ARTHUR MILLMAN, M.D.; JOSE MELLER, M.D.; MICHAEL MOTRO, M.D.; HOWARD S. BLANK, M.D.; ISIDORE HOROWITZ, M.D.; MICHAEL V. HERMAN, M.D., F.A.C.P.; LOUIS E. TEICHHOLZ, M.D., F.A.C.P.
Echocardiograms of three patients with metastatic carcinoma or lymphoma showed a sonolucent space posterior to the left ventricular epicardium, as seen in pericardial effusion. However, at surgery or autopsy no pericardial fluid was found. Instead, the pericardium was infiltrated by neoplastic tissue or fibrosis. In view of this finding, we suggest caution in the interpretation of "positive" echocardiograms for pericardial effusion in patients with neoplastic disease, especially if pericardiocentesis is being considered.
MILLMAN A, MELLER J, MOTRO M, et al. Pericardial Tumor or Fibrosis Mimicking Pericardial Effusion by Echocardiography. Ann Intern Med. 1977;86:434–436. doi: 10.7326/0003-4819-86-4-434
Download citation file:
Published: Ann Intern Med. 1977;86(4):434-436.
Cardiac Diagnosis and Imaging, Cardiology, Hematology/Oncology, Pericardial Disease.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use