Why the study?
Cardiac tamponade caused by metastatic clear cell renal cell carcinoma to the pericardium represents a rare clinical presentation.
Cardiac tamponade is a rare but life-threatening complication of metastatic clear cell renal cell carcinoma that can be effectively managed with thoracoscopic pericardiectomy and pericardial window.
Pericardial RCC metastasis may cause tamponade needing urgent window; leaves open optimal management strategies in advanced disease.
Objective: To report the case of a patient with renal cell carcinoma of the clear cell type with the presence of metastatic disease at diagnosis, affecting the adrenal, lung and pericardium. Evolving with cardiac tamponade and need for urgent surgical intervention, being performed through thoracoscopy, a pericardiectomy for making a pericardial window. Method: The information was obtained by reviewing the medical record, interviewing the patient, photographic record of the diagnostic methods to which the patient was submitted and literature review. Final considerations: The reported case brings to light the description of a common clinical condition in medical centers in this case, cardiac tamponade, caused by renal carcinoma of which cardiac metastatic presentation represents a low index, and the need for urgent surgical intervention as an outcome.
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Carvalho et al. (2020) studied this question.
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