Pericardiocentesis and pericardial therapy aspects in cancer patients - a case report
Journal Title: OncoReview - Year 2012, Vol 2, Issue 4
Abstract
The malignancy related pericardial effusion has variable dynamics, and the clinical presentation and severity of symptoms are directly related to the degree of hemodynamic conditions and the rate of fluid accumulation in the pericardial cavity. Neoplastic pericardial effusion often leads to cardiac tamponade, usually is recurrent, may cause constrictive pericarditis, and sometimes is the first symptom of the neoplastic disease. We present a case report of female patient with malignant pericardial effusion, cardiac tamponade, in which oncologists and cardiologists collaboration led to effective pericardiocentesis and catheter drainage of pericardium. The patient was qualified for local chemotherapy with cisplatin. The intrapericardial treatment resulted in relieving symptoms, reducing recurrence of pericardial effusion and allowed to the continuation of systemic chemotherapy. The following sections discuss the current possibilities of intrapericardial pharmacotherapy.
Authors and Affiliations
Szymon Darocha, Magdalena Zaborowska-Szmit, Dariusz M. Kowalski, Sebastian Szmit, Rafał Mańczak, Marcin Kurzyna
Keywords
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