Akhbour Salwa, Khennine Brahim Amine, Oukerraj Latifa, Zarzur Jamila, cherti Mohamed
Cardiology B department, CHU Ibn Sina, faculty of medicine and pharmacy, university Mohammed V Souissi, Rabat, Morocco.
Pan Afr Med J. 2014 May 3;18:15. doi: 10.11604/pamj.2014.18.15.2469. eCollection 2014.
Pericardial effusion and pulmonary embolism are relatively common complications of malignancy and are uncommon as its initial manifestation. This report describes a case of a patient, who presented with this association, due to an underlying pulmonary adenocarcinoma. When a major pericardial effusion is associated with pulmonary hypertension, some echocardiographic signs may redress the diagnosis. This case emphasizes a challenge diagnostic which may be guided by high right ventricular pressure and on the other hand the importance of keeping both these conditions in mind when dealing with context of malignancy.
心包积液和肺栓塞是恶性肿瘤相对常见的并发症，而作为其初始表现则较为罕见。本报告描述了一例因潜在的肺腺癌而出现这种关联的患者。当大量心包积液与肺动脉高压相关时，一些超声心动图征象可能有助于诊断。该病例强调了一种具有挑战性的诊断情况，其可能由右心室高压所引导，另一方面也强调了在恶性肿瘤背景下处理这两种情况时牢记二者的重要性。
