Precautions When Performing Pericardiocentesis in Patients with Cardiac Tamponade-complicated Malignancy: A Case Report and Review of the Literature
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- Nitta Manabu
- Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Japan Center for Novel and Exploratory Clinical Trials (Y-NEXT), Yokohama City University Hospital, Japan
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- Takano Keiko
- Department of Cardiology, Fujisawa City Hospital, Japan
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- Yamanaka Shoji
- Department of Pathology, Yokohama City University Hospital, Japan
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説明
<p>A 51-year-old woman who had previously undergone left mastectomy for left breast cancer accompanied by multiple metastasis experienced worsening dyspnea. Physical and imaging assessments of the hemodynamics suggested cardiac tamponade, and emergency pericardiocentesis was successfully performed. However, immediately after the procedure, the patient's condition deteriorated rapidly and showed pulseless electrical activity. Contrast-enhanced computed tomography with continuous mechanical support demonstrated massive thrombi in both pulmonary arteries. An abrupt decrease in the central venous pressure and an increase in the venous return following pericardiocentesis might result in the migration of a deep venous thrombus and fatal acute pulmonary thromboembolism. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 62 (9), 1311-1317, 2023-05-01
一般社団法人 日本内科学会
