Cardiac tamponade in a patient treated by sunitinib for metastatic renal cell carcinoma

Yıldız, İbrahim; Varol, Umut; Şen, Fatma; Kılıç, Leyla

doi:10.5152/akd.2014.5397

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“…Osman et al demonstrated an unusual case of cardiac tamponade in a patient who was 3 months post radical nephrectomy for renal cell carcinoma, who presented with a pericardial effusion and a ventricular septal tumour [ 2 ]. Yildiz et al described cardiac tamponade, suggested to be due to treatment with Sunitinib causing a possible complication of cardiac toxicity [ 4 ]. However, this patient 1 year prior had a left radical and right partial nephrectomy carried out.…”

Section: Discussionmentioning

confidence: 99%

Left atrial cardiac Tamponade complicating radical nephrectomy – case report

Thompson

Ali

Gilbert

et al. 2020

J Cardiothorac Surg

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Background We present an unusual case of pericardial tamponade occurring subsequent to a radical right nephrectomy performed entirely through a laparotomy. Case presentation A 43 year old gentleman who presented with large loculated posterior pericardial effusion compressing the left atrium, following a radical nephrectomy performed entirely through a laparotomy. He required an emergency sternotomy, pericardial and pleural drainage. Conclusion Cardiac tamponade is an extremely rare complication of radical nephrectomy. However, any procedure that involves opening of the pericardium does carry a risk of bleeding and therefore cardiac tamponade, particularly in the context of post-operative full anticoagulation.

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Section: Discussionmentioning

confidence: 99%