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2012 | 2 | 4 | 284-291
Article title

Perikardiocenteza i aspekty terapii doosierdziowej u chorych onkologicznych – opis przypadku

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Title variants
EN
Pericardiocentesis and pericardial therapy aspects in cancer patients – a case report
Languages of publication
PL
Abstracts
EN
The malignancy related pericardial effusion has variable dynamics, and the clinical presentation and severity of symptoms are directly related to the degree of hemodynamic conditions and the rate of fluid accumulation in the pericardial cavity. Neoplastic pericardial effusion often leads to cardiac tamponade, usually is recurrent, may cause constrictive pericarditis, and sometimes is the first symptom of the neoplastic disease. We present a case report of female patient with malignant pericardial effusion, cardiac tamponade, in which oncologists and cardiologists collaboration led to effective pericardiocentesis and catheter drainage of pericardium. The patient was qualified for local chemotherapy with cisplatin. The intrapericardial treatment resulted in relieving symptoms, reducing recurrence of pericardial effusion and allowed to the continuation of systemic chemotherapy. The following sections discuss the current possibilities of intrapericardial pharmacotherapy.
PL
Przebieg procesu nowotworowego z towarzyszącym wysiękiem płynu do worka osierdziowego ma zmienną dynamikę, a obraz kliniczny i nasilenie objawów związane są bezpośrednio ze stopniem zaburzeń hemodynamicznych i szybkością narastania płynu w jamie osierdzia. Wysięk nowotworowy do worka osierdziowego prowadzi niejednokrotnie do tamponady serca, przeważnie ma charakter nawracający i może powodować konstrykcję osierdziową, a nierzadko bywa pierwszym objawem samej choroby nowotworowej. Prezentujemy przypadek pacjentki z nowotworowym wysiękiem do osierdzia i tamponadą serca, u której współpraca onkologów z kardiologami zaowocowała szybkim ustaleniem wskazań do perikardiocentezy i drenażu cewnikowego osierdzia. Chora była leczona doosierdziowo cisplatyną, z dobrym efektem w postaci ustąpienia objawów, braku nawrotów płynu w worku osierdziowym, co umożliwiło kontynuowanie chemioterapii. Dokonano przeglądu aktualnych możliwości farmakoterapii doosierdziowej.
Discipline
Publisher
Journal
Year
Volume
2
Issue
4
Pages
284-291
Physical description
References
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article
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YADDA identifier
bwmeta1.element.psjd-08e96dc9-b0d1-4388-8790-b325de6c7f7a
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