This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Azimi, N. A. Articles by Setaro, J. F. Search for Related Content PubMed PubMed Citation Articles by Azimi, N. A. Articles by Setaro, J. F. Social Bookmarking                         What's this?

Angiosarcoma in a Pregnant Woman Presenting with Pericardial Tamponade

A Case Report and Review of the Literature

Yale University School of Medicine, Division of Cardiovascular Medicine, Yale-New Haven Hospital, New Haven, CT

Jared G. Selter, MD

Yale University School of Medicine, Division of Cardiovascular Medicine, Yale-New Haven Hospital, New Haven, CT

J. Dawn Abott, MD

Yale University School of Medicine, Division of Cardiovascular Medicine, Yale-New Haven Hospital, New Haven, CT

Henry S. Cabin, MD

Yale University School of Medicine, Division of Cardiovascular Medicine, Yale-New Haven Hospital, New Haven, CT

Anita Hutner, MD

Department of Pathology, Yale-New Haven Hospital, New Haven, CT

Joshua Copel, MD

Departments of Obstetrics, Gynecology and Reproductive Sciences, Yale-New Haven Hospital, New Haven, CT

John F. Setaro, MD

Yale University School of Medicine, Division of Cardiovascular Medicine, Yale-New Haven Hospital, New Haven, CT

Although asymptomatic pericardial effusions are relatively common in pregnancy, their true incidence is not known. Symptomatic effusions are, however, rare in pregnancy. The authors present a rare case of pericardial tamponade complicating pregnancy with resulting diagnosis of angiosarcoma. They review the literature involving pericardial disease in pregnancy and discuss important issues in management and include a discussion of angiosarcoma.

References

• Abduljabar HS, Marzouki KM, Zawawi TH: Pericardial effusion in normal pregnant women. Acta Obstet Scand 70:291-294, 1991.
• Haiat R, Halpern C, Clement F, et al: Occult pericardial effusion in pregnancy. N Engl J Med 305:1096-1096, 1981.[Web of Science][Medline] [Order article via Infotrieve]
• Haiat R, Halpern C: Silent pericardial effusion in late pregnancy: A new entity. Cardiovasc Intervent Radiol 7:267-269, 1984.[Web of Science][Medline] [Order article via Infotrieve]
• Enien M, Zina AA, Kassem M, et al: Echocardiography of the pericardium in pregnancy. Obstet Gynecol 69:851-853, 1987.[Web of Science][Medline] [Order article via Infotrieve]
• Averbuch M, Bojko A, Levo Y: Cardiac tamponade in the early postpartum period as the presenting and predominant manifestation of systemic lupus erythematosus. J Rheumatol 13:444-445, 1986.[Web of Science][Medline] [Order article via Infotrieve]
• Khabele D, Chasen S: Cardiac tamponade as an unusual presentation of advanced breast cancer in pregnancy. J Reprod Med 44:989-991, 1999.[Web of Science][Medline] [Order article via Infotrieve]
• Isselbacher EM, Cigaro JE, Eagle KA: Cardiac tamponade complicating proximal aortic dissection: Is pericardiocentesis harmful? Circulation 90:2375-2378, 1994.[Abstract/Free Full Text]
• Meszaros I, Morocz J, Szlavi J, et al: Epidemiology and clinicopathology of aortic dissection. Chest 117:1271-1278, 2000.[Abstract/Free Full Text]
• Nolte JE, Rutherford RB, Nawaz S, et al: Arterial dissections associated with pregnancy. J Vasc Surg 21:515-520, 1995.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Anderson RA, Fineron FW: Aortic Dissection in pregnancy: Importance of pregnancy induced changes in the vessel wall and bicuspid aortic valve in pathogenesis. Br J Obstet Gynecol 101:1085-1088, 1994.[Web of Science][Medline] [Order article via Infotrieve]
• Wagner CK, Leser RJ, Saldana LR: Exposure of the Pregnant Patient to Diagnostic Radiation. A Guide to Medical Management. Philadelphia: Lippincott, 1985, p 52-52.
• Lee W, Shah PK, Amin DK, et al: Hemodynamic Monitoring of Cardiac Patients During Pregnancy: Diagnosis and Management of Maternal and Fetal Disease, ed. 2. New York: Liss, 1990, p 47-47.
• Mecacci F, La Torre P, Paretti E, et al: Acute pericarditis in pregnancy. Report of a case. Minerva Gynecol 52:259-262, 2000.[Medline] [Order article via Infotrieve]
• Hagley MT, Shaub TF: Acute pericarditis with a symptomatic pericardial effusion complicating pregnancy: A case report. J Reprod Med 38:813-814, 1993.[Web of Science][Medline] [Order article via Infotrieve]
• Maisch B, Ristic AD, Pankuweit S: Intrapericardial treatment of autoreactive pericardial effusion with triamcinolone: The way to avoid side effects of systemic corticosteroid therapy. Eur Heart J 23:1503-1508, 2002.[Abstract/Free Full Text]
• Richardson PM, Le Roux BT, Rogers NM, et al: Pericardiectomy in pregnancy. Thorax 25:627-630, 1970.[Abstract/Free Full Text]
• Becker RC, Loeffler JS, Leopold KA, et al: Primary tumors of the heart: A review with emphasis on diagnosis and potential treatment modalities. Semin Surg Oncol 1:161-170, 1985.[Medline] [Order article via Infotrieve]
• Alizzi AM, Almehdi RU, Endara SA, et al: Angiosarcoma of the right ventricle: A rare encounter. Heart Surg Forum 5:334-336, 2002.[Web of Science][Medline] [Order article via Infotrieve]
• Burke AP, Cowan D, Virmani R: Primary sarcomas of the heart. Cancer 69:387-395, 1992.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Movsas B, Teruya-Feldstein J, Smith J, et al: Primary cardiac sarcoma: A novel treatment approach. Chest 114:648-652, 1998.[Abstract/Free Full Text]
• Rosenkranz ER, Murphy DJ Jr: Diagnosis and neonatal resection of right atrial angiosarcoma. Ann Thorac Surg 57:1014-1015, 1994.[Abstract]
• Donsbeck AV, Ranchere D, Coindre JM, et al: Primary cardiac sarcomas: An immunohistochemical and grading study with long-term follow-up of 24 cases. Histopathology 34:295-304, 1999.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Janigan DT, Husain A, Robinson NA: Cardiac angiosarcomas. A review and a case report. Cancer 57:852-859, 1986.[CrossRef][Web of Science][Medline] [Order article via Infotrieve]
• Pomper GJ, Gianani R, Johnston RJ, et al: Cardiac angiosarcoma: An unusual presentation with cutaneous metastases. Arch Pathol Lab Med 122:273-276, 1998.[Web of Science][Medline] [Order article via Infotrieve]
• Walley VM, Masters RG: Pericardial angiosarcoma and associated hemorrhage. Ann Thorac Surg 57: 259-260, 1994.[Web of Science][Medline] [Order article via Infotrieve]
• Ohri SK, Nihoyannopoulos P, Taylor KM, et al: Angiosarcoma of the heart causing cardiac rupture: A rare cause of hemopericardium. Ann Thorac Surg 55:525-528, 1993.[Abstract]
• Simon BC, Funck R, Drude L, et al: [Malignant angiosarcoma of the right atrium in pregnancy. Diagnostic and therapeutic problems.] Herz 19:166-170, 1994.[Web of Science][Medline] [Order article via Infotrieve]

Angiology, Vol. 57, No. 2, 251-257 (2006)
DOI: 10.1177/000331970605700219


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Azimi, N. A. Articles by Setaro, J. F. Search for Related Content PubMed PubMed Citation Articles by Azimi, N. A. Articles by Setaro, J. F. Social Bookmarking                         What's this?