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Mt Sinai J Med. 2006 Oct;73(6):898-901.

Metastatic signet ring adenocarcinoma: an unusual cause of cardiac constriction.

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Department of Medicine, Division of Cardiovascular Diseases, New Jersey Medical School, University Heights, Newark, NJ 07103, USA.


Pericardial constriction secondary to metastatic adenocarcinoma is exceedingly rare. We present the first recorded case of pericardial constriction secondary to metastatic signet-ring mucinous adenocarcinoma diagnosed by echocardiography. The cornerstones of echocardiographic diagnosis of constriction are the following: interventricular septal bounce phasic with respiration, M-mode recordings of the inferior vena cava, and the characteristic Doppler velocity patterns recorded from the mitral valve, hepatic veins, and mitral annulus.

[Indexed for MEDLINE]

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