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Updated: May 5, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Malignant cardiac tamponade
Michel de Ceuninck1, Ingel Demedts, Sander Trenson
1Dept. of Cardiology, Heilig Hartziekenhuis, Roeselare-Menen, Belgium. mdeceuninck@hhr.be
Abstract:
Malignant pericardial effusion is a frequent complication in primary mediastinal and pleural malignancies. As a first manifestation of a malignant tumour, however, it is rare. With cardiac tamponade the likelihood of malignancy increases. We report a life-threatening cardiac tamponade as the primary clinical presentation of a pericardial mesothelioma. Pericardiocentesis resolved the acute symptoms, followed by surgical pericardial fenestration. Oncologic therapy is evidently indicated. All mesotheliomas carry a poor prognosis.
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