9,930 results match your criteria Cardiac Tamponade


Cardiac tamponade due to ruptured coronary-pulmonary artery fistula aneurysm: a case report.

Eur Heart J Case Rep 2020 Jun 3;4(3):1-5. Epub 2020 May 3.

Department of Cardiovascular Medicine, Shin-Yurigaoka General Hospital, 255 Furusawatsuko, Asao-Ward, Kawasaki City, Kanagawa 180-8610, Japan.

Background: Coronary artery fistulas are rare and most commonly asymptomatic; however, they can become enlarged and rupture in some cases.

Case Summary: We report a case of a 51-year-old woman who was brought to our hospital unconscious in an ambulance. Cardiac tamponade caused by the rupture of an aneurismal coronary-pulmonary artery fistula (CPAF) was detected by contrast-enhanced computed tomography and confirmed by invasive coronary angiography. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319849PMC

The hidden skills of the cryoballoon: occlusion of cardiac perforation in a patient with persistent left superior vena cava-a case report.

Eur Heart J Case Rep 2020 Jun 26;4(3):1-5. Epub 2020 Mar 26.

Clinic for Electrophysiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Georgstr. 11, 32545 Bad Oeynhausen, Germany.

Background: Cardiac tamponade is one of the most serious complications when performing cardiac interventions. Although most of the patients can be treated effectively using pericardiocentesis, urgent surgery can be necessary in case of continuous bleeding and patients' haemodynamic impairment.

Case Summary: With this unique clinical case report we describe an acute endovascular occlusion of a cardiac perforation utilizing the inflated 28 mm cryoballon at the transseptal puncture site close to the superior part of the coronary sinus ostium in a patient with persistent left superior vena cava (PLSVC) and severe post-procedural tamponade. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319836PMC

Aortic root rupture during balloon-expandable transcatheter aortic valve replacement in a patient without recognized risk factors for aortic root rupture: a case report.

Eur Heart J Case Rep 2020 Jun 26;4(3):1-4. Epub 2020 May 26.

Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, 2-2 Yamada-oka, Suita 565-0871, Japan.

Background: Aortic root rupture is a severe complication of balloon-expandable transcatheter aortic valve replacement (TAVR). Although previous studies have revealed several risk factors for this complication, predicting this complication is occasionally difficult.

Case Summary: A 78-year-old male patient underwent TAVR via a transfemoral approach using a 29-mm balloon-expandable valve. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319835PMC

Cardiac tamponade due to primary hypothyroidism: acute management and approach to prevent recurrence-a case report.

Eur Heart J Case Rep 2020 Jun 3;4(3):1-5. Epub 2020 May 3.

Department of Cardiology, Osmania General Hospital, Hyderabad, Telangana, India.

Background: Hypothyroidism is a common endocrine disorder resulting from deficiency of thyroid hormone, with iodine deficiency remains the foremost cause. It is more common in women with increasing incidence in the elderly. The manifestations of hypothyroidism results from the hypometabolism in the body at cellular level and affects all organs. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7319808PMC

Immediate Postoperative Results in the Surgical Treatment of Neoplastic Pericarditis - 76 Consecutive Cases.

Chirurgia (Bucur) 2020 May-Jun;115(3):341-347

Pericardial effusion, accumulation of fluid in the pericardial sac, may develop in any type of cancer. It was revealed in up to 20% of oncological patients. Method: We made a retrospective study of patients with pericardial efusion presented in our clinic between 2010 and 2015. Read More

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http://dx.doi.org/10.21614/chirurgia.115.3.341DOI Listing

Delayed pericardial tamponade following central venous recanalization.

J Vasc Access 2020 Jul 2:1129729820938177. Epub 2020 Jul 2.

Department of Interventional Radiology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

A patient with central venous occlusion at the junction of the superior vena cava and right atrium underwent endovascular revascularization. The leakage of contrast agents was detected during sharp recanalization that was then managed with covered stent deployment. The initial symptom of facial swelling disappeared and the vital signs were stable after treatment. Read More

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http://dx.doi.org/10.1177/1129729820938177DOI Listing

Acute Myopericarditis with Pericardial Effusion and Cardiac Tamponade in a Patient with COVID-19.

Am J Case Rep 2020 Jul 1;21:e925554. Epub 2020 Jul 1.

Department of Cardiology, MedStar Heart and Vascular Institute at Franklin Square Medical Center, Baltimore, MD, USA.

BACKGROUND Coronavirus disease 2019 (COVID-19) is primarily a respiratory illness. However, with rising numbers of cases, multiple reports of cardiovascular manifestations have emerged. We present a case of COVID-19 infection complicated by myopericarditis and tamponade requiring drainage. Read More

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http://dx.doi.org/10.12659/AJCR.925554DOI Listing

Demonstrating the mechanism of electrical alternans in cardiac tamponade: "the swinging heart".

Med J Aust 2020 Jun 29. Epub 2020 Jun 29.

Government Medical College and Hospital, Chandigarh, India.

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http://dx.doi.org/10.5694/mja2.50687DOI Listing

Cardiac tamponade after superior vena cava stenting.

BMJ Case Rep 2020 Jun 29;13(6). Epub 2020 Jun 29.

General Medicine, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.

Superior vena cava (SVC) syndrome results from the blockage of venous blood flow through the SVC, which is caused by either internal obstruction (eg, thrombus) or external compression (eg, thoracic malignancy and infection).1 While thrombus-related SVC syndrome is rising in prevalence, malignancy still accounts for the majority of cases.1 Regardless of cause, SVC syndrome is characterised by facial swelling and plethora, headache and dyspnoea. Read More

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http://dx.doi.org/10.1136/bcr-2020-234345DOI Listing

Comparison of dual antiplatelet therapies after coronary endarterectomy combined with coronary artery bypass grafting: a cohort study.

J Cardiothorac Surg 2020 Jun 29;15(1):155. Epub 2020 Jun 29.

Department of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beilishi Road No. 167, Xicheng District, Beijing, 100037, China.

Background: Coronary endarterectomy (CE) combined with coronary artery bypass grafting (CABG) can be the only option for complete revascularization in some patients with diffuse coronary artery disease. Unfortunately, CE can cause the lack of endothelium, resulting in increased risk of thrombotic events. Therefore, antithrombotic therapy is very important after surgery. Read More

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http://dx.doi.org/10.1186/s13019-020-01205-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325049PMC

Factors Associated with Survival After Emergency Department Thoracotomy for Adult Trauma Patients in the United States.

J Emerg Med 2020 Jun 23. Epub 2020 Jun 23.

Department of Emergency Medicine, American University of Beirut Medical Center, Beirut, Lebanon; Emergency Medical Services and Prehospital Care Program, American University of Beirut Medical Center, Beirut, Lebanon.

Background: Emergency department thoracotomy (EDT) is done to control life threatening hemorrhage and injuries. Literature examining this topic is limited to relatively small studies from single trauma centers.

Objective: This study identifies factors associated with survival to hospital discharge of patients undergoing EDT using the largest U. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.05.005DOI Listing

High-Risk Airway Management in the Emergency Department: Diseases and Approaches, Part II.

J Emerg Med 2020 Jun 23. Epub 2020 Jun 23.

Department of Emergency Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas.

Background: Successful airway management is critical to the practice of emergency medicine. Thus, emergency physicians must be ready to optimize and prepare for airway management in critically ill patients with a wide range of physiologic challenges. Challenges in airway management commonly encountered in the emergency department are discussed using a pearl and pitfall discussion in this second part of a 2-part series. Read More

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http://dx.doi.org/10.1016/j.jemermed.2020.05.009DOI Listing

Urgent Surgical Treatment of Blunt Chest Trauma Followed by Cardiac and Pericardial Injuries.

Med Arch 2020 Apr;74(2):115-118

Private Clinic "Karabeg" Sarajevo, Bosnia and Herzegovina.

Introduction: Widespread opinion that penetrating chest injuries are more urgent, in terms of treatment and care, contributed to underestimation of the urgency of blunt chest trauma, which in most cases is treated conservatively. It remains an open question frequency when the injuries of the heart and pericardium are not timely diagnosed and surgically treated.

Aim: To demonstrate the importance of well-timed surgical treatment of blunt chest trauma, when coupled with cardiac and pericardial injuries. Read More

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http://dx.doi.org/10.5455/medarh.2020.74.115-118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7296422PMC

Fetal Intrapericardial Teratomas: An Update.

Authors:
Shi-Min Yuan

Z Geburtshilfe Neonatol 2020 Jun 23. Epub 2020 Jun 23.

The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Department of Cardiothoracic Surgery, Putian, China.

Fetal intrapericardial teratomas are rare and benign cardiac tumors. By comprehensive literature retrieval of the pertinent articles published since 2000, 49 articles with 61 cases of intrapericadial teratomas were recruited into this study. The intrapericardial teratomas were found during pregnancy in 55 cases (fetal group), while the tumors were detected until neonatal period in 6 cases (neonatal group). Read More

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http://dx.doi.org/10.1055/a-1114-6572DOI Listing

Echo-Guided Pericardiocentesis: When and How Should It Be Performed?

Curr Cardiol Rep 2020 Jun 22;22(8):71. Epub 2020 Jun 22.

Smidt Heart Institute, Cedars-Sinai Medical Center, 127 S. San Vicente, AHSP, Los Angeles, CA, 90048, USA.

Purpose Of Review: Abnormal accumulation of pericardial fluid is a common cardiac condition with different etiologies. Draining of the pericardial fluid (pericardiocentesis) is often indicated for diagnostic and therapeutic purposes and is performed in an elective or emergent setting. Echocardiography is the primary imaging method for diagnosing, localizing, and quantifying pericardial effusion as well as evaluating its hemodynamic effects, including the presence of cardiac tamponade. Read More

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http://dx.doi.org/10.1007/s11886-020-01320-2DOI Listing

Direct left ventricular wire pacing during transcatheter aortic valve implantation.

Kardiol Pol 2020 Jun 19. Epub 2020 Jun 19.

Background: Rapid ventricular pacing is used during balloon aortic valvuloplasty, balloon-expandable transcatheter aortic valve implantation (TAVI) and for post-dilatation. Traditionally, the right ventricular (RV) lead pacing has been a gold standard. Direct left ventricular (LV) wire pacing has recently been considered safe and effective in TAVI interventions. Read More

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http://dx.doi.org/10.33963/KP.15440DOI Listing

Massive pericardial effusion causing cardiac tamponade accompanied by elevated CA-125 and thoracic lymphadenopathy in sarcoidosis: a case report.

Int J Surg Case Rep 2020 Jun 13;72:355-360. Epub 2020 Jun 13.

Scientific Research Institute of Heart Surgery and Organ Transplantation, Bishkek, Kyrgyzstan.

Introduction: Pericardial effusion and cardiac tamponade are rare manifestations of cardiac sarcoidosis. This is a first case report that describes a patient with severe pericardial effusion and signs of cardiac tamponade with elevated carbohydrate antigen 125 (CA-125) levels, enlarged pericardial (PLN) and mediastinal lymph nodes (MLN), histologically confirmed as sarcoidosis.

Presentation Of Case: A 51-year-old female patient was admitted with complaints of sickness, shortness of breath on minimal exertion, swelling in lower extremities, and heaviness in right upper abdomen. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306529PMC

Overview of Optimal Techniques for Pericardiocentesis in Contemporary Practice.

Curr Cardiol Rep 2020 Jun 19;22(8):60. Epub 2020 Jun 19.

Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Purpose Of Review: This review summarizes the optimal techniques for the performance of pericardiocentesis in contemporary practice, highlighting the indications, contraindications, and techniques used. Routine pericardial catheter management and the diagnostic role of pericardial fluid analysis are described.

Recent Findings: Echocardiographic-guided pericardiocentesis should be considered the therapy of choice in current clinical practice and may be performed safely despite the presence of coagulopathy and thrombocytopenia in the hands of expert operators. Read More

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http://dx.doi.org/10.1007/s11886-020-01324-yDOI Listing

Global evaluation of echocardiography in patients with COVID-19.

Eur Heart J Cardiovasc Imaging 2020 Jun 18. Epub 2020 Jun 18.

Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.

Aims: To describe the cardiac abnormalities in patients with COVID-19 and identify the characteristics of patients who would benefit most from echocardiography.

Methods And Results: In a prospective international survey, we captured echocardiography findings in patients with presumed or confirmed COVID-19 between 3 and 20 April 2020. Patient characteristics, indications, findings, and impact of echocardiography on management were recorded. Read More

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http://dx.doi.org/10.1093/ehjci/jeaa178DOI Listing

Catheter Ablation of Atrial Fibrillation: Are We Getting Better in Preservation From Periprocedural Cardiac Tamponade?

Authors:
Riccardo Cappato

JACC Clin Electrophysiol 2020 Jun;6(6):646-648

Arrhythmias and Electrophysiology Center, Humanitas Research Hospital, Rozzano (Milan), Italy. Electronic address:

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http://dx.doi.org/10.1016/j.jacep.2020.02.015DOI Listing

Predictors of Cardiac Perforation With Catheter Ablation of Atrial Fibrillation.

JACC Clin Electrophysiol 2020 Jun 25;6(6):636-645. Epub 2020 Mar 25.

Duke Clinical Research Institute, Durham, North Carolina, (c)Electrophysiology Section, Duke University Hospital, Durham, North Carolina; Electrophysiology Section, Duke University Hospital, Durham, North Carolina.

Objectives: This study identified factors associated with risk for cardiac perforation in the setting of atrial fibrillation (AF) ablation in contemporary clinical practice.

Background: Cardiac perforation is an uncommon but potentially fatal complication of AF ablation. An improved understanding of factors associated with cardiac perforation could facilitate improvements in procedural safety. Read More

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http://dx.doi.org/10.1016/j.jacep.2020.01.011DOI Listing

A Case of Congenital Lymphedema Complicated by Chronic Chylous Effusions and Recurrent Pericardial Effusion Requiring Pericardial Window.

Cureus 2020 May 16;12(5):e8160. Epub 2020 May 16.

Pulmonary Medicine, Joan C. Edwards School of Medicine, Marshall University, Huntington, USA.

We are presenting a case of primary lymphedema (PL) complicated with a repeated need for thoracentesis and pericardiocentesis. Our patient is a 24-year-old male with primary lymphedema that is manifested in the left hand and right lower limb. The patient presented to the emergency department (ED) for recurrent right lower lobe cellulitis that had failed repeated attempts with outpatient antibiotic therapy. Read More

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http://dx.doi.org/10.7759/cureus.8160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7294872PMC

[Cardiac Tamponade as Cardio-Oncologic Emergency Disease].

Gan To Kagaku Ryoho 2020 Jun;47(6):881-884

Dept. of Medical Oncology, Faculty of Medicine, University of Tsukuba.

The causes of cardiac tamponade include neoplastic pericarditis as well as radiation-induced, drug-induced, purulent and iatrogenic pericarditis. Since we can get access to the advanced cancer therapy these days, some of the cardiac tamponade patients can survive longer if we can manage their pericardial effusion well. Here, we will summarize the clinical evidence in cardiac tamponade in patients with malignant tumor, and will discuss about its presentation, diagnosis and management. Read More

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Interfacility Open Chest Cardiothoracic Patients: Treatment and Transport Considerations.

Authors:
Alisha M Burnett

Air Med J 2020 May - Jun;39(3):212-213. Epub 2020 Feb 15.

Aeromed, Tampa General Hospital, Tampa, FL. Electronic address:

Open chest cardiothoracic transports are becoming more common; however, they require more planning and critical thinking before initiating transport. These patients require complex treatment modalities and extensive training of the crews transporting them to include, but not limited to, the ability to internally defibrillate using paddles, effective open cardiac massage, and the availability of blood products in the event of hemorrhagic shock. A case involving a 55-year-old white man status post cardiac arrest with an unknown downtime resulted in transport to the nearest facility. Read More

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http://dx.doi.org/10.1016/j.amj.2020.01.008DOI Listing
February 2020

Delayed cardiac tamponade from pericarditis following pulmonary vein cryo-balloon ablation.

Intern Med J 2020 Jun;50(6):770-771

Centre for Heart Rhythm Disorders, University of Adelaide, Adelaide, South Australia, Australia.

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http://dx.doi.org/10.1111/imj.14855DOI Listing

Atypical Cardiac Tamponade Manifesting as Left Ventricular Diastolic Collapse: A Case Report.

Cureus 2020 May 10;12(5):e8045. Epub 2020 May 10.

Cardiology, State University of New York Upstate Medical University, Syracuse, USA.

Cardiac tamponade is a medical emergency, the diagnosis of which is predominantly clinical with supportive echocardiographic findings. Echocardiographic findings highly suggestive of cardiac tamponade include chamber collapse, inferior vena cava (IVC) plethora, and respiratory volume/flow variations. The right-sided cardiac chambers are a low-pressure system and are the first to show signs of collapse with high specificity for tamponade. Read More

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http://dx.doi.org/10.7759/cureus.8045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286439PMC

Extrapericardial Tamponade Following Blunt Trauma.

Ann Thorac Surg 2020 Jun 9. Epub 2020 Jun 9.

University of Kentucky Department of Surgery, Division of Cardiothoracic Surgery, University of Kentucky Chandler Medical Center, Lexington Kentucky.

Cardiac Tamponade results from compression of the heart and great vessels. Mediastinal hematoma has been reported in association with cardiac tamponade in multiple settings including non-aortic mediastinal hemorrhage from cervical spine fractures, aortic and carotid aneurysmal rupture, mediastinal penetrating trauma, and cardiac penetrating trauma. There have been a few reported cases of blunt trauma to the anterior chest wall resulting in tamponade formation (1,2). Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.04.098DOI Listing

Pericardial Effusion and Tamponade Complicating Acute Pericarditis in a Human Metapneumovirus-Infected Adult: A Unique Case Report.

Cureus 2020 Jun 5;12(6):e8454. Epub 2020 Jun 5.

Cardiology, Creighton University Arizona Health Education Alliance/Valleywise Health Medical Center, Phoenix, USA.

Acute pericarditis (AP), or pericardial sac inflammation, is a self-limited condition in healthy individuals. Viruses, including adenoviruses, enteroviruses, cytomegalovirus, and influenza virus, have been well documented to cause AP. In contrast, human metapneumovirus (hMPV), a relatively newer virus, has been described in a few cases to cause serious cardiac complications. Read More

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http://dx.doi.org/10.7759/cureus.8454DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279685PMC

Patient characteristics, procedure details including catheter devices, and complications of catheter ablation for ventricular tachycardia: a nationwide observational study.

J Arrhythm 2020 Jun 5;36(3):464-470. Epub 2020 May 5.

Department of Clinical Epidemiology and Health Economics School of Public Health The University of Tokyo Tokyo Japan.

Background: Nationwide data are insufficient with respect to the characteristics of patients undergoing ventricular tachycardia (VT) ablation, complications of VT ablation, and procedure details including catheter devices used during VT ablation. The present study was performed to describe the patient characteristics, procedure details including catheter devices, and in-hospital complications of catheter ablation for VT using a national inpatient database.

Methods: We used the Diagnosis Procedure Combination database, a national Japanese inpatient database, to identify patients who underwent VT ablation from July 2010 to March 2017. Read More

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http://dx.doi.org/10.1002/joa3.12356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279962PMC

[Prevention strategies for traumatic cardiac arrest].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2020 Apr;32(4):508-512

Department of Emergency, the Third Medical Centre, Chinese People's Liberation Army General Hospital, Beijing 100039, China. Corresponding author: Jiang Duyin, Email:

The fatality rate of traumatic cardiac arrest (TCA) is extremely high, and it is very different from that of non-traumatic cardiac arrest (NTCA) in resuscitation strategy. Only when the standard resuscitation process is combined with rapid treatment of various reversible causes can the mortality rate of patients be decreased. In this paper, the key factors leading to TCA are reviewed, such as hypovolemic shock, asphyxia, tension pneumothorax, pericardial tamponade, crush syndrome, craniocerebral injury, cerebral hernia, and the control measures are elaborated respectively, so as to provide references for clinical treatment of patients with severe trauma, and reduce TCA incidence and mortality. Read More

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http://dx.doi.org/10.3760/cma.j.cn121430-20200122-00093DOI Listing

Clinical experience of whole-body computed tomography as the initial evaluation tool after extracorporeal cardiopulmonary resuscitation in patients of out-of-hospital cardiac arrest.

Scand J Trauma Resusc Emerg Med 2020 Jun 11;28(1):54. Epub 2020 Jun 11.

Department of Surgery, National Taiwan University Hospital, College of Medicine, National Taiwan University, No. 7, Chung-Shan South Road, Taipei, 100, Taiwan.

Background: The routine application of whole-body CT after extracorporeal cardiopulmonary resuscitation (ECPR) in out-of-hospital cardiac arrest (OHCA) has not been extensively investigated. We aimed to evaluate the benefit of CT in this context.

Methods: We retrospectively analyzed all OHCA patients who had received ECPR between January 2006 to May 2019. Read More

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http://dx.doi.org/10.1186/s13049-020-00746-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291474PMC

Spontaneous Biliary Pericardial Tamponade: A Case Report and Literature Review.

Curr Cardiol Rev 2020 Jun 11. Epub 2020 Jun 11.

State University of New York: Downstate Medical Center, Brooklyn, NY. United States.

Background: Biliary pericardial tamponade (BPT) is a rare form of pericardial tamponade, characterized by yellowish-greenish pericardial fluid upon pericardiocentesis. Historically, BPT reported to occur in the setting of an associated pericardio-biliary fistula. However, BPT in the absence of a detectable fistula is extremely rare. Read More

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http://dx.doi.org/10.2174/1573403X16666200611132045DOI Listing

Acute Pericarditis and Cardiac Tamponade in a Patient with COVID-19: A Therapeutic Challenge.

Eur J Case Rep Intern Med 2020 6;7(6):001701. Epub 2020 May 6.

Division of Cardiology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.

We report a case of acute viral pericarditis and cardiac tamponade in a patient with COVID-19 to highlight the associated treatment challenges, especially given the uncertainty associated with the safety of standard treatment. We also discuss complications associated with delayed diagnosis in patients who potentially may need mechanical ventilation.

Learning Points: Large pericardial effusion and cardiac tamponade should be considered in patients with COVID-19 who decompensate further after intubation and mechanical ventilation. Read More

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http://dx.doi.org/10.12890/2020_001701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279897PMC

Case report of an unusual cause of chest pain in a 33 year old male.

Am J Emerg Med 2020 May 7. Epub 2020 May 7.

Department of Emergency Medicine, George Washington School of Medicine and Health Sciences, 2120 "L" St. NW, Suite 450, Washington, DC 20037, United States of America.

Chest pain in low risk patients is a common ED presentation. Rarely, these patients can have life-threatening conditions requiring timely diagnosis and intervention. There are currently standardized protocols for diagnosing cardiac ischemia, pulmonary embolus, and aortic dissection in low risk patients. Read More

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http://dx.doi.org/10.1016/j.ajem.2020.05.003DOI Listing

A Comprehensive Systemic Literature review of Pericardial Decompression Syndrome: Often Unrecognized and Potentially Fatal Syndrome.

Curr Cardiol Rev 2020 Jun 7. Epub 2020 Jun 7.

Internal Medicine Department, Joan C. Edwards School of Medicine, Marshall University, Huntington, WV. United States.

Background: Pericardial Decompression Syndrome (PDS) is defined as paradoxical hemodynamic deterioration and/or pulmonary edema, commonly associated with ventricular dysfunction. This phenomenon was first described by Vandyke in 1983. PDS is a rare but formidable complication of pericardiocentesis which if not managed appropriately is fatal. Read More

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http://dx.doi.org/10.2174/1573403X16666200607184501DOI Listing

Cardiac Tamponade by Tack Fixation of a Hiatal Mesh. Should Tacks Still Be Used in the Diaphragm?

Cureus 2020 Jun 2;12(6):e8416. Epub 2020 Jun 2.

General Medicine, Universidad Anahuac Norte, Mexico City, MEX.

Since the first successful use of mesh in hernia surgery, the development and progress in materials, techniques, and procedures have increased exponentially; consequently, surgeons started to use meshes for hiatal hernia repair to prevent postoperative hernia recurrences and complications. Nonetheless, there are alarming reports in literature concerning cardiac tamponade as an apparently rare complication of hiatal mesh placement, especially when fixation is performed with tacks. A 50-year-old female diagnosed with gastroesophageal reflux disease undergoes an elective laparoscopic Nissen fundoplication and hiatal hernia repair with tack fixation of the mesh; on the fourth postoperative day she was readmitted with cardiac tamponade diagnosed via echocardiography, and CT scan showed proximity of the tacks to the pericardium. Read More

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http://dx.doi.org/10.7759/cureus.8416DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7270874PMC

Imaging Cardiovascular Emergencies: Real World Clinical Cases.

Heart Fail Clin 2020 Jul;16(3):331-346

Division of Cardiac Rehabilitation - Echo Lab, A Cardarelli Hospital, Naples, Italy. Electronic address:

Cardiovascular emergencies represent life-threatening conditions requiring a high index of clinical suspicion. In an emergency scenario, a simple stepwise biomarker/imaging diagnostic algorithm may help prompt diagnosis and timely treatment along with related improved outcomes. This article describes several clinical cases of cardiovascular emergencies, such as coronary stent thrombosis-restenosis, takotsubo syndrome, acute myocarditis, massive pulmonary embolism, type A acute aortic dissection, cardiac tamponade, and endocarditis. Read More

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http://dx.doi.org/10.1016/j.hfc.2020.03.003DOI Listing

COVID-19 and Acute Lupus Pneumonitis: Diagnostic and Treatment Dilemma.

J Investig Med High Impact Case Rep 2020 Jan-Dec;8:2324709620933438

Geisinger Commonwealth School of Medicine, Scranton, PA, USA.

In this article, we present a case of a young female patient with previously diagnosed lupus pneumonitis, now with a flare and new superimposed COVID-19 infection that was treated with intravenous steroids. On computed tomography scans, she had extensive interstitial lung fibrosis in addition to a positive COVID-19 polymerase chain reaction test requiring 6 L of oxygen via nasal cannula on admission. After administration of methylprednisolone, the patient improved and was weaned off her oxygen requirements and was discharged home. Read More

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http://dx.doi.org/10.1177/2324709620933438DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277418PMC

Outcome of cardiac tamponades in interventional electrophysiology.

Europace 2020 Jun 4. Epub 2020 Jun 4.

Department of Cardiology, Asklepios Klinik St. Georg, Hamburg, Germany.

Aims: The aim of this study was to analyse tamponades following electrophysiological procedures regarding frequency and mortality in a high-volume centre and to identify independent predictors for severe tamponades.

Methods And Results: We performed a retrospective study on 34 982 consecutive patients undergoing diagnostic electrophysiological studies or catheter ablation of cardiac arrhythmias. The combined endpoint was defined as severe tamponade. Read More

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http://dx.doi.org/10.1093/europace/euaa080DOI Listing

Pericardial Effusion/Cardiac Tamponade Induced by Peripherally Inserted Central Catheters in Very Low Birth Weight Infants: A Case Report and Literature Review.

Authors:
Ana Hou Jianhua Fu

Front Pediatr 2020 15;8:235. Epub 2020 May 15.

Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang, China.

Although pericardial effusion/cardiac tamponade (PCE/CT) is a rare complication of peripherally inserted central catheters (PICCs), with an incidence of 0. 07-2%, it is associated with high mortality and is often life threatening. We sought to improve understanding of PICC-induced PCE/CT among pediatricians. Read More

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http://dx.doi.org/10.3389/fped.2020.00235DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7242726PMC

Giant pericardial-occupying compressive primary cardiac hemangiosarcoma in a cat.

J Vet Cardiol 2020 Jun 5;29:54-59. Epub 2020 May 5.

The Animal Medical Center, 510 East 62nd Street, New York, NY 10065, USA. Electronic address:

Hemangioarcoma in the cat is an infrequently diagnosed tumor, and cardiac involvement is rare. We report a previously healthy, 8-year-old, domestic shorthair cat with acute collapse associated with pericardial effusion and cardiac tamponade. Following pericardiocentesis and removal of 15 mL of fluid, the cat improved rapidly. Read More

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http://dx.doi.org/10.1016/j.jvc.2020.04.004DOI Listing

Impact of body mass index on procedural complications, procedure duration, and radiation dose in patients with atrial fibrillation undergoing radiofrequency ablation: A systematic review and meta-analysis.

Clin Cardiol 2020 Jun 3. Epub 2020 Jun 3.

Department of Cardiology, The Seventh People's Hospital, Zhengzhou, Henan, China.

Background: The association of body mass index (BMI) and procedure-related factors in patients with atrial fibrillation (AF) after radiofrequency ablation (RFA) is still unclear.

Hypothesis: BMI is associated with increased the radiation dose, procedure duration, and procedural complications.

Methods: Prospective studies assessing BMI and procedure duration, radiation dose, and procedural complications in patients with AF after RFA were identified through electronic searches of PubMed, Embase, and the Cochrane Library database. Read More

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http://dx.doi.org/10.1002/clc.23398DOI Listing

Impact of Left Atrial Appendage Exclusion on Short Term Outcomes In Isolated Coronary Artery Bypass Graft Surgery.

Circulation 2020 Jun 3. Epub 2020 Jun 3.

Department of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

The objective of this study was to evaluate the impact of LAA exclusion on short term outcomes in patients with atrial fibrillation undergoing isolated coronary artery bypass graft (CABG) surgery. We queried the 2010-2014 National Readmissions Database (NRD) for patients who underwent coronary artery bypass graft repair with and without left atrial appendage ligation using ICD-9 procedure codes (ICD-9: 36.1xx). Read More

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http://dx.doi.org/10.1161/CIRCULATIONAHA.119.044642DOI Listing

[Cardiac Tamponade by Chest Compression at Cardiopulmonary Resuscitation;Report of a Case].

Kyobu Geka 2020 Jun;73(6):437-440

Department of Cardiovascular Surgery, Nozaki Tokushukai Hospital, Daito, Japan.

We report a case of right ventricular rupture caused by sternal bone fracture following chest compression at cardiopulmonary resuscitation (CPR). A 68-year-old man presented with syncope and was referred to our hospital in an ambulance. Ventricular fibrillation was confirmed by electrocardiography(ECG), and CPR was performed with chest compression. Read More

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A novel technique to avoid perforation of the right ventricle by the temporary pacing lead during transcatheter aortic valve implantation.

Cardiovasc Interv Ther 2020 May 30. Epub 2020 May 30.

Department of Cardiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.

Cardiac tamponade is a life-threatening complication during transcatheter aortic valve implantation (TAVI), often caused by perforation of the right ventricle (RV) by the temporary pacemaker used for rapid pacing during valve deployment. We aimed to assess the feasibility of performing rapid pacing while maintaining inflation of the pacing lead balloon in the RV during TAVI. Among 749 consecutive patients who underwent TAVI with SAPIEN XT valves between October 2013 and July 2015, 726 treated using rapid pacing with a transvenous balloon-tip lead were enrolled in our study, and were stratified into three groups according to the extent of balloon inflation in the RV as follows: full inflation (n = 100), partial inflation (n = 196), and deflation (n = 430). Read More

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http://dx.doi.org/10.1007/s12928-020-00676-0DOI Listing

Isolated Chylopericardium: An Unusual Cause of Late Cardiac Tamponade After Mitral Valve Repair.

Ann Thorac Surg 2020 May 23. Epub 2020 May 23.

Department of Cardiothoracic Surgery, National Heart Centre Singapore, SINGAPORE.

Isolated chylopericardium after cardiac surgery is extremely rare, but potentially fatal. We present an unusual case of late postoperative chylopericardium causing cardiac tamponade 6 weeks after mitral valve repair, tricuspid annuloplasty and left atrial appendage closure via median sternotomy. Emergent pericardiocentesis was performed. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.04.030DOI Listing

A Lattice-Tip Temperature-Controlled Radiofrequency Ablation Catheter for Wide Thermal Lesions: First-in-Human Experience With Atrial Fibrillation.

JACC Clin Electrophysiol 2020 May 26;6(5):507-519. Epub 2020 Feb 26.

Department of Cardiology, Homolka Hospital, Prague, Czech Republic; Department of Electrophysiology, Division of Cardiology, Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address:

Objectives: This study sought to evaluate the safety and acute performance of the lattice tip for the treatment of atrial flutter and fibrillation (AF).

Background: A novel catheter using an expandable lattice structure with a wide thermal footprint incorporating multiple surface thermocouples/mini-electrodes has been designed for high-resolution mapping and high-current, temperature-controlled radiofrequency ablation (RFA).

Methods: Patients with typical right atrial flutter or AF were prospectively enrolled in a single-arm study at 3 centers. Read More

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http://dx.doi.org/10.1016/j.jacep.2019.12.015DOI Listing

Poorly Differentiated Breast Adenocarcinoma as a Rare Cause of Right Ventricular Outflow Tract Compression: Case Report and Review of the Literature.

J Investig Med High Impact Case Rep 2020 Jan-Dec;8:2324709620923237

Department of Internal Medicine, Division of Pulmonary and Critical Care, Eastern Virginia Medical School, Norfolk, VA, USA.

Metastatic cancer that involves the structures of the heart is a rare complication and most commonly diagnosed during postmortem examination. Classically, the development of secondary tumors involves invasion of the pericardium or the myocardium and may disrupt the cardiac conduction system, causing new arrhythmias and heart failure. In this article, we present the case of a 58-year-old female with new diagnosis of ventricular bigeminy, and evidence of cardiac tamponade physiology from direct compression of the right ventricular outflow tract from high-grade carcinoma of the left breast. Read More

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http://dx.doi.org/10.1177/2324709620923237DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243387PMC