Abstract
Cardiac tamponade is a state of hemodynamic compromise that results from heart compression by a variety of factors and conditions, including tumoral pericarditis or tumor cardiac compression. The aim of this article is to evaluate and discuss the added value of CT imaging findings of impending cardiac tamponade in patients with thoracic and hematologic malignancies. We reviewed our database for a period of six years, between January 2015 and April 2021, and we selected five patients with clinical, hemodynamic state and CT imaging features of cardiac tamponade in oncologic pathology, four of them diagnosed with hematologic malignancies. We included postradiotherapy pericardial complications in the case of one patient. Although echocardiography represents the modality of choice to diagnose patients with suspected cardiac tamponade, computed tomography can provide valuable and supplementary information regarding the extension of the tumoral pericardial involvement or the type of pericardial effusion. Considering that the early diagnosis of an impending cardiac tamponade and the treatment are crucial in preventing mortality and poor outcomes, radiologists have an important role in recognizing this entity.
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