10,965 results match your criteria Cardiac Tamponade

Pneumopericardium in a patient with trisomy 21 and COVID-19 following emergency pericardiocentesis.

Br J Cardiol 2021 27;28(1). Epub 2021 Jan 27.

Consultant Cardiologist King's College Hospital, Denmark Hill, London, SE5 9RS.

We describe a case of pneumopericardium following emergency pericardiocentesis in a patient with coronavirus disease 2019 (COVID-19). Read More

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January 2021

Large Pericardial Effusion-Diagnostic and Therapeutic Options, with a Special Attention to the Role of Prolonged Pericardial Fluid Drainage.

Diagnostics (Basel) 2022 Jun 13;12(6). Epub 2022 Jun 13.

I Department of Lung Diseases, National Tuberculosis and Lung Diseases Research Institute, 01-138 Warsaw, Poland.

Background: Large pericardial effusion (LPE) is associated with high mortality. In patients with cardiac tamponade or with suspected bacterial etiology of pericardial effusion, urgent pericardial decompression is necessary.

Aim: The aim of the present retrospective study was to assess the short-term results of pericardial decompression combined with prolonged drainage in LPE. Read More

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Resolution of chylopericardium after balloon dilatation of tricuspid valve stenosis in a Labrador Retriever.

J Vet Cardiol 2022 May 18;42:47-51. Epub 2022 May 18.

AniCura Specialistisch Verwijscentrum Haaglanden, Frijdastraat 20a, Rijswijk, 2288 EZ, the Netherlands; Veterinaire Specialisten Vught, Reutsedijk 8a, Vught, 5264 PC, the Netherlands.

A 2-year-old 33 kg female castrated Labrador Retriever was referred for exercise intolerance, hyporexia, and abdominal distention. Point-of-care ultrasound revealed ascites, hepatic congestion, severe pericardial effusion, and cardiac tamponade. Pericardiocentesis was performed, and the chylous nature of the fluid was confirmed by cytology, triglyceride, and cholesterol measurements. Read More

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When is tamponade not an echocardiographic diagnosis… Or is it ever?

Echocardiography 2022 Jun 22. Epub 2022 Jun 22.

Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada.

Although cardiac tamponade remains a clinical diagnosis, echocardiography is an essential tool to detect fluid in the pericardial space. Interpretation of echocardiographic findings and assessment of physiologic and hemodynamic consequences of a pericardial effusion require a thorough understanding of pathophysiologic processes. Certain echocardiographic signs point toward the presence of cardiac tamponade: a dilated inferior vena cava (IVC), collapse of the cardiac chambers, an inspiratory bulge of the interventricular septum into the left ventricle (LV) (the "septal bounce"), and characteristic respiratory variations of Doppler flow velocity recordings. Read More

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Type A thymoma: a rare cause of neoplastic cardiac tamponade with long-term survival.

BMC Pulm Med 2022 Jun 22;22(1):242. Epub 2022 Jun 22.

Department of Clinical Investigation, National Hospital Organization Kochi Hospital, 1-2-25 Asakuranishimachi, Kochi, 780-8077, Japan.

Background: The prognosis of thymoma with cardiac tamponade is generally poor. Most of the reported thymomas with cardiac tamponade were type B or type AB (mixed thymoma), and cardiac tamponade due to type A thymoma, which has a better prognosis compared to type B thymoma, is extremely rare.

Case Presentation: We encountered a case of cardiac tamponade in a 71-year-old male. Read More

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purulent pericarditis with cardiac tamponade presenting as a complication of postobstructive pneumonia.

BMJ Case Rep 2022 Jun 22;15(6). Epub 2022 Jun 22.

Department of Cardiovascular Disease, Michigan State University, East Lansing, Michigan, USA.

A man in his 60s with stage 3 squamous cell carcinoma of the left lung status postchemotherapy and radiation therapy presented with mixed septic and obstructive shock with multiorgan dysfunction. Initial electrocardiogram showed sinus tachycardia and diffuse concaved ST elevation. Transthoracic echocardiogram revealed pericardial effusion with tamponade physiology. Read More

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Primary Hypothyroidism Presenting as Cardiac Tamponade.

Indian J Crit Care Med 2022 May;26(5):655-657

Department of Internal Medicine, All India Institution of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.

Hypothyroidism is commonly associated with pericardial effusion, but it can be rarely complicated by cardiac tamponade. We report a case series of two patients who presented with shortness of breath and distension of the abdomen, progressing to generalized edema. Each of them was found to have cardiac tamponade at presentation and eventually diagnosed with hypothyroidism. Read More

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Effectiveness and Safety of Idarucizumab for Periprocedural Cardiac Tamponade After Catheter Ablation of Atrial Fibrillation in Dabigatran Recipients: A Retrospective Controlled Study.

Am J Cardiovasc Drugs 2022 Jun 18. Epub 2022 Jun 18.

Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, No.1277 Jiefang Road, Wuhan, 430022, Hubei, China.

Objective: This study aimed to investigate the effectiveness and safety of idarucizumab for periprocedural cardiac tamponade after catheter ablation of atrial fibrillation (AF) in patients treated with dabigatran.

Methods: We retrospectively studied 28 patients who received catheter ablation of AF and developed periprocedural cardiac tamponade. Patients were divided into two groups: control group (14 cases) and the study group (14 cases). Read More

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Incidence, Treatment, and Outcomes of Coronary Artery Perforation During Percutaneous Coronary Intervention.

J Invasive Cardiol 2022 Jun 17. Epub 2022 Jun 17.

Emmanouil S. Brilakis, MD, PhD, Minneapolis Heart Institute, 920 E 28th Street #300, Minneapolis, MN 55407 USA.

Objectives: To examine the incidence, treatment and outcomes of perforation during percutaneous coronary intervention (PCI).

Background: Coronary perforation is a potentially life-threatening PCI complication.

Methods: We examined the clinical, angiographic, and procedural characteristics, management, and outcomes of coronary perforation at a tertiary care institution. Read More

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Management of pericardial tamponade in the electrophysiology laboratory: results from a national survey.

Clin Res Cardiol 2022 Jun 17. Epub 2022 Jun 17.

Department of Cardiology, University Heart and Vascular Center Hamburg, Martinistraße 52, 20246, Hamburg, Germany.

Background: Despite continued efforts to improve the safety of catheter ablation, pericardial tamponade remains one of its more frequent, potentially life-threatening complications. Management of cardiac tamponade is not standardized and uncertainties regarding acute treatment remain.

Methods: This survey sought to evaluate the management of cardiac tamponade in German EP centers via a standardized postal questionnaire. Read More

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A 39-Year-Old Woman with Ventricular Electrical Storm Treated with Emergency Cardiac Defibrillation Followed by Multidisciplinary Management.

Am J Case Rep 2022 Jun 14;23:e935710. Epub 2022 Jun 14.

Department of Invasive Cardiology, Medical University of Białystok, Białystok, Poland.

BACKGROUND Ventricular electrical storm (VES) is a treatment-resistant ventricular arrhythmia associated with high mortality. This report is of a 39-year-old woman with VES treated with emergency cardiac defibrillation followed by multidisciplinary management. CASE REPORT A 39-year-old woman, previously diagnosed with eosinophilia of unknown origin and recurrent non-sustained ventricular tachycardias, was admitted to the Department of Invasive Cardiology with VES after an initial antiarrhythmic approach, analgesia, and defibrillation in the Emergency Department. Read More

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Pericardial tamponade: A comprehensive emergency medicine and echocardiography review.

Am J Emerg Med 2022 May 6;58:159-174. Epub 2022 May 6.

Department of Emergency Medicine, UHS Southern California Medical Education Consortium, Temecula, CA 92592, USA.

Introduction: Pericardial tamponade requires timely diagnosis and management. It carries a high mortality rate.

Objective: This review incorporates available evidence to clarify misconceptions regarding the clinical presentation, while provifing an in-depth expert guide on bedside echocardiography. Read More

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Fatal iatrogenic cardiac tamponade due to central venous catheterization.

Forensic Sci Med Pathol 2022 Jun 13. Epub 2022 Jun 13.

Department of Public Health and Forensic Sciences, and Medical Education, Faculty of Medicine, University of Porto, 4200-319, Porto, Portugal.

Fatal adverse events caused by any health professional as consequence of malpractice are uncommon. In this work, the authors report a fatal cardiac tamponade associated with a peripherally inserted central catheter (PICC) by the right jugular vein that perforated the right atrium of the heart. The diagnosis of cardiac tamponade was not detected in hospital during the intrapericardial infusion of total parenteral nutrition and was only registered during the autopsy. Read More

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Hemodialysis-Related Pericarditis With Cardiac Tamponade.

Cureus 2022 May 5;14(5):e24748. Epub 2022 May 5.

Community Care, Unnan City Hospital, Unnan, JPN.

Pericarditis can cause chest symptoms in dialysis patients. Moreover, it tends to present with various symptoms other than chest pain in patients with end-stage renal disease (ESRD) than in non-ESRD patients. Here, we present the case of an 86-year-old man on maintenance dialysis who was admitted to the hospital with chest discomfort and dyspnea, which led to cardiac tamponade due to unexplained pericardial effusion. Read More

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Isolated pneumopericardium; An extremely rare complication following active resuscitation in a term neonate.

ARYA Atheroscler 2021 May;17(3):1-4

Professor, Department of Cardiology, LPS Institute of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College Kanpur, Uttar Pradesh, India.

Background: Pneumopericardium, presence of air in pericardial cavity, is rare entity with potentially severe complications and mortality. In the neonatal period, it is associated with prematurity, low birth weight, and assisted ventilation, but in full term neonates its occurrence after resuscitation is exceedingly rare.

Case Report: Our patient was a 2-day old full term neonate who developed respiratory distress following active resuscitation which was carried out at the time of birth in lieu of perinatal asphyxia. Read More

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Post-cardiac injury syndrome after a concealed accessory pathway ablation.

J Cardiol Cases 2022 Jun 5;25(6):351-353. Epub 2022 Jan 5.

Department of Cardiology, Istanbul Medeniyet University Faculty of Medicine, Istanbul, Turkey.

The incidence of pericardial effusion for supraventricular tachycardias is less than 1%, and its combination with pleural effusion is rare. We present a case of severe pericardial and pleural effusion after a left-sided concealed accessory pathway ablation. The 480 cc of pericardial fluid was drained with the pericardial drainage system due to cardiac tamponade with hemodynamic compromise. Read More

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Pneumopericardium- An Unusual Complication Following Transseptal Puncture: A Series of 3 Cases.

JACC Case Rep 2022 Jun 1;4(11):671-676. Epub 2022 Jun 1.

Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.

Transseptal puncture (TSP) is performed to access the left side of the heart from the venous circulation. Performed under fluoroscopy with echocardiographic guidance, it is a procedure associated with complications. Pneumopericardium leading to cardiac tamponade is rare following TSP. Read More

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Percutaneous Left Atrial Appendage Closure Using an Occluder Device: A Single Center Experience.

Acta Cardiol Sin 2022 May;38(3):352-361

Heart Rhythm Center and Division of Cardiology, Taipei Veterans General Hospital, Taipei, Taiwan.

Background: Left atrial appendage (LAA) is the main source of thrombus formation, and occlusion of this structure decreases the risk of stroke in patients with atrial fibrillation.

Objectives: We aimed to describe the feasibility, safety and outcomes of percutaneous LAA closure using an occluder device, and to evaluate residual LAA contrast leak detected on computed tomography (CT) imaging in patients who underwent implantation in our institution.

Methods: Consecutive patients of Taipei Veterans General Hospital who underwent percutaneous implantation of an LAA occluder (LAAO) were retrospectively collected and analyzed. Read More

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Cardiac tamponade with transseptal puncture: Cross with care.

J Cardiovasc Electrophysiol 2022 Jun 7. Epub 2022 Jun 7.

Division of Cardiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

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Transseptal puncture for left atrial ablation: Risk factors for cardiac tamponade and a proposed causative classification system.

J Cardiovasc Electrophysiol 2022 Jun 7. Epub 2022 Jun 7.

Department of Cardiac Electrophysiology, Barts Heart Center, St. Bartholomew's Hospital, W Smithfield, London, UK.

Aims: Cardiac tamponade is a high morbidity complication of transseptal puncture (TSP). We examined the associations of TSP-related cardiac tamponade (TRCT) for all patients undergoing left atrial ablation at our center from 2016 to 2020.

Methods And Results: Patient and procedural variables were extracted retrospectively. Read More

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An Indonesian pregnant woman with systemic lupus erythematosus and cardiac tamponade: A case report.

Int J Surg Case Rep 2022 May 4;94:107159. Epub 2022 May 4.

Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Electronic address:

Background: Systemic lupus erythematosus (SLE) during pregnancy with cardiac tamponade is a rare case.

Case Presentation: A 33-year-old pregnant woman complained of worsening shortness of breath, hair loss, and joint pain. Laboratory investigation revealed the poor condition of the patient so therapeutic abortion was recommended. Read More

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Diaphragmatic Pacing as an Initial Presentation of Delayed Ventricular Lead Perforation.

J Innov Card Rhythm Manag 2022 May 15;13(5):5004-5008. Epub 2022 May 15.

Department of Cardiovascular Medicine, William Beaumont Hospital-Royal Oak, Royal Oak, MI, USA.

Ventricular lead perforation is an infrequent and potentially fatal complication of pacemakers and implantable cardioverter-defibrillators that typically presents shortly following device implantation. Delayed lead perforations occurring 1 month after implantation are not widely reported and can have a wide range of presentations ranging from asymptomatic to potentially fatal cardiac tamponade. We describe a case of successful percutaneous lead extraction and revision in a patient who presented 9 months following implantation with an active fixation right ventricular pacing lead with apical perforation. Read More

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Complicated Iatrogenic Pneumopericardium in a Patient With Suspected Multiple Myeloma.

Cureus 2022 Apr 25;14(4):e24483. Epub 2022 Apr 25.

Cardiovascular Disease, Centro Médico Episcopal San Lucas, Ponce, PRI.

Pneumopericardium is the presence of air within the pericardial cavity. Though several etiologies and pathological mechanisms for this have been described, there is no clear consensus. Most resolve spontaneously, but others may develop severe complications such as cardiac tamponade which may lead to cardiorespiratory arrest. Read More

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Intra-pericardial thrombin injection as bailout strategy in iatrogenic pericardial tamponade.

Neth Heart J 2022 Jun 1. Epub 2022 Jun 1.

Department of Cardiology, Rheinlandklinikum Neuss, Neuss, Germany.

Background: Cardiac tamponade is a rare but life-threatening complication of cardiac interventions. Despite prompt pericardiocentesis, clinical management can be challenging and sometimes haemodynamic stabilisation is difficult to achieve. Intra-pericardial thrombin injection after pericardiocentesis promotes haemostasis and acts as a sealing agent, as previously described for left ventricular free-wall rupture. Read More

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A novel extracorporeal cardiopulmonary resuscitation strategy using a hybrid emergency room for patients with pulseless electrical activity.

Scand J Trauma Resusc Emerg Med 2022 May 31;30(1):37. Epub 2022 May 31.

Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, 1-3-1 Wakinohamakaigandori, Chuo-ku, Kobe, 651-0073, Japan.

Background: Whether extracorporeal cardiopulmonary resuscitation (ECPR) is indicated for patients with pulseless electrical activity (PEA) remains unclear. Pulmonary embolism with PEA is a good candidate for ECPR; however, PEA can sometimes include an aortic disease and intracranial haemorrhage, with extremely poor neurological outcomes, and can thus not be used as a suitable candidate. We began employing an ECPR strategy that utilised a hybrid emergency room (ER) to perform computed tomography (CT) before extracorporeal membrane oxygenation (ECMO) induction from January 2020. Read More

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Real-world clinical outcomes of percutaneous transluminal septal myocardial ablation for patients with drug-refractory hypertrophic obstructive cardiomyopathy: results from a retrospective multicenter registry of non-high-volume centers.

Heart Vessels 2022 May 31. Epub 2022 May 31.

Division of Cardiovascular Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan.

Percutaneous transluminal septal myocardial ablation (PTSMA) is a well-established interventional therapy for drug-refractory hypertrophic obstructive cardiomyopathy (HOCM) as an alternative to surgical myectomy. Although guidelines recommend that PTSMA should be performed in institutions with extensive experience, it is not centralized to such high-volume centers in real-world clinical practice. Thus, this study aimed to assess the feasibility of PTSMA in non-high-volume centers. Read More

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Thoracoscopic management of iatrogenic cardiac perforations.

J Cardiovasc Electrophysiol 2022 May 31. Epub 2022 May 31.

Department of Cardiothoracic Surgery, JESSA Hospitals, Hasselt, Belgium.

Aims: Iatrogenic cardiac perforation is an uncommon but potentially fatal complication of invasive cardiac procedures. When nonsurgical management fails, urgent cardiac surgery is required. The standard surgical approach is usually through full sternotomy. Read More

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Life-threatening intracardiac cement embolisms after percutaneous kyphoplasty: a case report and literature review.

Chunneng Huang

J Int Med Res 2022 May;50(5):3000605221102088

Department of Orthopedics, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine.

Background: Percutaneous kyphoplasty is a popular technique in the treatment of osteoporotic vertebral fractures, but intracardiac cement embolism can be a life-threatening complication. The authors present a case involving a patient who developed dyspnea and chest tightness after percutaneous kyphoplasty. Echocardiography and chest computed tomography confirmed several foreign bodies in the right atrium and pulmonary arteries causing cardiac perforation and pericardial tamponade. Read More

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[What's new in pericardial disease?]

Dtsch Med Wochenschr 2022 Jun 30;147(11):704-710. Epub 2022 May 30.

Klinik für Kardiologie, Angiologie und Internistische Intensivmedizin, Phillips-Universität Marburg, Universitätsklinik Gießen und Marburg, Campus Marburg.

Pericardial disease represents a large diversity of inflammation related injury of the pericardium. Multifactorial causes may contribute to acute and recurrent pericarditis, pericardial effusion without major hemodynamic compromise, cardiac tamponade or constrictive pericarditis. Currently, inflammatory pericardial pathologies are observed in cases of SARS-CoV-2-infection or after vaccination. Read More

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