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effusion pericardiac

Chen Dawei, Zhang Yan, Shi Fang, Zhu Hui, Li Minghuan, Chen Kaijun, Kong Li, Yu Jinming
We evaluated the safety and efficacy of intrapericardial bevacizumab (BEV) for treating symptomatic malignant pericardiac effusion (MPCE) in seven advanced cancer patients. All patients had previously undergone multiple lines of systemic therapy. Each patient received paracentesis and intrapericardial infusions of 100 or 200 mg of BEV every two weeks. Systemic treatments for primary tumors continued for all patients during BEV treatment. Of the seven patients, three achieved a complete response, two achieved a partial response, and two showed no response with regard to MPCE after BEV infusion...
May 17, 2016: Oncotarget
Ina Tran, Ulrich Gerckens, Jürgen Remig, Guido Zintl, Jochen Textor
STUDY DESIGN: We report the first case of life-threatening cardiac tamponade after percutaneous balloon kyphoplasty and its treatment with pericardiac drainage and percutaneous retrieval of cement embolus. OBJECTIVE: To sensitize clinicians to the occurrence of perforation on the right side of the heart, with intracavity cement leakage as a potential complication after balloon kyphoplasty. SUMMARY OF BACKGROUND DATA: Balloon kyphoplasty is a minimal invasive technique for symptomatic vertebral fractures...
March 1, 2013: Spine
Julia Natterer, Marie-Hélène Perez, Stefano Di Bernardo
Kawasaki disease is an acute vasculitis of childhood. Its clinical presentation is well known, and coronary artery aneurysms are classical complications. Shock and pleural or pericardiac effusion are rare presentations of the disease. In intensive care units, the disease may be mistaken for septic shock or toxic shock syndrome. Owing to the fact that immunoglobulin therapy improves the course of the disease, especially if given early, and thus the diagnosis should not be delayed.
June 2012: Cardiology in the Young
Yoshiro Chiba, Kuniyuki Oka, Hajime Saito, Reizo Nagayama, Minoru Murata, Naoyoshi Mori
BACKGROUND: Primay cardiac lymphoma is rare, and its diagnosis is not determined until autopsy. CASE: A 49-year-old man presented with heart tamponade and atrioventricular block. Bloody pericardiac effusion showed a monotonous proliferation of atypical large mononuclear cells, which demonstrated a lambda light-chain monoclonality by the fluorescence-activated cell-sorter method and clonal rearrangement bands by Southern blot analysis of the IgH gene. Transvenous biopsy excised from the right atrial tumor was diagnosed as diffuse large B-cell lymphoma...
January 2010: Acta Cytologica
W Ketata, S Msaad, W Feki, I Gargouri, H Ayadi, A Ayoub
Pericarditis is the most common manifestation of systemic lupus erythematosus and is clinically found in 62% of the autopsies. Cardiac tamponade is a deadly but rare complication found in less than 1% of all lupus cases. It is highly revealing. The authors report the case of a 29-year old woman presenting postpartum cardiac tamponade. The diagnosis of systemic lupus erythematosus was based on the association of haematological disorders (anaemia and leukopenia), pericarditis, pleurisy and positive anti-nuclear and anti-native DNA antibodies...
October 2009: Revue de Pneumologie Clinique
Takayuki Nakazaki, Keiko Hamasaki, Kaori Shimizu, Hisakazu Shindo, Isao Sano, Hideki Taniguchi
A 56-year-old man was admitted to our hospital for gastric cancer. He had dyspnea before admission. Chest CT scan showed massive pericardial and pleural effusion. He was treated by cardiac drainage, and cytology of the effusion showed class V. We injected mitomycin C 10 mg into the pericardiac cavity, and also administered S-1 100 mg per day. His dyspnea improved and he was discharged. Afterward the dyspnea re-appeared, and he died 9 months after the diagnosis. We report this rare case of cardiac tamponade induced by gastric cancer responding to S-1 with a review of the literature...
September 2009: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Chien Ter Hsing, Sung Yong Oh, Suee Lee, Hyuk-Chan Kwon, Sung-Hyun Kim, Tae-Ho Park, Jong Soo Woo, Seo Hee Na, Hyo-Jin Kim
Mesenchymal chondrosarcoma is a rare cartilaginous neoplasm of an extraskeletal origin, and this predominately occurs in the head and neck, and also in the lower extremities. Fewer than twenty cases of cardiac mesenchymal chondrosarcoma have so far been reported on. For the most part, the results of treatment for patients with this condition have been dismal. In this study, we describe a case of cardiac mesenchymal chondrosarcoma that responded to chemotherapy following surgical biopsy. A 46-year-old man was referred for evaluation of his pleural effusions in both lungs...
September 2007: Cancer Research and Treatment: Official Journal of Korean Cancer Association
Michael T Callesen, Peter Ehlert Nielsen
We report a case of a premature girl born with a gestational age of 26 weeks who developed cardiac tamponade after displacement of a peripheral inserted central catheter. She recovered completely after an acutely performed pericardiocentesis. The pericardial fluid was consistent with parental nutrition. Pericardiac effusion must be suspected in children with central catheters and sudden cardiovascular decompensation. This article discusses recommended positioning of peripherally inserted central catheters.
May 12, 2008: Ugeskrift for Laeger
Shingo Kuboshima, Kayori Tsuruoka, Sayuri Shirai, Hiroyo Sasaki, Tsutomu Sakurada, Hiroshi Miura, Jun Okabayashi, Yusuke Konno, Yoshinori Shima, Takashi Yasuda, Takeo Sato, Kenjiro Kimura
A 71-year-old man was admitted to our hospital because of fever and rapidly progressive renal insufficiency over a month. He had depression and Alzheimer's disease as complications. On admission, his serum creatinine was 5.4 mg/dL, and the serum CRP and MPO-ANCA were 18.2 mg/dL and 285 EU, respectively. A computed tomographic chest scan showed pericardiac effusion and fibrosis in both lower lung fields. Although microscopic polyangiitis(MPA)was inferred from a positive MPO-ANCA, renal biopsy could not be carried out...
2007: Nihon Jinzo Gakkai Shi
Yoshimichi Urahama, Yosuke Saka, Takaaki Yaomura, Tomohiko Naruse, Yuzo Watanabe, Yukio Yuzawa, Seiichi Matsuo
We report a case of thrombotic thrombocytopenic purpura (TTP) with a positive Coombs' test. A 59-year-old female was admitted to our hospital in February, 1997 with symptoms of heart failure. Ultrasound cardiography showed moderate pericardiac effusion and she was diagnosed as having pericarditis. After admission she had anorexia and her urine volume was reduced. Laboratory tests showed anemia and thrombocytopenia. Her Coombs' test result was positive. Her renal function gradually worsened and her conscious level was reduced...
2005: Nihon Jinzo Gakkai Shi
M Timmermann, H Jablonowski
HIV-associated cardiopathies have a poor prognosis, in particular in patients with low CD4 counts or accompanying encephalopathy. The pathogenesis is multifactorial and the therapeutic options are limited. Pericardiac effusions are also associated with a poor prognosis. Other cardiac manifestations of HIV infection are opportunistic infections, infectious endocarditis (in particular i.v. drug use), neoplasia, and pulmonary hypertension. Premature development of vascular diseases is often observed in patients receiving combination antiretroviral treatment...
April 26, 2004: MMW Fortschritte der Medizin
Hiromichi Niikawa, S Watanabe, H Hayasaka, Y Sasaki, R Nakamura, T Honda, H Yoshimura, K Murakami, S Fujimura
We report a case of the mediastinal teratoma associated with acute cardiac tamponade followed by emergency operation. This tumor causes a variety of complications, but reports of acute cardiac tamponade have been rare. 20-year-old male admitted into our hospital with complaint of the chest pain, who was diagnosed with mediastinal tumor. She was admitted due to sudden fever up, and 5 days after admission, the complaint of severe epigastralgia and abdominal swelling were occurred. A chest X-ray film and chest computed tomography (CT) revealed cardiac tamponade...
August 2004: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Y H Liu, K Fang
We describe a 33-year-old woman with a 2-year history of rheumatoid arthritis-like joint changes and a 1-year history of papulonodules on the fingers, ears, oral mucosa, forearm, elbows and thighs, and erythematous plaques on the buttocks. Six months after the onset of the cutaneous lesions she had dyspnoea, 3 months later she developed a husky sound. Biopsies from the nodules on the ear and left forearm revealed multinucleated giant cells with eosinophilic 'ground-glass' cytoplasm. Bronchoscopy revealed that there were nodules in the bronchus...
July 2004: Clinical and Experimental Dermatology
G Eroles Vega, P Rondón Fernández, D Ferreiro López, C Romero Pérez, S Salcedo Pérez, C Lacambra Calvet, J Solis Villa
Metastatic infiltration is most frequent than primary pericardiac tumors. Most frequent tumors are adenocarcinoma and lymphomas. A retrospective analysis of 18 oncological patients with significant pericardiac effusion (SPE) is carried out. The conclusions of the study are: SPE can be the first manifestation of a neoplasm; frequently, pericardiac tamponade (PT) has a neoplastic origin; thorax is the most frequent localization of the primary tumor; pericardiac fluid (PF) cytology analysis has low diagnostic yield; most useful diagnostic tests are thoracocentesis, thorax computerized tomography (CT) and bronchoscopy; SPE in a neoplasm suggest poor short-term prognosis; poor prognosis variables in this series were primary tumor unfavorable histology, advanced tumor disease and (probably) presentation as PT...
May 2004: Revista Clínica Española
G Eroles Vega, P Rondón Fernández, D Ferreiro López, C Romero Pérez, S Salcedo Pérez, C Lacambra Calvet, P Cuesta Alvaro, R Díaz Abad, J Solís Villa
Seventy-three patients with significant pericardiac effusion (SPE) are analyzed retrospectively. The results concerning etiology, clinical findings, evolution, echocardiography findings and pericardiac effusion (PE) findings are summarized. Conclusions drawn are: 1) the pericardiac effusion (PE) is a difficult diagnosis without the assistance of the echocardiogram; 2) the echocardiogram signs of hemodynamic alterations have prognostic value; 3) the most frequent causes of SPE are: tumors, idiopathic acute pericarditis, and iatrogenesis; 4) in an important percentage of DPS patients the cause is not identified; 5) the clinical presentation as pericardiac tamponade (PT) is most frequent in the tumors; 6) the analysis of the PE has a low yield, which means that diagnostic pericardicentesis is not justified in all patients with SPE; 7) the pericardiac biopsy hasa low diagnostic yield; 8) the predictive mortality factors are: presentation as PT and tumor etiology, and 9) because of the dynamic character of the SPE, it is important to carry out a progress follow-up of it...
March 2004: Revista Clínica Española
Shinsuke Saisho, Toshiaki Saeki, Shigemitsu Takashima, Kenjiro Aogi, Shozo Ohsumi
We examined the efficacy, toxicity, and survival rate of patients treated with local administration of adriamycin (ADM) for malignant pleural effusion and pericardial effusion in breast cancer. From May 1996 to December 2002, we injected ADM into the pleural cavity for 21 courses and into the pericardial cavity for 2 courses in 18 patients. Thirteen patients showed CR (including 2 cases were injected into pericardial cavity), 2 PR, and 4 PD, and the overall response rate was 78.9%. Toxicities included nausea/vomiting, elevated fever, chest pain, and so on in 15 patients (83...
December 2003: Gan to Kagaku Ryoho. Cancer & Chemotherapy
No abstract text is available yet for this article.
November 22, 1952: Journal of the American Medical Association
J Liu, G Zhang, G Jiang, J Peng, C Shen, M Li
OBJECTIVE: To evaluate the effects of limited pleuro-pneumonectomy for bronchogenic carcinoma associated with cancerous pleural effusion. METHODS: From January. 1994 to December 1997 we performed limited pulmonary lobectomy wedge resection of lung, resection of the metastases of the parietal pleura, visceral pleura, diaphragmatic pleura and pericardiac pleura, and electro incision of the micormetastases of the above position as well as cleaning the mediastinal lymph nodes in 14 cases...
October 1999: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
T Saito, J Tamaru, J Kayao, Y Kuzuu, H Wakita, A Mikata
BACKGROUND: Primary malignant lymphoma of the heart is extremely rare. Because its clinical signs and symptoms are typically nonspecific, it is often very difficult to detect cardiac involvement while the patient is alive. We describe a case of malignant lymphoma involving predominantly the heart and pericardium and diagnosed by pericardiac effusion cytology antemortem. CASE: An 83-year-old woman presented with dyspnea on exertion. Echocardiography revealed a low-echoic tumor mass close to the right ventricular wall and massive pericardiac effusion...
November 2001: Acta Cytologica
Che-Pin Lin, M J Huang, I Y Chang, W Y Lin, Y T Sheu
Arsenic Trioxide (As2O3) is an effective agent for treating acute promyelocytic leukemia achieving a complete remission rate of about 60% to 90%. It is similar to all-trans retinoic acid (ATRA) when treating acute promyelocytic leukemia (APL), because both agents have limited side effects compared to conventional chemotherapy, although the treatment period is more prolonged. During treatment, both agents may induce leukocytosis, and in patients taking ATRA, leukocytosis appears to be related to the development of retinoic acid syndrome (RAS)...
June 2000: Leukemia & Lymphoma
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