Pericardiectomy and pericardium window creation to treat recurrent pericardial tamponade involving a borderline ovarian tumor.

Abstract

PURPOSE OF INVESTIGATION:

Pericardial effusion with cardiac tamponade is an uncommon metastatic manifestation of ovarian tumors, with only one previously reported case involving a borderline ovarian tumor (BOT).

CASE:

A 50-year-old woman was diagnosed and treated for a primary Stage IIc BOT. The disease recurred as an emergency pericardiocentesis eight years later, which was resected following pericardial effusion with a cardiac tamponade. This occurred two more times, and on the last occasion, drainage failed to relieve her symptoms. However, her symptoms resolved after the creation of a pericardium pleural window together with a pericardiectomy.

CONCLUSION:

For patients with a metastatic BOT, the creation of a pericardium pleural window and pericardiectomy is effective for recurrent pericardial tamponade, if the pericardial space is posteriorly located and/or segmented.

• Authors: Y Tanaka, T Amano, T Suzuki, S Kaku, S Tsuji, F Kimura, T Murakami
• Journal: European journal of gynaecological oncology (Eur J Gynaecol Oncol) Vol. 38 Issue 3 Pg. 473-475 ( 2017) ISSN: 0392-2936 [Print] Singapore
• PMID: 29693896 (Publication Type: Case Reports, Journal Article)

Topics

• Cardiac Tamponade (surgery)
• Female
• Humans
• Middle Aged
• Ovarian Neoplasms (complications)
• Pericardiectomy (methods)
• Pericardium (surgery)
• Recurrence