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.
- Location
-
Deutsche Nationalbibliothek Frankfurt am Main
- Extent
-
Online-Ressource
- Language
-
Englisch
- Bibliographic citation
-
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
- Contributor
-
Wu, Kwan
Kung, Boom
Au Yong, Ting
- DOI
-
10.4103/wjnm.WJNM_39_17
- URN
-
urn:nbn:de:101:1-2022070709194685332886
- Rights
-
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
-
15.08.2025, 7:21 AM CEST
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
- Wu, Kwan
- Kung, Boom
- Au Yong, Ting
Other Objects (12)
Hemorrhagic Pericardial Effusion: Diagnotic Dilemna
Post MI Pericardial Effusion-“Size Does Matter”
Idiopathic pericardial effusion in patients with hypertrophic cardiomyopathy
Recurrent Chylous Pericardial Effusion and Left Neck Mass
Pericardial effusion with tamponade: bedside ultrasonography saves another life
A case of Meigs’ syndrome with preceding pericardial effusion in advance of pleural effusion
Pericardial tamponade due to haemorrhagic pericardial effusion as a complication of prasugrel: a case report
Risk of Clinically Relevant Pericardial Effusion After Pediatric Cardiac Surgery
A 15-year-old girl with a large pericardial effusion
Hemorrhagic pericardial effusion resulting in constriction in hereditary hemorrhagic telangiectasia
Case report: Epidermoid cyst misdiagnosed as a loculated pericardial effusion
Massive pericardial effusion and pleural effusion: cardiac and pleural infiltration in newly diagnosed acute myeloid leukemia
Hemorrhagic Pericardial Effusion: Diagnotic Dilemna
Post MI Pericardial Effusion-“Size Does Matter”
Idiopathic pericardial effusion in patients with hypertrophic cardiomyopathy
Recurrent Chylous Pericardial Effusion and Left Neck Mass
Pericardial effusion with tamponade: bedside ultrasonography saves another life
A case of Meigs’ syndrome with preceding pericardial effusion in advance of pleural effusion
Pericardial tamponade due to haemorrhagic pericardial effusion as a complication of prasugrel: a case report
Risk of Clinically Relevant Pericardial Effusion After Pediatric Cardiac Surgery
A 15-year-old girl with a large pericardial effusion
Hemorrhagic pericardial effusion resulting in constriction in hereditary hemorrhagic telangiectasia
Case report: Epidermoid cyst misdiagnosed as a loculated pericardial effusion
Massive pericardial effusion and pleural effusion: cardiac and pleural infiltration in newly diagnosed acute myeloid leukemia
Hemorrhagic Pericardial Effusion: Diagnotic Dilemna
Post MI Pericardial Effusion-“Size Does Matter”
Idiopathic pericardial effusion in patients with hypertrophic cardiomyopathy
Recurrent Chylous Pericardial Effusion and Left Neck Mass
Pericardial effusion with tamponade: bedside ultrasonography saves another life
A case of Meigs’ syndrome with preceding pericardial effusion in advance of pleural effusion
Pericardial tamponade due to haemorrhagic pericardial effusion as a complication of prasugrel: a case report
Risk of Clinically Relevant Pericardial Effusion After Pediatric Cardiac Surgery
A 15-year-old girl with a large pericardial effusion
Hemorrhagic pericardial effusion resulting in constriction in hereditary hemorrhagic telangiectasia
Case report: Epidermoid cyst misdiagnosed as a loculated pericardial effusion