Cardiac Tamponade As the Initial Manifestation of Metastatic Adenocarcinoma from the Colon: A Case Report

Authors

  • Jia-Lin Chen
  • Tsai-Wang Huang
  • Po-Shun Hsu
  • Chao-Yang
  • Chien-Sung Tsai

DOI:

https://doi.org/10.1532/HSF98.20071068

Abstract

Metastatic cardiac malignancies mainly come from the lung, breast, and the lymphoreticular system by direct invasion or hematogenous or lymphatic spread. Metastasis from colorectal cancer to the heart or pericardium is seldom reported and only sporadic antemortem cases have been reported. We report an unusual case of malignant pericardial effusion caused by metastatic adenocarcinoma of colon. Malignant pericardial effusion and subsequent tamponade was the earliest manifestation without any other confirmed clinical metastases. Pericardiotomy was performed to relieve the life-threatening cardiac tamponade. We report this rare case and review the literature.

References

Abraham KP, Reddy V, Gattuso P. 1990. Neoplasms metastatic to the heart: review of 3314 consecutive autopsies. Am J Cardiovasc Pathol 3:195-8.nKlatt EC, Heitz DR. 1990. Cardiac metastases. Cancer 65:1456-9.nLam KY, Dickens P, Chan ACL. 1993. Tumors of the heart: a 20-year experience with a review of 12,485 consecutive autopsies. Arch Pathol Lab Med 117:1027-31.nReynen K, Köckeritz U, Strasser RH. 2004. Metastases to the heart. Ann of Oncol 15:375-81.nThurber DL, Edwards JE, Achor RW. 1962. Secondary malignant tumors of the pericardium. Circulation 26:228-41.nVaitkus PT, Herrmann HC, LeWinter MM. 1994. Treatment of malignant pericardial effusion. JAMA 272:59-63.n

Published

2007-07-24

How to Cite

Chen, J.-L., Huang, T.-W., Hsu, P.-S., Chao-Yang, ., & Tsai, C.-S. (2007). Cardiac Tamponade As the Initial Manifestation of Metastatic Adenocarcinoma from the Colon: A Case Report. The Heart Surgery Forum, 10(4), E329-E330. https://doi.org/10.1532/HSF98.20071068

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