Cardiac tamponade complicating trimodal therapy for malignant mesothelioma

Sawar, Asad; Schocken, Douglas D.

doi:10.1016/j.hrtlng.2005.10.006

Cited by 2 publications

(4 citation statements)

References 12 publications

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“…Review of the literature shows few prior cases of cardiac tamponade physiology complicating pleural effusions. The reported case closest to our patient (coincidentally from our institution), was a patient with pleural mesothelioma after trimodal therapy, also with tension hydrothorax and a mediastinal shift to the right, with right ventricular diastolic collapse and shortness of breath, but no signs of right-sided failure [Sawar 2006].…”

Section: Discussionmentioning

confidence: 54%

Heart Failure due to Tension Hydrothorax after Left Pneumonectomy

Maguire¹,

Leung²,

Kodali³

et al. 2013

HSF

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Tension hydrothorax is a rare complication of pneumonectomy for pleural mesothelioma and an exceptionally rare cause of heart failure. We describe a patient who had undergone extrapleural pneumonectomy, chemotherapy, and radiation for pleural mesothelioma and who developed heart failure symptoms within months of the completion of treatment. Investigation showed a massive left pleural effusion resulting in tension hydrothorax, mediastinal shift, and evidence of right heart failure with constrictive physiology and low cardiac output. Therapeutic thoracentesis resulted in increase in cardiac output and symptomatic improvement.

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Section: Discussionmentioning

confidence: 54%

Heart Failure due to Tension Hydrothorax after Left Pneumonectomy

Maguire¹,

Leung²,

Kodali³

et al. 2013

HSF

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“…Study screening and selection. After a rigorous search, a total of 19 case reports that matched the selection criteria were identified (2,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Of these cases, 18 were with liquid in tension and 1 with air in tension into the post-pneumonectomy space, all after pneumonectomy for malignancy, as presented in Table II.…”

Section: Methodology Of the Reviewmentioning

confidence: 99%

“…Tension hydrothorax after pneumonectomy is more frequent in patients who undergo peritoneal dialysis (22). However, after pneumonectomy for cancer, tension hydrothorax was reported for only 3 cases-two left extra-pleural-pneumonectomies for diffuse malignant mesothelioma (16,17) and 1 left intrapericardial pneumonectomy with partial pericardiectomy for lung sarcoma (18). They occurred at 6, 9 and 17 post-operative months, respectively (Table II; cases 15,16,17).…”

Section: Types Of Fluid In the Post-pneumonectomy Spacementioning

confidence: 99%

“…However, after pneumonectomy for cancer, tension hydrothorax was reported for only 3 cases-two left extra-pleural-pneumonectomies for diffuse malignant mesothelioma (16,17) and 1 left intrapericardial pneumonectomy with partial pericardiectomy for lung sarcoma (18). They occurred at 6, 9 and 17 post-operative months, respectively (Table II; cases 15,16,17). The first suspicion was of malignancy progression causing fluid accumulation, but this was excluded by cytology/pleural biopsy.…”

Section: Types Of Fluid In the Post-pneumonectomy Spacementioning

confidence: 99%

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Tensioned space after pneumonectomy for cancer with mediastinal shift and cardiac tamponade‑causes and treatment (Review)

et al. 2022

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Regarding the pleural space after pneumonectomy for malignancy, a vast number of studies have assessed early drop in the fluid level, suggesting a broncho-pleural fistula, but only a small number of studies reported on the abnormal increase in the fluid level-a potentially lethal complication.In the present study, the available databases worldwide were screened and 19 cases were retrieved, including 14 chylothorax and 3 hydrothorax cases, 1 pneumothorax and 1 haemothorax case. Tension chylothorax is caused by mediastinal lymph node dissection as an assumed risk in radical cancer surgery. For tensioned haemothorax, the cause has not been elucidated, although lymphatic stasis associated with deep venous thrombosis was suspected. Tensioned pneumothorax was caused by chest wall damage after extrapleural pneumonectomy combined with low aspiration pressure on the chest drain. No cause was determined for none of the tensioned hydrothorax-all 3 cases had the scenario of pericardial resection in addition to pneumonectomy in common. Tensioned space after pneumonectomy for cancer manifests as cardiac tamponade. Initial management is emergent decompression of the heart and mediastinum. Final management depends on the fluid type (chyle, transudate, air, blood) and the medical context of each case. Of the 19 cases, 12 required a major surgical procedure as the definitive management.

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Cardiac tamponade complicating trimodal therapy for malignant mesothelioma

Cited by 2 publications

References 12 publications

Heart Failure due to Tension Hydrothorax after Left Pneumonectomy

Heart Failure due to Tension Hydrothorax after Left Pneumonectomy

Tensioned space after pneumonectomy for cancer with mediastinal shift and cardiac tamponade‑causes and treatment (Review)

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