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Document Details : Title: Malignant cardiac tamponade Author(s): M. de Ceuninck , I. Demedts , S. Trenson Journal: Acta Cardiologica Volume: 68 Issue: 5 Date: 2013 Pages: 505-507 DOI: 10.2143/AC.68.5.2994474 Abstract : Malignant pericardial effusion is a frequent complication in primary mediastinal and pleural malignancies. As a first manifestation of a malignant tumour, however, it is rare. With cardiac tamponade the likelihood of malignancy increases. We report a life-threatening cardiac tamponade as the primary clinical presentation of a pericardial mesothelioma. Pericardiocentesis resolved the acute symptoms, followed by surgical pericardial fenestration. Oncologic therapy is evidently indicated. All mesotheliomas carry a poor prognosis. |