Case Report: A crushing sensation-a rare case of mediastinal germ cell tumor causing cardiac tamponade

被引:0
作者
Tang, Kevin S. [1 ]
Zargarian, Emin [2 ]
Patel, Pranav M. [2 ]
机构
[1] Univ Calif Irvine Hlth, Dept Internal Med, Orange, CA 92868 USA
[2] Univ Calif Irvine Hlth, Dept Internal Med, Mary & Steve Wen Cardiovasc Div, Irvine, CA USA
关键词
cardiac tamponade; mediastinal tumor; cardiac critical care; germ cell tumor (GCT); pericardial effusion; VENOUS THROMBOEMBOLISM; MASS;
D O I
10.3389/fcvm.2024.1539900
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Cardiac tamponade often presents as external compression of the heart by pericardial fluid, leading to hemodynamic instability, but it can rarely be caused by compression by a solid mass. In this report, we present a case of tamponade-like physiology resulting from a large mediastinal tumor. This is an unusual phenomenon that is rarely described in the literature, and its optimal management remains controversial. This report reviews the clinical considerations for this rare pathophysiology; definitive therapy requires the involvement of a multidisciplinary approach for hemodynamic optimization and mass removal.
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页数:5
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共 17 条
[1]   Worsening cardiac tamponade after pericardiocentesis in a patient with anterior mediastinum mass: a case report [J].
Adi, Osman ;
Fong, Chan Pei ;
Ahmad, Azma Haryaty ;
Panebianco, Nova .
EUROPEAN HEART JOURNAL-CASE REPORTS, 2022, 6 (08)
[2]   Primary thromboprophylaxis in ambulatory cancer patients with a high Khorana score: a systematic review and meta-analysis [J].
Bosch, Floris T. M. ;
Mulder, Frits, I ;
Kamphuisen, Pieter Willem ;
Middeldorp, Saskia ;
Bossuyt, Patrick M. ;
Buller, Harry R. ;
van Es, Nick .
BLOOD ADVANCES, 2020, 4 (20) :5215-5225
[3]   A Practical Approach to Pericardiocentesis With Periprocedural Use of Ultrasound Training Initiative [J].
Chetrit, Michael ;
Lipes, Jed ;
Mardigyan, Vartan .
CANADIAN JOURNAL OF CARDIOLOGY, 2018, 34 (09) :1229-1232
[4]   Perioperative anaesthetic management of mediastinal mass in adults [J].
Erdoes, Gabor ;
Tzanova, Irene .
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2009, 26 (08) :627-632
[5]   EXTRACARDIAC MASS CAUSING CARDIAC-TAMPONADE IN A PATIENT WITH DISSEMINATED LYMPHOMA [J].
GHAZI, F ;
UNDERWOOD, DA .
CLEVELAND CLINIC JOURNAL OF MEDICINE, 1987, 54 (04) :311-313
[6]   Rapid Fire: Pericardial Effusion and Tamponade [J].
Honasoge, Akilesh P. ;
Dubbs, Sarah B. .
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA, 2018, 36 (03) :557-+
[7]   A diagnostic approach to the mediastinal masses [J].
Juanpere, Sergi ;
Canete, Noemi ;
Ortuno, Pedro ;
Martinez, Sandra ;
Sanchez, Gloria ;
Bernado, Lluis .
INSIGHTS INTO IMAGING, 2013, 4 (01) :29-52
[8]   Outcomes following surgery for primary mediastinal nonseminomatous germ cell tumors in the cisplatin era [J].
Kesler, Kenneth A. ;
Stram, Amanda R. ;
Timsina, Lava R. ;
Turrentine, Mark W. ;
Brown, John W. ;
Einhorn, Lawrence H. .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2021, 161 (06) :1947-+
[9]   Mediastinal masses: diagnostic approach [J].
Laurent, F ;
Latrabe, V ;
Lecesne, R ;
Zennaro, H ;
Airaud, JY ;
Rauturier, JF ;
Drouillard, J .
EUROPEAN RADIOLOGY, 1998, 8 (07) :1148-1159
[10]   Secondary cardiac lymphoma presenting with cardiac tamponade and cardiac mass: a case report [J].
Lim, Wei Juan ;
Kaisbain, Neerusha ;
Bakar, Rafidah Abu ;
Hadi, Hafidz Abd ;
Yusof, Ahmad Khairuddin Mohamed .
CARDIO-ONCOLOGY, 2024, 10 (01)