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Call Now (855) 404-4592Pericardial effusion is an accumulation of excess fluid between the layers of the sac that surrounds the heart. It is a primary symptom of pericardial mesothelioma. Treatments are available to remove the fluid and prevent recurrence.
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Pericardial effusion may be caused by mesothelioma tumors growing on the heart lining (pericardium).
Pericardial effusion is a common symptom of pericardial mesothelioma, a rare cancer that forms in the lining of the heart.
This lining, known as the pericardium, is made up of two layers. Normally, a small amount of fluid exists between these layers to lubricate the lining and offer protection around the heart.
Not everyone with pericardial effusion will experience symptoms.
Excess fluid can increase pressure on the heart, a condition called cardiac tamponade. This prevents the chambers from filling completely and results in poor circulation and inadequate oxygen supply.
A 2021 case study of a 64-year-old woman with a history of radiation therapy for breast cancer developed malignant pericardial mesothelioma. The recurrent bloody pericardial effusion worsened and caused generalized swelling and shortness of breath at night.
Treatment for pericardial effusion involves minor or major surgical procedures.
Pericardial effusion caused by mesothelioma is treated with procedures that drain the fluid or surgically remove the lining where the fluid collects.
A pericardiocentesis is a minor surgical procedure that drains fluid from around the heart.
There is a chance the fluid could return after a pericardiocentesis. Patients with recurring pericardial effusion may be candidates for a pericardiectomy to prevent recurrence.
In a 2017 case report, a pericardial mesothelioma patient with pericardial effusion was treated with a pericardiocentesis. The procedure successfully resolved the effusion and the patient went on to receive chemotherapy for six months. Two years later the patient was still alive receiving only supportive care.
A pericardiectomy, or pericardial window, is a surgery that removes part or all of the heart lining. It is used to treat pericardial effusion, inflammation of the pericardium (pericarditis) and pericardial mesothelioma.
The surgery prevents fluid from accumulating again. Recovery in the hospital takes one to two weeks.
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