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.
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References
1.
Abduljabar HS, Marzouki KM, Zawawi TH: Pericardial effusion in normal pregnant women. Acta Obstet Scand70:291-294, 1991.
2.
Haiat R, Halpern C, Clement F, et al: Occult pericardial effusion in pregnancy. N Engl J Med305:1096-1096, 1981.
3.
Haiat R, Halpern C: Silent pericardial effusion in late pregnancy: A new entity. Cardiovasc Intervent Radiol7:267-269, 1984.
4.
Enien M, Zina AA, Kassem M, et al: Echocardiography of the pericardium in pregnancy. Obstet Gynecol69:851-853, 1987.
5.
Averbuch M, Bojko A, Levo Y: Cardiac tamponade in the early postpartum period as the presenting and predominant manifestation of systemic lupus erythematosus. J Rheumatol13:444-445, 1986.
6.
Khabele D, Chasen S: Cardiac tamponade as an unusual presentation of advanced breast cancer in pregnancy. J Reprod Med44:989-991, 1999.
7.
Isselbacher EM, Cigaro JE, Eagle KA: Cardiac tamponade complicating proximal aortic dissection: Is pericardiocentesis harmful?Circulation90:2375-2378, 1994.
8.
Meszaros I, Morocz J, Szlavi J, et al: Epidemiology and clinicopathology of aortic dissection. Chest117:1271-1278, 2000.
9.
Nolte JE, Rutherford RB, Nawaz S, et al: Arterial dissections associated with pregnancy. J Vasc Surg21:515-520, 1995.
10.
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 Gynecol101:1085-1088, 1994.
11.
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.
12.
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.
13.
Mecacci F, La Torre P, Paretti E, et al: Acute pericarditis in pregnancy. Report of a case. Minerva Gynecol52:259-262, 2000.
14.
Hagley MT, Shaub TF: Acute pericarditis with a symptomatic pericardial effusion complicating pregnancy: A case report. J Reprod Med38:813-814, 1993.
15.
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 J23:1503-1508, 2002.
16.
Richardson PM, Le Roux BT, Rogers NM, et al: Pericardiectomy in pregnancy. Thorax25:627-630, 1970.
17.
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 Oncol1:161-170, 1985.
18.
Alizzi AM, Almehdi RU, Endara SA, et al: Angiosarcoma of the right ventricle: A rare encounter. Heart Surg Forum5:334-336, 2002.
19.
Burke AP, Cowan D, Virmani R: Primary sarcomas of the heart. Cancer69:387-395, 1992.
20.
Movsas B, Teruya-Feldstein J, Smith J, et al: Primary cardiac sarcoma: A novel treatment approach. Chest114:648-652, 1998.
21.
Rosenkranz ER, Murphy DJ Jr: Diagnosis and neonatal resection of right atrial angiosarcoma. Ann Thorac Surg57:1014-1015, 1994.
22.
Donsbeck AV, Ranchere D, Coindre JM, et al: Primary cardiac sarcomas: An immunohistochemical and grading study with long-term follow-up of 24 cases. Histopathology34:295-304, 1999.
23.
Janigan DT, Husain A, Robinson NA: Cardiac angiosarcomas. A review and a case report. Cancer57:852-859, 1986.
24.
Pomper GJ, Gianani R, Johnston RJ, et al: Cardiac angiosarcoma: An unusual presentation with cutaneous metastases. Arch Pathol Lab Med122:273-276, 1998.
25.
Walley VM, Masters RG: Pericardial angiosarcoma and associated hemorrhage. Ann Thorac Surg57: 259-260, 1994.
26.
Ohri SK, Nihoyannopoulos P, Taylor KM, et al: Angiosarcoma of the heart causing cardiac rupture: A rare cause of hemopericardium. Ann Thorac Surg55:525-528, 1993.
27.
Simon BC, Funck R, Drude L, et al: [Malignant angiosarcoma of the right atrium in pregnancy. Diagnostic and therapeutic problems.]Herz19:166-170, 1994.