Massive pericardial effusion: A rare and easily missed finding in myocardial perfusion scintigraphy
A 72-year-old gentleman underwent myocardial perfusion scintigraphy (MPS) for sinus tachycardia of unknown cause. Baseline electrocardiography (ECG) showed sinus tachycardia and electrical alternans. Thallium-201 stress-redistribution MPS was performed with dipyridamole stress. On the raw projection images, a photopenic “halo” was noted surrounding the heart. Reconstructed slices showed small left ventricle with no obvious perfusion defect. Review of single-photon emission computed tomography/computed tomography images showed suspected large pericardial effusion. The patient was admitted and Echocardiography showed significant circumferential pericardial effusion with early tamponade effect. Subsequent bedside pericardiocentesis aspirated 800 ml blood-stained fluid and the cytology yielded metastatic adenocarcinoma with features suggestive of pulmonary primary. Pericardial effusion is a rare finding in MPS. Finding of a “halo” around the heart should raise suspicion on the presence of pericardial effusion and confirmatory investigation such as ECG may be warranted.
- Standort
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Deutsche Nationalbibliothek Frankfurt am Main
- Umfang
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Online-Ressource
- Sprache
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Englisch
- Erschienen in
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Massive pericardial effusion: A rare and easily missed finding in myocardial perfusion scintigraphy ; volume:17 ; number:03 ; year:2018 ; pages:198-200
World Journal of Nuclear Medicine ; 17, Heft 03 (2018), 198-200
- Beteiligte Personen und Organisationen
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Wu, Kwan
Kung, Boom
Au Yong, Ting
- DOI
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10.4103/wjnm.WJNM_39_17
- URN
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urn:nbn:de:101:1-2022070709194685332886
- Rechteinformation
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Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Letzte Aktualisierung
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15.08.2025, 07:21 MESZ
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Beteiligte
- Wu, Kwan
- Kung, Boom
- Au Yong, Ting
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