+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Malignant pericardial effusion not diagnosed by pericardial fluid and biopsy: importance of CT scan



Malignant pericardial effusion not diagnosed by pericardial fluid and biopsy: importance of CT scan



International Journal of Cardiology 117(1): E53



A 47-year-old female came to the emergency room due to dyspnea for 1 month. Initial chest X-ray showed enlargement of the cardiac silhouette. Emergent echocardiogram demonstrated large amount of pericardial effusion. Pericardiostomy with pericardial biopsy was performed. The etiology of large amount of hemorrhagic pericardial effusion could not be confirmed even by aggressive analysis of pericardial fluid and pericardial biopsy. CT scan of the mediastinum was performed. Percutaneous fine needle aspiration biopsy demonstrated thymic carcinoma with focal squamous differentiation. When the analysis of pericardial fluid and pericardial biopsy cannot reveal the etiology of hemorrhagic pericardial effusion, CT scan should be performed.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 049519248

Download citation: RISBibTeXText

PMID: 17292495

DOI: 10.1016/j.ijcard.2006.11.089


Related references

Detection of the infectious etiology of pericardial effusion Impact of pericardial effusion and pericardial/epicardial biopsy analyses. Journal of the American College of Cardiology 37(2 Suppl. A): 199A, 2001

Malignant pericardial effusion survival based upon pericardial fluid cytology. Journal of the American College of Cardiology 19(3 Suppl. A): 266A, 1992

Pericardial Fluid Cytology Has A Better Diagnostic Yield Than Surgical Pathology In Patients With Suspected Malignant Pericardial Effusion. Chest 134(4): p74003-a-p74003-b, 2008

The value of measuring adenosine deaminase activity in pericardial effusion fluid for diagnosing the etiology of pericardial effusion. Pneumonologia i Alergologia Polska 64(Suppl. 2): 174-179, 1996

Preliminary investigation of the clinical value of vascular endothelial growth factor and hypoxia-inducible factor-1alpha in pericardial fluid in diagnosing malignant and tuberculous pericardial effusion. Cardiology 116(1): 37-41, 2010

Percutaneous pericardial biopsy: technique, efficacy, safety, and value in the management of pericardial effusion in children and adolescents. Pediatric Cardiology 18(6): 414-418, 1997

Unmasked diabetes insipidus after pericardial drainage and biopsy for pericardial effusion in association with Erdheim-Chester disease. Journal of Thoracic and Cardiovascular Surgery 136(1): 217-218, 2008

Malignant pericardial effusion and pericardial tumor involvement secondary to cervical cancer. Military Medicine 178(1): E130, 2013

Symptomatic malignant pericardial effusion due to advanced pericardial malignancies: a palliative approach. Journal of Thoracic Disease 7(4): E102, 2015

Pericardial Effusion due to Primary Malignant Pericardial Mesothelioma: A Common Finding but an Uncommon Cause. Case Reports in Medicine 2016: 4810901, 2016

Pericardial sclerosis as the primary management of malignant pericardial effusion and cardiac tamponade. Journal of Thoracic and Cardiovascular Surgery 112(3): 637-643, 1996

Percutaneous balloon pericardial window for patients with malignant pericardial effusion and tamponade. Catheterization and Cardiovascular Diagnosis 22(4): 244-249, 1991

Echocardiographic detection of pericardial effusion and pericardial thickening in malignant lymphoma. Radiology 123(1): 161-164, 1977

Recurrent pericardial effusion as initial manifestation of primary diffuse pericardial malignant mesothelioma. Clinical and Translational Oncology 8(9): 694-696, 2006

Ultrasound guided pericardial drainage and intrapericardial instillation of mitomycin C for malignant pericardial effusion. Thorax 49(6): 594-595, 1994