fulminant giant cell myocarditis and cardiogenic shock an unusual presentation of malignant thymoma暴发性巨细胞心肌炎、心原性休克不同寻常的恶性胸腺瘤.pdfVIP

SAGE-Hindawi Access to Research Cardiology Research and Practice Volume 2010, Article ID 185896, 4 pages doi:10.4061/2010/185896 Case Report Fulminant Giant Cell Myocarditis and Cardiogenic Shock: An Unusual Presentation of Malignant Thymoma Deepak Koul,1 Manreet Kanwar,1 Dane Jefic,1 Anuradha Kolluru,2 Tejwant Singh,2 Sunil Dhar,3 Preetham Kumar,2 and Gerald Cohen2 1 Division of Cardiology, Cardiac Cath Laboratory, St. John Hospital and Medical Center, 22101 Moross Road, 2nd Floor VEP, Detroit, MI 48236, USA 2 St. John Hospital and Medical Center, 22101 Moross Road, Detroit, MI 48236, USA 3 Abington Memorial Hospital, Drexel University College of Medicine, 1200 Old York Raod, Abington, PA 19001, USA Correspondence should be addressed to Deepak Koul, deekoul@ Received 13 October 2009; Accepted 4 March 2010 Academic Editor: Jalal K. Ghali Copyright © 2010 Deepak Koul et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Malignant thymoma is rarely associated with giant cell myocarditis. We present a case study that illustrates this association and cardiogenic shock with underlying tamponade. The dramatic presentation of this scenario has not been previously described. 1. Introduction with cardiac tamponade. Emergent pericardiocentesis was done and 50 mL of pericardial fluid was drained. An extra- Giant cell myocarditis (GCM) is a rare and frequently fatal pericardial mass compressing the left atrium was also sus- type of myocarditis. Patients usually die of heart failure and