Key result
Point-of-care ultrasound successfully identified an extremely rare case of concomitant intravascular and extravascular obstructive shock secondary to a primary cardiac angiosarcoma and pericardial tamponade in a 24-year-old female, leading to pericardiocentesis and surgical debulking with clinical improvement.
Why the study?
Concomitant pericardial tamponade and intracardiac mass causing obstructive shock is an extremely rare presentation with nearly no prior descriptions in emergency medicine references.
Case Report (n=1)
Point of care ultrasound is useful for identifying rare causes of obstructive shock, such as concomitant intracardiac tumors and pericardial tamponade, in the emergency department.
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Intracardiac masses warrant consideration in unexplained obstructive shock; case reports leave open systematic POCUS protocol updates.
Zuler et al. (2022) conducted a case report in Cardiac angiosarcoma with pericardial tamponade and obstructive shock (n=1). Point-of-care ultrasound, pericardiocentesis, and surgical debulking was evaluated on Clinical improvement. Point-of-care ultrasound successfully identified an extremely rare case of concomitant intravascular and extravascular obstructive shock secondary to a primary cardiac angiosarcoma and pericardial tamponade in a 24-year-old female, leading to pericardiocentesis and surgical debulking with clinical improvement.