Lupus-like Syndrome and Cardiac Tamponade as Initial Presentation of a Primary Cardiac Malignant Tumor: Report of a Case
Silvia Acened Arredondo-Andrade
Unidad de Cuidados Intensivos Cardiovasculares, Hospital Star Médica Centro, Ciudad de México, México and Unidad de Cuidados Intensivos, Unidad Médica de Alta Especialidad Hospital de Gineco-Obstetricia, No. 3 del Centro Médico Nacional “La Raza”, Instituto Mexicano del Seguro Social, Ciudad de México, México.
Juan Gustavo Vázquez-Rodríguez *
Unidad de Cuidados Intensivos, Unidad Médica de Alta Especialidad Hospital de Gineco-Obstetricia, No. 3 del Centro Médico Nacional “La Raza”, Instituto Mexicano del Seguro Social, Ciudad de México, México.
*Author to whom correspondence should be addressed.
Abstract
This is the case of a 38-year-old man with a history of two female relatives with Systemic Lupus Erythematosus and personal factors of high cardiovascular risk (gender, stress, smoking, chronic consumption of electronic cigarette). The patient presented tamponade due to pericardial effusion secondary to Lupus-like syndrome that preceded and accompanied at all times an angiosarcoma of the roof and anterior wall of the right atrium. His clinical evolution is described, as well as the surgical and pharmacological treatment in the Cardiovascular Care Unit of a third-level hospital and the possible causes of the poor response to management that led to his death.
Keywords: Cardiac angiosarcoma, primary cardiac malignant tumor, lupus-like syndrome, systemic lupus erythematosus, cardiac tamponade