Pericardial Effusion Caused by Renal Carcinoma of Clear Metastatic Cells: A Rare Cause of Cardiac Tamponade

Abstract

Objective: To report the case of a patient with renal cell carcinoma of the clear cell type with the presence of metastatic disease at diagnosis, affecting the adrenal, lung and pericardium. Evolving with cardiac tamponade and need for urgent surgical intervention, being performed through thoracoscopy, a pericardiectomy for making a pericardial window. Method: The information was obtained by reviewing the medical record, interviewing the patient, photographic record of the diagnostic methods to which the patient was submitted and literature review. Final considerations: The reported case brings to light the description of a common clinical condition in medical centers in this case, cardiac tamponade, caused by renal carcinoma of which cardiac metastatic presentation represents a low index, and the need for urgent surgical intervention as an outcome.

Hyponatremia Related To Pericardial Tamponade Caused By Renal Cell Carcinoma: A Rare Cause of Cardiac Tamponade

“…All authors have reviewed and agreed to the content present in this Article. lymphoma (17.2%) and renal cancer (1.9%) [9]. A study by Berge and Sievers showed that malignant tumor metastasis that involves the pericardium was observed in 50% of autopsies of patients with metastatic malignant tumors [10].…”

“…Cardiac tamponade presenting as a first sign of malignancy is not so common and it can be considered an indicator of a poor prognosis. The median overall survival of patients with malignant pericardial effusion is less than 6 months [9].…”

“…Malignant tumors represent 32% of the causes of cardiac tamponade [9]. Carcinomatous pericarditis is observed in 10-20% of patients with malignancies.…”