open access

Vol 81, No 2 (2013)
CASE REPORTS
Published online: 2013-02-18
Submitted: 2013-02-22
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Cardiac tamponade as the first symptom of lung cancer

Leszek Gromadziński, Piotr Przelaskowski, Beata Januszko-Giergielewicz, Jerzy Górny, Aleksander Stankiewicz, Andrzej Każarnowicz, Piotr Pruszczyk
Pneumonol Alergol Pol 2013;81(2):149-153.

open access

Vol 81, No 2 (2013)
CASE REPORTS
Published online: 2013-02-18
Submitted: 2013-02-22

Abstract

Pericardial effusion is a relatively common clinical problem. It is, however, rarely the first symptom of cancer. Cardiac tamponade testifies to an advanced stage of cancer and is a negative prognostic factor. This paper presents a patient in whom cardiac tamponade was the first symptom of lung cancer. A 63-year-old male, habitual smoker, was admitted to hospital due to progressive symptoms of exertional dyspnoea lasting for a few days and chest pain. Echocardiographic examination revealed a large amount of fluid in the pericardium with echocardiographic signs of a life-threatening cardiac tamponade. The patient underwent pericardial puncture and additional imaging examinations. Lung adenocarcinoma was recognized as the underlying disease. Due to the recurrence of the life-threatening cardiac tamponade, video-assisted thoracoscopic pericardial fenestration was performed and systemic chemotherapy was introduced with good results.

Abstract

Pericardial effusion is a relatively common clinical problem. It is, however, rarely the first symptom of cancer. Cardiac tamponade testifies to an advanced stage of cancer and is a negative prognostic factor. This paper presents a patient in whom cardiac tamponade was the first symptom of lung cancer. A 63-year-old male, habitual smoker, was admitted to hospital due to progressive symptoms of exertional dyspnoea lasting for a few days and chest pain. Echocardiographic examination revealed a large amount of fluid in the pericardium with echocardiographic signs of a life-threatening cardiac tamponade. The patient underwent pericardial puncture and additional imaging examinations. Lung adenocarcinoma was recognized as the underlying disease. Due to the recurrence of the life-threatening cardiac tamponade, video-assisted thoracoscopic pericardial fenestration was performed and systemic chemotherapy was introduced with good results.

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Keywords

cardiac tamponade; lung cancer; symptoms

About this article
Title

Cardiac tamponade as the first symptom of lung cancer

Journal

Advances in Respiratory Medicine

Issue

Vol 81, No 2 (2013)

Pages

149-153

Published online

2013-02-18

Bibliographic record

Pneumonol Alergol Pol 2013;81(2):149-153.

Keywords

cardiac tamponade
lung cancer
symptoms

Authors

Leszek Gromadziński
Piotr Przelaskowski
Beata Januszko-Giergielewicz
Jerzy Górny
Aleksander Stankiewicz
Andrzej Każarnowicz
Piotr Pruszczyk

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