Case Report: A crushing sensation—a rare case of mediastinal germ cell tumor causing cardiac tamponade

Cardiac tamponade often presents as external compression of the heart by pericardial fluid, leading to hemodynamic instability, but it can rarely be caused by compression by a solid mass. In this report, we present a case of tamponade-like physiology resulting from a large mediastinal tumor. This is...

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Main Authors: Kevin S. Tang, Emin Zargarian, Pranav M. Patel
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1539900/full
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author Kevin S. Tang
Emin Zargarian
Pranav M. Patel
author_facet Kevin S. Tang
Emin Zargarian
Pranav M. Patel
author_sort Kevin S. Tang
collection DOAJ
description Cardiac tamponade often presents as external compression of the heart by pericardial fluid, leading to hemodynamic instability, but it can rarely be caused by compression by a solid mass. In this report, we present a case of tamponade-like physiology resulting from a large mediastinal tumor. This is an unusual phenomenon that is rarely described in the literature, and its optimal management remains controversial. This report reviews the clinical considerations for this rare pathophysiology; definitive therapy requires the involvement of a multidisciplinary approach for hemodynamic optimization and mass removal.
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spelling doaj-art-1518a65d57d645238b5d12d92d64b2cd2025-01-20T07:20:22ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-01-011110.3389/fcvm.2024.15399001539900Case Report: A crushing sensation—a rare case of mediastinal germ cell tumor causing cardiac tamponadeKevin S. Tang0Emin Zargarian1Pranav M. Patel2Department of Internal Medicine, University of California Irvine Health, Orange, CA, United StatesMary & Steve Wen Cardiovascular Division, Department of Internal Medicine, University of California Irvine Health, Irvine, CA, United StatesMary & Steve Wen Cardiovascular Division, Department of Internal Medicine, University of California Irvine Health, Irvine, CA, United StatesCardiac tamponade often presents as external compression of the heart by pericardial fluid, leading to hemodynamic instability, but it can rarely be caused by compression by a solid mass. In this report, we present a case of tamponade-like physiology resulting from a large mediastinal tumor. This is an unusual phenomenon that is rarely described in the literature, and its optimal management remains controversial. This report reviews the clinical considerations for this rare pathophysiology; definitive therapy requires the involvement of a multidisciplinary approach for hemodynamic optimization and mass removal.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1539900/fullcardiac tamponademediastinal tumorcardiac critical caregerm cell tumor (GCT)pericardial effusion
spellingShingle Kevin S. Tang
Emin Zargarian
Pranav M. Patel
Case Report: A crushing sensation—a rare case of mediastinal germ cell tumor causing cardiac tamponade
Frontiers in Cardiovascular Medicine
cardiac tamponade
mediastinal tumor
cardiac critical care
germ cell tumor (GCT)
pericardial effusion
title Case Report: A crushing sensation—a rare case of mediastinal germ cell tumor causing cardiac tamponade
title_full Case Report: A crushing sensation—a rare case of mediastinal germ cell tumor causing cardiac tamponade
title_fullStr Case Report: A crushing sensation—a rare case of mediastinal germ cell tumor causing cardiac tamponade
title_full_unstemmed Case Report: A crushing sensation—a rare case of mediastinal germ cell tumor causing cardiac tamponade
title_short Case Report: A crushing sensation—a rare case of mediastinal germ cell tumor causing cardiac tamponade
title_sort case report a crushing sensation a rare case of mediastinal germ cell tumor causing cardiac tamponade
topic cardiac tamponade
mediastinal tumor
cardiac critical care
germ cell tumor (GCT)
pericardial effusion
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1539900/full
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AT pranavmpatel casereportacrushingsensationararecaseofmediastinalgermcelltumorcausingcardiactamponade