Pericardial Tamponade And Lung Adenocarcinoma: Case Report And Literature Review

##plugins.themes.bootstrap3.article.main##

  •   Irene Lozano-Díez

  •   María López-Rodríguez

  •   Laia Cagide-González

  •   José Antonio Díaz-Peromingo

Abstract

Pericardial effusion is the accumulation of fluid between the layers of the pericardium. I massive, pericardial tamponade and compression of the myocardium are life threatening conditions. The causes of pericardial effusion are varied, from idiopathic, neoplasms, iatrogenesis, and autoimmune. Pericardial tamponade can be a complication of neoplastic disease. Malignancy must be ruled out in every cardiac tamponade. Malignant etiology must be considered in patients with previous history of malignancy, pericarditis that does not respond to anti-inflammatory treatment, pericardial effusion that increases its amount rapidly, or recurrent pericardial effusion. Metastatic pericardial effusion due to lung cancer is not rare but not all lung cancers involve the same way the pericardium. In this paper, we present the case of a previously healthy patient with pericardial tamponade as presentation form of a lung adenocarcinoma and review the literature.


Keywords: Malignant pericardial effusion; cardiac tamponade; lung adenocarcinoma.

References

A. D. Ristić, M. Imazio, Y. Adler, A. Anastasakis, L. P. Badano, A. Brucato, et al., “Triage strategy for urgent management of cardiac tamponade: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases”, Eur Heart J., vol. 35, pp. 2279-2284, 2014.

M. H. Khandaker, R. E. Espinosa, R. A. Nishimura, L. J. Sinak, S. N. Hayes, R. M. Melduni, J. K. Oh, “Pericardial disease: diagnosis and management”, Mayo Clin Proc, vol. 85, pp. 572-593, 2010.

I. Burazor, M. Imazio, G. Markel, Y. Adler, “Malignant pericardial effusion”, Cardiology, vol. 124, pp. 224-232, 2013.

M. M. Refaat, W. E. Katz, “Neoplastic pericardial effusion”, Clin Cardiol,vol. 34, pp. 593-598, 2011.

R. Schusler, S. L. Meyerson, “Pericardial Disease Associated with Malignancy”, Curr Cardiol Rep, vol. 20, pp. 92, 2018.

M. Imazio, M. Colopi, G. M. De Ferrari, “Pericardial diseases in patients with cancer: contemporary prevalence, management and outcomes”, Heart, vol. 106, pp. 569-574, 2020.

E. J. Van Beek, A. H. Stolpen, G. Khanna, B. H. Thompson, “CT and MRI of pericardial and cardiac neoplastic disease”, Cancer Imaging, vol. 7, pp. 19-26, 2007.

A. Kumar, A. Puttanna, “Recurrent cardiac tamponade: an initial presentation of lung adenocarcinoma”, BMJ Case Rep, 2014, doi: 10.1136/bcr-2013-202553.

M. Chahin, K. Seegobin, S. Maharaj, K. Ramsubeik, “Metastatic ductal adenocarcinoma of the breast presenting with pericardial effusion-Challenges in the diagnosis of breast cancer”, Clin Case Rep, vol, 7, pp. 2384-2387, 2019.

E. Y. Lee, J. O. Choi, H. N. Park, E. J. Park, G. S. Lee, J. Y. Park, J. S. Kim, E. S. Jeon, “Malignant melanoma of unknown primary origin presenting as cardiac metastasis”, Korean Circ J, vol. 42, pp. 278-280, 2012.

11.- Huang JY, Jiang HP, Chen D, Tang HL. Primary gastric signet ring cell carcinoma presenting as cardiac tamponade. World J Gastrointest Oncol. 2011; 3:67-70.

S. Palam, R. Kapoor, A. Abdelkader, J. Kulinski, “Corrigendum to "A Rare Presentation of Cardiac Tamponade from Metastatic Urothelial Carcinoma of the Bladder”, Case Rep Cardiol, 2019, doi: 10.1155/2019/8376360.

N. Tsoukalas, I. D. Kostakis, S. Demiri, G. Koumakis, V. Barbounis, K. Barbati, A. Efremidis, ‘Neoplastic pericarditis as the initial manifestation of a papillary thyroid carcinoma’, Ups J Med Sci, vol. 118, pp. 196-198, 2013.

E. Azria, M. Dufeu, P. Fernandez, F. Walker, D. Luton, “Cervical adenocarcinoma presenting as a cardiac tamponade in a 57-year-old woman: a case report”, J Med Case Rep, vol. 5, pp. 594, 2011.

G. Liu, Q. Zhang, Z. Li, X. Chen, N. Zhang, J. Zhang, “Endometrial carcinoma complicated by malignant pericardial effusion: A case report on the therapeutic regimen”, Medicine (Baltimore), 2019, 98:e17584. doi:10.1097/MD.0000000000017584.

D. C. Lingamfelter, D. Cavuoti, A. C. Gruszecki, “Fatal hemopericardial tamponade due to primary pericardial mesothelioma: a case report”, Diagn Pathol, vol. 4, pp. 44, 2009.

R. Bussani, F. De-Giorgio, A. Abbate, F. Silvestri, “Cardiac metastases”, J Clin Pathol, vol. 60, pp. 27-34, 2007.

A. Tamura, O. Matsubara, N. Yoshimura, T. Kasuga, S. Akagawa, N. Aoki, “Cardiac metastasis of lung cancer. A study of metastatic pathways and clinical manifestations”, Cancer, vol. 70, pp. 437-442, 1992.

H. Okamoto, T. Shinkai, M. Yamakido, N. Saijo, “Cardiac tamponade caused by primary lung cancer and the management of pericardial effusion”, Cancer, vol. 71, pp. 93-98, 1993.

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

How to Cite
Lozano-Díez, I., López-Rodríguez, M., Cagide-González, L., & Díaz-Peromingo, J. (2020). Pericardial Tamponade And Lung Adenocarcinoma: Case Report And Literature Review. European Journal of Medical and Health Sciences, 2(3). https://doi.org/10.24018/ejmed.2020.2.3.291