[Treatment for oncogenic emergencies of the cardiovascular system].
Cardiac tamponade and superior vena cava(SVC)syndrome are important oncogenic emergencies of the cardiovascular system. Depending on the nature of the emergency, its severity, the progression of malignancies, general condition and proper treatment should be chosen in each patient. The treatment to be first considered for cardiac tamponade is percardiocentesis and tube pericardiotomy. It is important to improve cardiac function by prompt drainage after diagnosis with cardiac ultrasonography. To avoid recurrence of cardiac tamponade, pericardial fenestration and instillation of anticancer agents into the pericardium are sometimes added. In patients with SVC syndrome, treatment should be determined after enhanced computed tomography. Although surgery, chemotherapy and radiation are important treatments for malignances, stenting in obstruction of SVC is a safe and effective method to improve symptoms promptly.
Sakai
Takehiro
T
Dept. of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Fukuda
Ikuo
I
D000790:Angiocardiography; D002318:Cardiovascular Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D004632:Emergency Medical Services; D006801:Humans; D009369:Neoplasms / Q000150:complications*; D014057:Tomography, X-Ray Computed