Bugra Destan, Sedat Ozcan


Introduction: Although tamponade due to pericardial  effusion that develops in advanced stage lung cancer is rare, it is a life threatening complication. Case report: 59 and 72 years old 2 female patients diagnosed with cardiac tamponade were hospitalized in Cardiology Clinic of Balıkesir State Hospital. Massive pericardial effusion that caused diastolic collapse of right ventricle was detected in their echocardiographies. Inoperable lung cancer was diagnosed as a result of  bronchoscopy performed due to pathologies observed in their radiograms. Despite repeated pericardiocentesis, fluid continued to accumulate rapidly. Hence, pericardioperitoneal window was formed through subxifoid route to obtain continuous drainage in both patients. Significant pericardial effusion didn’t develop in echocardiographies in the 2nd and the 6th month post-operative follow-ups. Conclusion: Subxiphoid pericardioperitoneal window is a simple, safe and effective surgical procedure. It may be performed in some patients with malignant tamponade.


Pericardioperitoneal window, lung cancer, pericardial tamponade

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Patel N, Rafique AM, Eshaghian S, Mendoza F, Biner S, Cercek B et al. Retrospective comparison of outcomes, diagnostic value and complications of percutaneous prolonged drainage versus surgical pericardiotomy of pericardial effusion associated with malignancy. Am J Cardiol. 2013;112(8):1235-9.

Burazor I, Imazio M, Markel G, Adler Y. Malignant pericardial effusion. Cardiology. 2013;124(4):224-32.

Lepska L, Pisiak S, Dudziak M. A case of carcinoid pericardial metastases and massive effusion. Kardiol Pol. 2013;71(8):881.

Degirmencioglu A, Karakus G, Güvenc TS, Pinhan O, Sipahi I, Akyol A. Echocardiography-Guided or "Sided" Pericardiocentesis. Echocardiography. 2013; 30(9):997-1000.

Fredriksen RT, Cohen LS, Mullins CB. Pericardial windows or pericardiocentesis for pericardial effusions. Am Heart J. 1971;82(2):158-62.

Wang JL, Hsieh MJ, Lee CH, Chen CC, Hsieh IC, Lin JD et al. Hypothyroid cardiac tamponade: clinical features, electrocardiography, pericardial fluid and management. Am J Med Sci. 2010;340(4):276-81.

Wang LS, Cheng GQ, Chen C, Cao Y. Cardiac tamponade due to fatal pneumopericardium after commercial flight: transportation of a premature infant with chronic lung disease. J Trop Pediatr. 2013;59(1):70-1.

Rafique AM, Patel N, Biner S, Eshaghian S, Mendoza F, Cercek B et al. Frequency of recurrence of pericardial tamponade in patients with extended versus nonextended pericardial catheter drainage. Am J Cardiol. 2011;108(12):1820-5.

Nogueira RB, de Resende RM, Muzzi RA, dos Reis Mesquita L. Alterations in peripheral circulation in dogs with cardiac tamponade. Vet Rec. 2011;169(11):280.



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