PT  - JOURNAL ARTICLE
AU  - Ghazi, Freidoon
AU  - Underwood, Donald A.
TI  - Extracardiac mass causing cardiac tamponade in a patient with disseminated lymphoma
DP  - 1987 Jul 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 311--313
VI  - 54
IP  - 4
4099  - http://www.ccjm.org/content/54/4/311.short
4100  - http://www.ccjm.org/content/54/4/311.full
SO  - Cleve Clin J Med1987 Jul 01; 54
AB  - The case of a young man with disseminated lymphocytic lymphoma, including involvement of the anterior mediastinum, resulting in compression of the heart and paradoxical pulse, is discussed. Echocardiography showed dynamic respiration-related changes in right ventricular and left ventricular filling and a retrosternal mass thought to be responsible for the clinical and echocardiography abnormalities. Paradoxical pulse did not respond to thoracentesis, but resolved soon after the initiation of systemic chemotherapy and a reduction in the size of the anterior mediastinal mass. Causes of tamponade and echocardiographic signs of the process are reviewed.