Cardiac tamponade complicating trimodal therapy for malignant mesothelioma.
Trimodal therapy, which includes extrapleural pneumonectomy as the cytoreductive procedure followed by combination chemoradiotherapy, is becoming the standard of care in the treatment of malignant mesothelioma. We report here a case of hypotension secondary to tension hydrothorax in which echocardiography and hemodynamic monitoring demonstrated evidence of tamponade physiology. Thoracentesis was lifesaving.
Sawar
Asad
A
Division of Cardiovascular Disease, Department of Internal Medicine, University of South Florida College of Medicine, Tampa, Florida, USA.
Schocken
Douglas D
DD
D000970:Antineoplastic Agents / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000209:etiology*; D003131:Combined Modality Therapy / Q000009:adverse effects; D006801:Humans; D008175:Lung Neoplasms / Q000628:therapy*; D008297:Male; D008654:Mesothelioma / Q000628:therapy*; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D011878:Radiotherapy / Q000009:adverse effects
D000970:Antineoplastic Agents