9,413 results match your criteria Cardiac Tamponade


Ischemic posterior wall cardiac rupture: early intervention is key for success.

Asian Cardiovasc Thorac Ann 2019 Mar 19:218492319839573. Epub 2019 Mar 19.

Department of Cardiothoracic Surgery, Dubai Hospital, Dubai Health Authority, Dubai, United Arab Emirates.

Posterior left ventricular free wall rupture is rare, difficult to diagnose, and potentially fatal secondary to tamponade. The optimal surgical technique is controversial, and the outcome depends on the severity of the rupture. A 51-year-old man with acute myocardial infarction complicated by posterior wall rupture presented in extremis with retrosternal pain. Read More

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http://dx.doi.org/10.1177/0218492319839573DOI Listing

Inadvertent transseptal puncture into the aortic root: the narrow edge between luck and catastrophe in interventional cardiology.

Europace 2019 Mar 18. Epub 2019 Mar 18.

Department of Cardiology, Asklepios Klinik St. Georg, Lohmühlenstr. 5, Hamburg, Germany.

Aims: Inadvertent puncture of the aortic root (AR) is a well-known complication of transseptal puncture (TSP). Strategies for handling of this potentially lethal complication have not been identified yet. In this study, we present typical anatomical locations and clinical management of aortic root puncture (ARP) due to TSP. Read More

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https://academic.oup.com/europace/advance-article/doi/10.109
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http://dx.doi.org/10.1093/europace/euz042DOI Listing
March 2019
1 Read

Is Axillary Better Than Femoral Artery Cannulation in Repair of Acute Type A Aortic Dissection?

Innovations (Phila) 2019 Mar 18:1556984519836879. Epub 2019 Mar 18.

1 Department of Cardiac Surgery, Tel Aviv University, Israel.

Background: We compared early and late outcomes of patients who underwent femoral versus axillary artery cannulation for repair of acute type A aortic dissection.

Methods: Between 2004 and 2017, we retrospectively evaluated the clinical outcomes of 135 consecutive patients who underwent emergency surgery for acute type A aortic dissection repair. Patients were divided into 2 groups: those who underwent femoral ( n = 84) and those who underwent right axillary ( n = 51) artery cannulation. Read More

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http://dx.doi.org/10.1177/1556984519836879DOI Listing

Editorial commentary: Pericardiocentesis: No more a subspecialty technique!

Trends Cardiovasc Med 2019 Feb 5. Epub 2019 Feb 5.

University Cardiology, AOU Città della Salute e della Scienza di Torino, Italy, Corso Bramante 88, 10126 Torino, Italy.

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http://dx.doi.org/10.1016/j.tcm.2019.01.010DOI Listing
February 2019

Thrombectomy and reconstruction of the left vertebral artery after total arch replacement: never give up on postoperative stroke.

Gen Thorac Cardiovasc Surg 2019 Mar 14. Epub 2019 Mar 14.

Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.

The patient was a 64-year-old man who had aortic regurgitation, ischemic heart disease, a transverse aortic aneurysm, and an abdominal-common iliac aneurysm. Concomitant operations including aortic valve replacement, coronary artery bypass grafting, and total aortic arch replacement with elephant trunk technique were performed successfully. The patient developed postoperative cardiac tamponade on the 5th postoperative day, resulting in bulbar palsy due to occlusion of the dominant left vertebral artery. Read More

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http://dx.doi.org/10.1007/s11748-019-01106-6DOI Listing

Cardiac tamponade due to rupture of a giant coronary artery aneurysm with a coronary arteriovenous fistula: a case report.

Surg Case Rep 2019 Mar 12;5(1):40. Epub 2019 Mar 12.

Department of Emergency Medicine, Anjo Kosei Hospital, 28 Higashihirokute, Anjocho, Anjo, Aichi, 446-8602, Japan.

Background: Coronary artery aneurysm (CAA) is defined as dilatation exceeding 1.5 times the width of the normal adjacent coronary artery segments. CAA usually causes few symptoms, and rupture is rare, but can be lethal due to cardiac tamponade when it does occur. Read More

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http://dx.doi.org/10.1186/s40792-019-0597-6DOI Listing
March 2019
1 Read

Clinical significance of pleural effusions and association with outcome in patients hospitalized with a first episode of acute pericarditis.

Intern Emerg Med 2019 Mar 13. Epub 2019 Mar 13.

First Cardiology Department, Hippokration General Hospital, National and Kapodistrian University of Athens, Vas. Sofias 114, 11528, Athens, Greece.

The clinical significance of pleural effusions (PLEs) in the setting of acute pericarditis remains poorly investigated. We sought to identify predictive factors for PLEs and their association with the short- and long-term prognosis of patients with acute pericarditis. We enrolled 177 patients hospitalized with a first episode of acute pericarditis. Read More

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http://dx.doi.org/10.1007/s11739-019-02041-3DOI Listing
March 2019
2 Reads

Idiopathic hypereosinophilic syndrome presenting with multiple organ damage: A case report.

Medicine (Baltimore) 2019 Mar;98(10):e14532

Rationale: Idiopathic hypereosinophilic syndrome (IHES) is a rare disease in which patients which present with eosinophilia-associated damage. Previous studies focused on organ damage from increased eosinophilic granulocytosis. We report IHES in a patient who presented with multiple organ damage (MOD). Read More

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http://dx.doi.org/10.1097/MD.0000000000014532DOI Listing
March 2019
3 Reads

A plasma cell-based pericardial effusion leading to tamponade in a patient with multiple myeloma - a case report and review of the literature.

Cardiovasc Pathol 2019 Feb 10;40:41-46. Epub 2019 Feb 10.

Dominion Pathology Associates, Roanoke, VA.

A rare case of extramedullary multiple myeloma causing cardiac tamponade secondary to a plasma cell-based pericardial effusion is described. A systematic search using PubMed (National Library of Medicine) was used to identify a further 27 cases dating back to 1970. Case characteristics, treatment strategies, and survival time following tamponade are discussed. Read More

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http://dx.doi.org/10.1016/j.carpath.2019.02.002DOI Listing
February 2019
1 Read

Amoebic Cardiac Tamponade.

QJM 2019 Mar 8. Epub 2019 Mar 8.

Post Graduate Institute of Medical Education and Research, internal medicine.

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http://dx.doi.org/10.1093/qjmed/hcz062DOI Listing
March 2019
1 Read

Diagnostic value of electrocardiogram in cardiac tamponade.

Med J Malaysia 2019 Feb;74(1):51-56

Sultanah Aminah Hospital, Department of Cardiology, Johor Bahru, Johor, Malaysia.

Introduction: We aim to study the diagnostic value of electrocardiogram (ECG) in cardiac tamponade.

Methods: This study was a single centre, retrospective casecontrol study. We recruited 42 patients diagnosed with cardiac tamponade of various aetiologies confirmed by transthoracic echocardiography and 100 controls between January 2011 and December 2015. Read More

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February 2019
1 Read

Life-saving emergency clamshell thoracotomy with damage-control laparotomy.

BMJ Case Rep 2019 Mar 4;12(3). Epub 2019 Mar 4.

Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK.

Clamshell thoracotomy for thoracic injuries is an uncommon emergency department procedure. The survival rates following emergency thoracotomy are very low at 9%-12% for penetrating trauma and 1%-2% for blunt trauma. We report an unusual case of survival after emergency department clamshell thoracotomy for penetrating thoracic trauma with cardiac tamponade in a 23-year-old man with multiple stab wounds on the chest and abdomen. Read More

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http://casereports.bmj.com/lookup/doi/10.1136/bcr-2018-22787
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http://dx.doi.org/10.1136/bcr-2018-227879DOI Listing
March 2019
2 Reads

Lower Incidence of Late Tamponade After Cardiac Surgery by Extended Chest Tube Drainage.

Scand Cardiovasc J 2019 Mar 5:1-20. Epub 2019 Mar 5.

c Department of Cardio-Thoracic Surgery , Tampere University Heart Hospital , PO BOX 2000, FI-33521 , Tampere , Finland.

Objectives: To ascertain whether extended chest tube drainage decreases the occurrence of late tamponade after cardiac surgery.

Design: All patients undergoing cardiac surgery at the Tampere University Heart Hospital, Tampere, Finland, between the 23 of October 2015 and the 17 of August 2016 were included. The first 260 consecutive patients were treated according to a short drainage protocol, in which the mediastinal chest tubes were removed during the first postoperative day unless producing >50ml/h, and the following 224 consecutive patients by an extended drainage protocol, in which the mediastinal chest tubes were kept at least until the second postoperative day, and thereafter if producing >50ml/4h. Read More

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http://dx.doi.org/10.1080/14017431.2019.1590630DOI Listing
March 2019
1 Read

Cholangiocarcinoma and hepatic myelolipoma incarcerated in a peritoneopericardial diaphragmatic hernia with pulmonary metastasis and carcinomatosis in a cat.

JFMS Open Rep 2019 Jan-Jun;5(1):2055116919835081. Epub 2019 Feb 26.

Veterinary Teaching Hospital, University of Murcia, Murcia, Spain.

Case Summary: A 14-year-old female neutered Persian-cross cat was presented with a 1 week history of anorexia and lethargy. On physical examination, marked tachypnoea and dyspnoea were evident. Radiographs of the thorax revealed a globoid-shaped cardiac silhouette with heterogeneous opacity consistent with a peritoneopericardial diaphragmatic hernia (PPDH), pulmonary nodules compatible with metastasis, seven sternal segments and a small liver in the cranial abdomen with loss of serosal detail. Read More

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http://dx.doi.org/10.1177/2055116919835081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393819PMC
February 2019
1 Read

Intestinal Tamponade.

Ann Thorac Surg 2019 Mar 1. Epub 2019 Mar 1.

Divison of Thoracic Surgery, Brigham and Women's Hospital. 75 Francis St, Boston, MA 02115. USA. Electronic address:

Concurrence of a congenital Morgagni hernia and paraesophageal hernia is rare and can occasionally present as a medical emergency. Here, we report a unique case of a patient with paroxysms of cough-induced syncope secondary to cardiac compression by a simultaneously occurring anterior Morgagni hernia and posterior paraesophageal hernia. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.01.048DOI Listing
March 2019
1 Read

Cardiac Complications in the Adult Bone Marrow Transplant Patient.

Curr Oncol Rep 2019 Mar 2;21(3):28. Epub 2019 Mar 2.

UCLA Cardio-Oncology Program, Division of Cardiology, Department of Medicine, University of California at Los Angeles, Los Angeles, CA, USA.

Purpose Of Review: Due to advancements in oncologic treatment strategies and techniques, the number of survivors who have undergone hematopoetic stem cell transplant (HCT) continues to increase in the United States; this number is projected to reach 502,000 by the year 2030. There is significant interest within the field of cardio-oncology to identify cardiotoxicity and cardiovascular disease in the HCT population. Epidemiologic studies analyzing both short- and long-term cardiovascular effects, risk stratification modeling, cardioprotective strategies, and expert consensus documents for cardiotoxicity surveillance recommendations are reviewed. Read More

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http://dx.doi.org/10.1007/s11912-019-0774-6DOI Listing
March 2019
2 Reads

Randomized Trial Evaluating Percutaneous Coronary Intervention for the Treatment of Chronic Total Occlusion: The DECISION-CTO Trial.

Circulation 2019 Feb 28. Epub 2019 Feb 28.

Division of Cardiology, Heart Institute, Asan Medical Center, University of Ulsan College of Medicine, Republic of Korea.

Background: Procedural results for percutaneous coronary intervention (PCI) in coronary vessels with chronic total occlusion (CTO) have improved in recent years, and PCI strategies have moved toward more complete revascularization with more liberal use of CTO-PCI. However, evidence evaluating CTO-PCI is limited to observational studies and small clinical trials.

Methods: In this open-label, multicenter, randomized, noninferiority trial, PCI-eligible patients were assigned to receive either one of two strategies; PCI or no PCI for the qualifying de novo CTO lesion with the option for PCI of obstructive non-CTO lesions at the discretion of the operator. Read More

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https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.118.0
Publisher Site
http://dx.doi.org/10.1161/CIRCULATIONAHA.118.031313DOI Listing
February 2019
6 Reads
14.430 Impact Factor

Safety of direct true lumen cannulation after venous exsanguination: a study in a surviving porcine model†.

Eur J Cardiothorac Surg 2019 Feb 26. Epub 2019 Feb 26.

Research Unit of Surgery, Anesthesia and Intensive Care, University of Oulu and Medical Research Center, Oulu, Finland.

Objectives: Type A aortic dissection requires immediate surgery. Traditional cannulation methods such as the central aortic cannulation with the Seldinger technique and axillary cannulation are primary choices. Yet in the presence of tamponade or severe cardiogenic shock, these can be too time-consuming to complete. Read More

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http://dx.doi.org/10.1093/ejcts/ezz047DOI Listing
February 2019
2 Reads

Midterm outcomes of catheter ablation for atrial fibrillation in patients with cardiac tamponade.

J Arrhythm 2019 Feb 24;35(1):109-120. Epub 2018 Oct 24.

Cardiovascular Division Faculty of Medicine University of Tsukuba Tsukuba Japan.

Background: Cardiac tamponade is a serious complication of catheter ablation for atrial fibrillation (AF). However, the outcomes of catheter ablation in patients of cardiac tamponade are unknown.

Methods: We performed catheter ablation in 2467 sessions of AF or a recurrence of AF between January 2007 and January 2016. Read More

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http://dx.doi.org/10.1002/joa3.12127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373639PMC
February 2019

Cardiac tamponade and right ventricle perforation after an acupuncture procedure.

Med Clin (Barc) 2019 Feb 23. Epub 2019 Feb 23.

Emergency Physician, Department of Emergency Medicine, Hospital Universitario Reina Sofia, Cordoba, Spain.

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http://dx.doi.org/10.1016/j.medcli.2019.01.003DOI Listing
February 2019
1 Read

Cardiac Tamponade and Complete Heart Block During Transcatheter Aortic Valve Implantation: A Simulation Scenario for Anesthesia Providers.

MedEdPORTAL 2018 Nov 28;14:10779. Epub 2018 Nov 28.

Clinical Assistant Professor, Department of Anesthesia, University of Iowa Roy J. and Lucille A. Carver College of Medicine.

Introduction: This simulation on cardiac tamponade and complete heart block in the context of severe aortic stenosis presents the learner with a rare (cardiac tamponade) and a common (complete heart block) complication in the intraoperative setting of transfemoral aortic valve implantation in a high-fidelity, low-risk simulation environment. Based on an amalgam of index cases, the simulation was developed to address a recognized area of need for cardiothoracic anesthesia scenarios in the simulation curriculum of our home institution.

Methods: The simulation case file covered the case narrative, learning objectives, a summary of critical actions performed, and supplemental figures needed to complete the educational activity. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10779DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342360PMC
November 2018
3 Reads

Pediatric Emergency Medicine Simulation Curriculum: Cardiac Tamponade.

MedEdPORTAL 2018 Sep 28;14:10758. Epub 2018 Sep 28.

Assistant Professor, Department of Pediatrics, University of Washington School of Medicine.

Introduction: Cardiac tamponade is an uncommon presentation to the pediatric emergency department and requires early recognition and emergent intervention.

Methods: We developed this patient simulation case to simulate a low-frequency, high-acuity scenario for pediatric emergency medicine fellows and resident physicians in emergency medicine, pediatrics, and family medicine. We ran the case in a pediatric emergency department using a high-fidelity pediatric mannequin and equipment found in the clinical environment, including a bedside ultrasound machine. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10758DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342367PMC
September 2018

Echocardiogram: The GPS to GPA's Heart (Granulomatosis with Polyangiitis).

Case Rep Rheumatol 2019 16;2019:7609386. Epub 2019 Jan 16.

Robert Wood Johnson Medical School, Piscataway Township, NJ, USA.

Granulomatosis with polyangiitis (GPA) is a rare ANCA-associated necrotizing granulomatous vasculitis affecting small- to medium-sized vessels. Common manifestations of this disease process affect the ear, nose, throat, upper and lower airways, and kidneys. Cardiac involvement has been reported in 6-44% of patients, primarily as coronary arteritis and pericarditis. Read More

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http://dx.doi.org/10.1155/2019/7609386DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360069PMC
January 2019
2 Reads

Usefulness of Atherectomy in Chronic Total Occlusion Interventions (from the PROGRESS-CTO Registry).

Am J Cardiol 2019 Feb 11. Epub 2019 Feb 11.

Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota. Electronic address:

There is limited data on the use of atherectomy during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We compared the clinical and procedural characteristics and outcomes of CTO PCIs performed with or without atherectomy in a contemporary multicenter CTO PCI registry. Between 2012 and 2018, 3,607 CTO PCIs were performed at 21 participating centers. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029149193018
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http://dx.doi.org/10.1016/j.amjcard.2019.01.054DOI Listing
February 2019
4 Reads

Erdheim-Chester disease presenting as cardiac tamponade: features on multimodal imaging.

Eur Heart J Cardiovasc Imaging 2019 Feb 22. Epub 2019 Feb 22.

Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, Republic of Korea.

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http://dx.doi.org/10.1093/ehjci/jez019DOI Listing
February 2019
2 Reads

Comparison of Outcomes After Percutaneous Coronary Intervention in Elderly Patients, Including 10 628 Nonagenarians: Insights From a Japanese Nationwide Registry (J-PCI Registry).

J Am Heart Assoc 2019 Mar;8(5):e011183

9 Division of Cardiovascular Medicine Toho University Ohashi Medical Center Tokyo Japan.

Background Scarce data exist about the outcomes after percutaneous coronary intervention ( PCI ) in old patients. This study sought to provide an overview of PCI in elderly patients, especially nonagenarians, in a Japanese large prospective nationwide registry. Methods and Results We analyzed 562 640 patients undergoing PCI (≥60 years of age) from 1018 Japanese hospitals between 2014 and 2016 in the J-PCI (Japanese percutaneous coronary intervention) registry. Read More

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http://dx.doi.org/10.1161/JAHA.118.011017DOI Listing
March 2019
3 Reads

Nontyphoidal purulent pericarditis presenting with pericardial tamponade in a patient on infliximab therapy.

IDCases 2019 1;15:e00500. Epub 2019 Feb 1.

Department of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, 79430, United States.

Infection with nontyphoidal is traditionally characterized by intestinal manifestations. However, extra-intestinal infections are known to occur, with purulent pericarditis associated with cardiac tamponade being rare. This case report is of a 57-year-old male with Crohn's disease initiated on infliximab therapy two months prior to presentation. Read More

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http://dx.doi.org/10.1016/j.idcr.2019.e00500DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6370545PMC
February 2019
2 Reads

Complicated Complication: How Interventional Radiologists Should Manage Acute Iatrogenic Cardiac Tamponade.

Cureus 2018 Dec 8;10(12):e3708. Epub 2018 Dec 8.

Radiology, University of Florida College of Medicine, Jacksonville, USA.

Computed tomography guided biopsies are common interventional procedures that are necessary for confirmation of imaging findings. Additionally, percutaneous biopsies are necessary for the elucidation of a patient's clinical findings with disease pathology. Though interventionists perform these procedures regularly without consequence, various complications may arise depending on the tissues biopsied. Read More

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http://dx.doi.org/10.7759/cureus.3708DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6372255PMC
December 2018

Abdominal Stab Wounds with Tension Pneumopericardium Confirmed by Autopsy and Postmortem Computed Tomography.

J Forensic Sci 2019 Feb 20. Epub 2019 Feb 20.

Department of Legal Medicine, St. Marianna University School of Medicine, Kanagawa, 216-8511, Japan.

We present the first report of pneumopericardium observed by autopsy and on postmortem computed tomography (PMCT) images. The subject was a woman who died of self-inflicted stab wounds to the abdomen. The PMCT scan revealed air in the pericardial sac, a "flattened heart" sign, and retroperitoneal hemorrhage. Read More

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http://dx.doi.org/10.1111/1556-4029.14028DOI Listing
February 2019

Pericardial injury with cardiac tamponade and bleeding from the pericardium confirmed using contrast-enhanced computed tomography: a case report.

Authors:
Jumpei Takamatsu

Surg Case Rep 2019 Feb 19;5(1):32. Epub 2019 Feb 19.

Department of Emergency Medicine, Kansai Rosai Hospital, Amagasaki, Japan.

Background: Simple pericardial injuries are asymptomatic in many cases and usually do not cause bleeding that leads to cardiac tamponade. In this study, however, we report a case involving a patient with pericardial injury, in whom extravasation in the pericardium was identified using contrast-enhanced computed tomography (CT).

Case Presentation: A 67-year-old man fell from a 3-m-high ladder and was injured and transported to our hospital. Read More

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http://dx.doi.org/10.1186/s40792-019-0584-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381195PMC
February 2019
1 Read

Comparison of the Transarterial and Transthoracic Approaches in Nontransfemoral Transcatheter Aortic Valve Implantation.

Am J Cardiol 2019 Feb 8. Epub 2019 Feb 8.

University of Rennes 1, Cardiac, Thoracic, and Vascular Surgery Department, Pontchaillou University Hospital, Signal and Image Treatment laboratory (LTSI), National Institute of Health and Medical Research U1099, Rennes, France.

Transfemoral approach stands as the reference access-route for transcatheter aortic valve implantation (TAVI). Nonetheless, alternatives approaches are still needed in a significant proportion of patients. This study aimed at comparing outcomes between transthoracic-approach (transapical or transaortic) and transarterial-approach (transcarotid or subclavian) TAVI. Read More

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http://dx.doi.org/10.1016/j.amjcard.2019.01.040DOI Listing
February 2019
4 Reads

The Use of Subcostal Echocardiographic Views to Guide the Insertion of a Right Ventricular Temporary Transvenous Pacemaker-Description of the Technique.

J Cardiothorac Vasc Anesth 2019 Jan 16. Epub 2019 Jan 16.

University of Ottawa Department of Anesthesiology, Ottawa, Ontario, Canada; Department of Anesthesiology and Perioperative Medicine, Western University, London, Ontario, Canada. Electronic address:

The need for temporary cardiac pacing may occur in emergency and elective situations and may require transvenous right ventricular lead placement. The treatment of bradyarrhythmias presents the most common perioperative emergency indication. Intraoperatively, temporary rapid right ventricular pacing is accepted as a safe, titratable, and highly reliable method to achieve deliberate hypotension, and it has become a routine practice in the anesthetic management of cardiovascular interventions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10530770193006
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http://dx.doi.org/10.1053/j.jvca.2019.01.033DOI Listing
January 2019
6 Reads

A Forgotten Cause of Cardiac Tamponade.

Fed Pract 2018 May;35(5):49-52

and are Fellow Physicians, and is an Attending Physician, all in the Pulmonary and Critical Care Medicine Department at the Veterans Affairs Caribbean Health Care System in San Juan, Puerto Rico.

Although purulent pericarditis is rare, it is essential to recognize its clinical features due to the high mortality rate in patients with a missed diagnosis. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367996PMC
May 2018
1 Read

Feasibility of 5 Fr Contralateral Radial Access for Hybrid Chronic Total Occlusion Percutaneous Coronary Intervention: Experience From a Single Tertiary Center in the United Kingdom.

J Invasive Cardiol 2019 Feb 15. Epub 2019 Feb 15.

Trent Cardiac Centre, Nottingham University Hospitals NHS Trust, Hucknall Rd, Nottingham NG5 1PB, United Kingdom.

Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) using the hybrid algorithm has traditionally been performed femorally using 8 Fr sheaths. Antegrade dissection and re-entry (ADR) has facilitated procedures using 6 and 7 Fr guides via the radial artery. Radial artery dysfunction and occlusion is a recognized complication preventing future radial procedures, but is significantly less common with 5 Fr sheaths. Read More

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February 2019
4 Reads

Transfermoral aortic valve implantation using self-expanding New Valve Technology (NVT) Allegra bioprosthesis: A pilot prospective study.

Cardiol J 2019 Feb 14. Epub 2019 Feb 14.

First Department of Cardiology, Medical University of Gdansk, Debinki 7, 80-952 Gdansk, Poland.

Background: Transcatheter aortic valve implantation (TAVI) has become a standard therapeutic option for patients with severe aortic stenosis (AS) at high cardiac surgical risk. The aim of the NAUTILUS study was to investigate the safety and performance of the New Valve Technology (NVT) Allegra bioprosthesis in high-risk patients undergoing TAVI.

Methods: 27 patients with severe, symptomatic AS at high surgical risk were prospectively enrolled, who underwent treatment using the novel self-expanding NVT Allegra bioprosthesis via transfemoral approach (TF-TAVI). Read More

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http://dx.doi.org/10.5603/CJ.a2019.0019DOI Listing
February 2019
1 Read

Early experience of thoracoscopic vs. catheter ablation for atrial fibrillation.

Europace 2019 Feb 6. Epub 2019 Feb 6.

Department of Cardiology, Liverpool Heart and Chest Hospital, Thomas Drive, Liverpool, UK.

Aims: Video-assisted thoracoscopic surgery (VATS) ablation has been advocated as a treatment option for non-paroxysmal atrial fibrillation (AF) in recent guidelines. Real-life data on its safety and efficacy during a centre's early experience are sparse.

Methods And Results: Thirty patients (28 persistent/longstanding persistent AF) underwent standalone VATS ablation for AF by an experienced thoracoscopic surgeon, with the first 20 cases proctored by external surgeons. Read More

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http://dx.doi.org/10.1093/europace/euy303DOI Listing
February 2019
2 Reads
3.050 Impact Factor

Midline carcinoma expressing NUT in malignant effusion cytology.

Diagn Cytopathol 2019 Feb 8. Epub 2019 Feb 8.

Department of Pathology and Laboratory Medicine, David Geffen School of Medicine, University of California, Los Angeles, California.

Nuclear protein in testis (NUT) midline carcinoma (NMC) is a rare and aggressive subset of poorly differentiated squamous cell carcinoma that is defined by t(15,19) and typically presents in the midline structures of the head, neck, and mediastinum. We report two cases of NMC that presented uniquely with malignant pleural and pericardial effusions including one with cardiac tamponade at presentation. The first case is of a 25-year-old male patient who presented with progressive dyspnea associated with palpitations and dizziness on standing, found to have large bilateral pleural effusions. Read More

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http://doi.wiley.com/10.1002/dc.24150
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http://dx.doi.org/10.1002/dc.24150DOI Listing
February 2019
5 Reads

Non-parallel anti-tumour effects of pembrolizumab: a case of cardial tamponade.

Respirol Case Rep 2019 Apr 31;7(3):e00404. Epub 2019 Jan 31.

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

We present the case of a 70-year-old man with stage IV lung adenocarcinoma. He was treated with pembrolizumab, a programmed cell death-1 (PD-1) inhibitor, as a first-line therapy. After six cycles of pembrolizumab, he suddenly developed cardiac tamponade. Read More

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http://dx.doi.org/10.1002/rcr2.404DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6354230PMC
April 2019
1 Read

Transseptal Puncture for Catheter Ablation in Children.

Pediatr Cardiol 2019 Feb 7. Epub 2019 Feb 7.

Department of Pediatric Cardiology/Electrophysiology, Istanbul Medipol University Hospital, Istanbul, Turkey.

Transseptal puncture (TP) is used in pediatric patients to access the left atrium in left-sided arrhythmia catheter ablation. Performing this procedure can be difficult and risky, especially in small children. In this study, we aimed to evaluate the safety and feasibility of TPs in children ≤ 30 kg. Read More

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http://link.springer.com/10.1007/s00246-019-02069-4
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http://dx.doi.org/10.1007/s00246-019-02069-4DOI Listing
February 2019
7 Reads

Cardiac Tamponade as an Initial Manifestation of Cervical Cancer.

Case Rep Oncol Med 2019 9;2019:7524797. Epub 2019 Jan 9.

Universidad Autónoma de Nuevo Leon, Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Department of Pathology, Av. Madero y Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon, C.P. 64460, Mexico.

Cervical cancer is the second most common malignancy worldwide in women and the third most common cause of cancer death in developing countries. This type of cancer spreads mainly to the lung, the bone, and the brain; however, the pericardium is an unusual site of invasion, which is associated with a poor prognosis. We present a case of a 35-year-old woman with six months of leg edema and abnormal uterine bleeding. Read More

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http://dx.doi.org/10.1155/2019/7524797DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343150PMC
January 2019
2 Reads

Management of cardiac tamponade during nivolumab of lung cancer with intrapericardial bleomycin: case report.

Immunotherapy 2019 Apr 7;11(6):467-472. Epub 2019 Feb 7.

Department of Thoracic Oncology & Respiratory Medicine, Tokyo Metropolitan Cancer & Infectious Diseases Center, Komagome Hospital, Bunkyo, Tokyo, Japan.

Immuno-checkpoint inhibitor response and immune-related adverse events remain controversial issues. Managing pericardial effusion during programmed cell death 1 inhibitor treatment is challenging. Here, we report a case of successfully managed cardiac tamponade caused by nivolumab-induced pseudoprogression. Read More

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http://dx.doi.org/10.2217/imt-2019-0003DOI Listing
April 2019
3 Reads

Pericardial thrombus and cardiac tamponade after pericardiocentesis with intact heart walls.

Echocardiography 2019 Feb 6. Epub 2019 Feb 6.

Department of Cardiology, Ospedale del Mare, Naples, Italy.

A young patient affected by a lung neoplasm, presented at emergency department with cardiac tamponade, underwent pericardiocentesis with a prompt restoration of hemodynamic stability. An hour later, the patient presented again signs of tamponade, without evidence of fluids in the drainage that was left in pericardial space. The echocardiography revealed an intrapericardial thrombus compressing the right chambers. Read More

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http://dx.doi.org/10.1111/echo.14276DOI Listing
February 2019
1 Read

Isolated right atrial rupture from blunt trauma: a case report with systematic review of a lethal injury.

J Cardiothorac Surg 2019 Feb 4;14(1):28. Epub 2019 Feb 4.

Trauma Department, Hurley Medical Center, One Hurley Plaza, Flint, MI, 48503, USA.

Background: Isolated right atrial rupture (IRAR) from blunt chest trauma is rare. There are no physical exam findings and non-invasive testing specific to the condition, which result in diagnostic delays and poor outcomes. We present a case of IRAR along with a systematic review of similar cases in the literature. Read More

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https://cardiothoracicsurgery.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s13019-019-0836-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360731PMC
February 2019
5 Reads

Low complication rates using high power (45-50 W) for short duration for atrial fibrillation ablations.

Heart Rhythm 2019 Feb;16(2):165-169

Intermountain Medical Center Heart Institute, Salt Lake City, Utah.

Background: Many centers use radiofrequency (RF) energy at 25-35 W for 30-60 seconds. There is a safety concern about using higher power, especially on the posterior wall.

Objective: The purpose of this study was to examine complication rates for atrial fibrillation (AF) ablations performed with high-power, short-duration RF energy. Read More

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http://dx.doi.org/10.1016/j.hrthm.2018.11.031DOI Listing
February 2019
1 Read

Association between the use of contact force-sensing catheters and cardiac tamponade in atrial fibrillation ablation.

J Interv Card Electrophysiol 2019 Feb 2. Epub 2019 Feb 2.

Department of Cardiology, Beijing Anzhen Hospital, National Clinical Research Center for Cardiovascular Diseases, Capital Medical University, No. 2 Anzhen Road, Beijing, 100029, China.

Introduction: Cardiac tamponade is a rare but life-threatening complication during atrial fibrillation (AF) catheter ablation. Contact force (CF)-sensing catheters improve ablation effectiveness. However, the impact of the application of CF-sensing catheters on the occurrence of cardiac tamponade remains unclear. Read More

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http://dx.doi.org/10.1007/s10840-019-00516-zDOI Listing
February 2019
2 Reads

Sudden cardiac death due to primary malignant pericardial mesothelioma: Brief report and literature review.

Respir Med Case Rep 2019 14;26:185-188. Epub 2019 Jan 14.

University of Pittsburgh USA.

Sudden cardiac death is an unexpected clinical condition that typically occurs due to a cardiac cause, generally within 1 h of symptom onset, in people with known or unknown cardiac disease. Primary malignant pericardial mesothelioma, as a cause of sudden death, is an uncommon consequence of a rare disease. Herein, we present a case of cardiac tamponade due to a primary pericardial mesothelioma. Read More

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http://dx.doi.org/10.1016/j.rmcr.2019.01.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349302PMC
January 2019
1 Read

Direct results of a prospective randomized study comparing ablation with the nMARQ catheter and the PVAC catheter used with and without a 3D system (MAPER 3D Study).

Arch Med Sci 2019 Jan 30;15(1):78-85. Epub 2017 May 30.

1 Chair and Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.

Introduction: Our aim was to compare in a prospective randomized study the safety, direct results and periprocedural data of ablation using an nMARQ catheter, a PVAC catheter used with the EnSite system, or a PVAC catheter only under fluoroscopy control.

Material And Methods: One hundred two patients (70 male, 57 ±11 years) with atrial fibrillation (AF) were prospectively randomized to: group 1 - ablation performed with an nMARQ catheter and the CARTO 3 system; group 2 - a PVAC catheter used with the EnSite system; group 3 - ablation with a PVAC catheter without a 3D system.

Results: Complete isolation of 400/402 pulmonary veins (PV) (99. Read More

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http://dx.doi.org/10.5114/aoms.2017.68054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348353PMC
January 2019
2 Reads