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Cardiac tamponade is a life-threatening medical emergency. We introduce a new technique for fatal hemopericardial tamponade due to radiotherapy in lung cancer via percutaneous catheter drainage.
An 53-year-old woman who had radiation therapy (60.0Gy) for lung cancer was presented to the emergency department with dyspnea, dizziness and low blood pressure. Chest computed tomography showed large pericardial effusion. We performed percutaneous catheter drainage for the pericardium, with 750 mL of hemopericardial effusion drained in the first day,350ml,200ml,80ml,20ml in the 2nd,3rd,4th and 5th day, respectively.
The patient relived, no complications.
We should pay close attention to the possibility of pericardial tamponade due to radiotherapy, and the percutaneous catheter drainage is an effective means for pericardial tamponade.