Bloody Pericardial Effusion With a Huge Pericardial Mass: A Case Report



Zoroufian A¹ ; Shirzad M¹ ; Shahbazi N¹ ; Jam MS¹ ; Rahnamoun Z¹ ; Shirani S¹ ; Davarpasand T¹
Source: Journal of Tehran University Heart Center Published:2020

Abstract

Nowadays, the early diagnosis of tumoral diseases is more possible and accurate with multiple diagnostic imaging modalities such as chest X-ray, echocardiography, computed tomography, and magnetic resonance imaging, especially for cardiac tumors which are usually asymptomatic, even in large sizes. In cardiac masses, the patients’ presentations are non-specific and dependent on the tumor size and site as well as its compressive effect on the adjacent structures. On the other hand, the first and last signs could be sudden cardiac death. However, cardiac masses are either benign or malignant and metastatic in their malignant type, and their definite diagnosis is only possible by surgical tumor resection and tissue biopsy. In this paper, we describe an old patient with severe pericardial effusion and an unusual intrapericardial tumor in transthoracic echocardiography, representing a rare case of a giant ectopic thymoma after surgical resection and pathologic assessment. © 2020, Tehran Heart Center. All rights reserved.