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KMID : 0364019950280111049
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 11 p.1049 ~ p.1053
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Neoplastic Pericardial Tamponade
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Abstract
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Although neoplastic involvement of the pericardium is frequently present postmortem, cardiac manifestations before death are uncommon, and cardiac tamponade as the initial presentation of cancer is rare.
We are presenting a metastatic pericardial tumor with cardiac tamponade of unknown primary neoplasm. The patient ws brought to hospital in a state of unconscious. The chest X-ray film showed cardiomegaly with a globular heart shape and right
pleural
effusion. We underwent an anterior thoracotomy and pericardial window was created. The histopathologic finding of pericardium, pleural and pericardial effusion show a metastatic adenocarcinoma. The patient subsequently received adjuvent
radiotherapy and
chemotherapy, but he expired on the postoperative 132 day.
(Korean J Thoracic Cardiovas Sung 1995;28:1049-53)
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