title: Heart failure due to tension hydrothorax after left pneumonectomy.
abstract: Tension hydrothorax is a rare complication of pneumonectomy for pleural mesothelioma and an exceptionally rare cause of heart failure. We describe a patient who had undergone extrapleural pneumonectomy, chemotherapy, and radiation for pleural mesothelioma and who developed heart failure symptoms within months of the completion of treatment. Investigation showed a massive left pleural effusion resulting in tension hydrothorax, mediastinal shift, and evidence of right heart failure with constrictive physiology and low cardiac output. Therapeutic thoracentesis resulted in increase in cardiac output and symptomatic improvement.
authors.affiliation: University of South Florida, Tampa, FL.
authors.forename: Kim
authors.initials: K
authors.lastname: Maguire
authors.affiliation: University of South Florida, Tampa, FL.
authors.forename: Calvin
authors.initials: C
authors.lastname: Leung
authors.affiliation: University of South Florida, Tampa, FL.
authors.forename: Visali
authors.initials: V
authors.lastname: Kodali
authors.affiliation: University of South Florida, Tampa, FL.
authors.forename: Brice
authors.initials: B
authors.lastname: Taylor
authors.affiliation: Moffitt Cancer Center, Tampa, FL, USA.
authors.forename: Jacques-Pierre
authors.initials: JP
authors.lastname: Fontaine
authors.affiliation: University of South Florida, Tampa, FL.
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Rojas
authors.affiliation: University of South Florida, Tampa, FL.
authors.forename: Maya
authors.initials: M
authors.lastname: Guglin
mesh_terms: D000368:Aged; D006333:Heart Failure / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000150:complications / Q000601:surgery*; D010997:Pleural Neoplasms / Q000150:complications / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects*; D011030:Pneumothorax / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome