2013, Number 5
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ABSTRACTBreast cancer is a common disease and recurrences are common and/or distant affection, 10% have metastatic disease, of which 10% will cause heart disease, such as malignant pericardial effusion may cause cardiac tamponade (CT) acute or subacute and requires rapid diagnosis and treatment. Confirmation through pericardiocentesis occurs in up to 92%. The CT data are presented with low cardiac output and venous congestion, the presentation is extremely serious, the treatment can lead to a good functional status, with survival rates of 10 to 13 months, although one of the main problems is recurrence. Definitive diagnosis is given by the echocardiogram and CT angiography. The ideal treatment to prevent recurrence with less morbidity and hospitalization, is successful if the patient survives, symptoms do not recur and do not require new interventions, without regard to the time the patient survives. Management depends on whether or not important hemodynamic data and if there are not, is conservative. If there are, depends on the long term prognosis of neoplasia: pericardiocentesis, pericardial window or pericardiectomy. We present two cases, one patient required pericardial window and another not.
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