SURGICALTREATMENT OF CARDIAC TAMPONADE DEVELOPED IN TWO PATIENTS WITH TERMINALSTAGE LUNG CANCER


Creative Commons License

Destan B., Özcan S.

SANAMED MEDICAL JOURNAL, cilt.15, no.2, ss.169-172, 2020 (Diğer Kurumların Hakemli Dergileri)

  • Cilt numarası: 15 Konu: 2
  • Basım Tarihi: 2020
  • Dergi Adı: SANAMED MEDICAL JOURNAL
  • Sayfa Sayıları: ss.169-172

Özet

Abstract: Introduction: Although tamponade due

to pericardial effusion that develops in advanced stage

lung cancer is rare, it is a life threatening complication.

Case report: 59 and 72 years old 2 female patients diagnosed

with cardiac tamponade were hospitalized in

Cardiology Clinic of Balækesir State Hospital. Massive

pericardial effusion that caused diastolic collapse of

right ventricle was detected in their echocardiographies.

Inoperable lung cancer was diagnosed as a result of

bronchoscopy performed due to pathologies observed

in their radiograms. Despite repeated pericardiocentesis,

fluid continued to accumulate rapidly. Hence, pericardioperitoneal

window was formed through subxifoid

route to obtain continuous drainage in both patients.

Significant pericardial effusion didn’t develop in echocardiographies

in the 2nd and the 6th month post-operative

follow-ups. Conclusion: Subxiphoid pericardioperitoneal

window is a simple, safe and effective surgical

procedure. It may be performed in some patients

with malignant tamponade.

Key words: Pericardioperitoneal window, lung

cancer, pericardial tamponade