardiac Filling

Cardiac tamponade is a life-threatening condition that occurs when accumulating pericardial fluid results in impaired cardiac filling and hemodynamic instability. Most of the clinical features of tamponade are subtle and nonspecific and may not be appreciated until cardiovascular collapse is imminent. Understanding the physiological changes that occur during tamponade are essential for early recognition and intervention. While cardiac tamponade is a clinical diagnosis, echocardiography is the modality of choice in facilitating the prompt identification of extraneous pericardial contents and the determination of the hemodynamic significance. This chapter discusses the presentation, pathophysiology, and echocardiographic signs of tamponade, as well the differential diagnosis and confounding conditions most pertinent to the anesthesiologist. Both medical and surgical management are also addressed, including a review of perioperative and anesthetic techniques.

Cytological findings from pericardial fluid of malignant lymphoma, suspiciously arise from the heart-A case report-

2010 ◽  
Vol 49 (1) ◽  
pp. 20-24
Author(s):  
Haruki TACHIZAWA ◽  
Yasunori KURIBARA ◽  
Shigeru TSUCHIDA ◽  
Yoshimasa NAKAZATO ◽  
Misa IIJIMA ◽  
...  
Keyword(s):  
Case Report ◽  
Malignant Lymphoma ◽  
Pericardial Fluid

Pericardial involvement in neoplastic disease

ESC CardioMed ◽  
2018 ◽  
pp. 1585-1587
Author(s):  
Dor Lotan ◽  
Yehuda Adler
Keyword(s):  
Pericardial Effusion ◽  
Gold Standard ◽  
Diagnostic Tests ◽  
Poor Prognosis ◽  
Pericardial Fluid ◽  
Neoplastic Disease ◽  
Large Pericardial Effusion ◽  
Life Threatening ◽  
Pericardial Involvement

Pericardial layer involvement in cancer patients is not rare and varies from malignant processes to therapy side effects (e.g. local irradiation). Primary pericardial masses are rare—mesothelioma being the most common—and have a poor prognosis. Secondary metastases to the pericardium form the majority of pericardial neoplasms with lung carcinoma being the most prevalent. Patients with neoplastic involvement of the pericardium may present with pericardial effusion that can deteriorate to life-threatening cardiac tamponade which carries a very poor prognosis. Diagnosis of neoplastic involvement of the pericardium is of clinical significant but carries diagnostic challenges. Symptoms such as dyspnoea or chest pain are not specific and diagnosis is usually incidental through imaging studies or diagnosed at a late stage when large effusions are present. In cases of large pericardial effusion or repetitive effusion with unknown aetiology, further investigation is advised by drainage of pericardial fluid (pericardiocentesis) for diagnostic purposes and relief of symptoms. Different diagnostic tests performed on pericardial fluid exist in practice with cytology and pathology as the gold standard, but may fail to detect neoplastic cells in some cases. Although carrying a poor prognosis, pericardial investigation and treatment should be considered in patients with suspected pericardial involvement and may prolong and improve quality of life, especially if detected early.

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