Malignant Pericardial Effusion--An Uncommon Complication of Multiple Myeloma: Case Report

Authors

  • Louis E. Samuels
  • Philbert Y. Van
  • Douglas E Gladstone
  • Marian M. Haber

DOI:

https://doi.org/10.1532/HSF98.20041153

Abstract

Multiple myeloma is a condition usually associated with lesions of the skeleton. However, under rare circumstances, the malignant plasma cells may infiltrate the pericardium, resulting in an effusion. If left untreated, the abnormal accumulation of pericardial fluid will result in cardiac tamponade, requiring drainage. The following report describes a multiple myeloma patient who developed secondary pericardial and pleural effusions, which were surgically drained via a pleuropericardial window.

References

Rosenbaum H, Hoffman R, Carter A, et al. 1996. Multiple myeloma with pericardial involvement and cardiac tamponade: a report of three patients. Leuk Lymph 24:183-6.nGoldberg E, Mork K. 1970. Multiple myeloma with isolated visceral (epicardial) involvement and cardiac tamponade. Chest 57:584-7.nKyle RA, Blade J. 2000. Multiple myeloma. In: Abeloff MD, Armitage JO, Licther AS, et al, editors. Clinical oncology. New York: Churchill Livingstone. p 2597-607.nMoores DWO, Allen KB, Faber LP, et al. 1995. Subxiphoid pericardial drainage for pericardial tamponade. J Thorac Cardiovasc Surg 109:546-52.nPiehler JM, Pluth JR, Schaff HV, et al. 1985. Surgical management of effusive pericardial disease. J Thorac Cardiovasc Surg 90:506-16.nKornberg A, Rapoport M, Yona R, et al. 1993. Amyloidosis of the pericardium in multiple myeloma: an unusual cause of bloody pericardial effusion. Isr J Med Sci 29:794-7.nMitchell MA, Horneffer MD, Standiford TJ. 1993. Multiple myeloma complicated by restrictive cardiomyopathy and cardiac tamponade. Chest 103:946-947, 1993.n

Published

2005-03-09

How to Cite

Samuels, L. E., Van, P. Y., Gladstone, D. E., & Haber, M. M. (2005). Malignant Pericardial Effusion--An Uncommon Complication of Multiple Myeloma: Case Report. The Heart Surgery Forum, 8(2), E87-E88. https://doi.org/10.1532/HSF98.20041153

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