Pericardial Tamponade Two Years after Central Venous Catheter Implantation in a Patient with Breast Cancer: A Case Report

Authors

  • Tingqian Cao Integrated Care Management Center, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China; Department of Cardiovascular Surgery and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China
  • Yahui Liu Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China
  • Yuqiang Wang Department of Cardiovascular Surgery and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China; Cardiovascular Surgery Research Laboratory, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China
  • Miao Chen Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China
  • Yingqiang Guo Department of Cardiovascular Surgery and National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China; Cardiovascular Surgery Research Laboratory, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China

DOI:

https://doi.org/10.59958/hsf.7945

Keywords:

pericardial tamponade, central venous catheter, cardiac MRI, late gadolinium enhancement

Abstract

We report a rare and diagnostically challenging case of pericardial tamponade in a breast cancer patient, treated two years earlier. Echocardiogram and an enhanced computed tomography (CT) scan revealed a large mass in the right pericardium with indistinct borders. A positron emission tomography-computed tomography (PET-CT) scan showed no uptake of fluorine-18 fluorodeoxyglucose (18F-GDP) by the mass. Cardiac magnetic resonance imaging (MRI) with late gadolinium enhancement confirmed no signal enhancement within the mass and a clear border, decisively ruling out malignancy. This case highlights the importance of late gadolinium enhancement in this diagnostically challenging case and explores the pericardial tamponade development mechanism.

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Published

2024-11-14

How to Cite

Cao, T., Liu, Y., Wang, Y., Chen, M., & Guo, Y. (2024). Pericardial Tamponade Two Years after Central Venous Catheter Implantation in a Patient with Breast Cancer: A Case Report. The Heart Surgery Forum, 27(11), E1258-E1263. https://doi.org/10.59958/hsf.7945

Issue

Section

Case Report