9,344 results match your criteria Cardiac Tamponade


[Looking for the reason of hemodynamic instability: the role of intraoperative ultrasound - Case report].

Rev Bras Anestesiol 2019 Jan 13. Epub 2019 Jan 13.

Hospital Universitario de Gran Canaria Dr. Negrín, Department of Anesthesiology, Las Palmas de Gran Canaria, Spain; Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.

Background And Objectives: A prompt and effective management of trauma patient is necessary. The aim of this case report is to highlight the importance of intraoperative echocardiography as a useful tool in patients suffering from refractory hemodynamic instability no otherwise explained.

Case Report: A 41 year-old woman suffered a car accident. Read More

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http://dx.doi.org/10.1016/j.bjan.2018.09.012DOI Listing
January 2019

Cardiac tamponade from a fractured inferior vena cava filter.

Eur Heart J Cardiovasc Imaging 2019 Jan 10. Epub 2019 Jan 10.

Department of Cardiovascular Medicine, Lenox Hill Hospital, 100 E 77th Street, New York, NY 10075, USA.

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http://dx.doi.org/10.1093/ehjci/jey227DOI Listing
January 2019

Perioperative management of intramyocardial hydatid cyst with off-pump technique.

Ann Card Anaesth 2019 Jan-Mar;22(1):92-95

Department of Cardiac Anaesthesia, LPS Institute of Cardiology, Kanpur, Uttar Pradesh, India.

Cardiac echinococcosis is a rare disease. Depending on the location of hydatid cyst in the heart, clinical presentation can be an asymptomatic case or lethal stroke, arrhythmias, valvular dysfunction, cardiac tamponade, cardiac failure, shock, and even death. Treatment of choice for cardiac hydatid cysts is surgical excision, even in an asymptomatic patient. Read More

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http://dx.doi.org/10.4103/aca.ACA_46_18DOI Listing
January 2019

Sub-acute Cardiac Tamponade as an Early Clinical Presentation of Childhood Systemic Lupus Erythematosus: A Case Report.

Cureus 2018 Oct 22;10(10):e3478. Epub 2018 Oct 22.

Surgery, Jinnah Sindh Medical University, Karachi, PAK.

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease affecting multiple systems by the process of inflammation and formation of auto-antibodies. When it presents in childhood, it is referred to as childhood systemic lupus erythematosus (cSLE). Cardiac tamponade is a rare but potentially lethal complication of cSLE, even rarer as an initial presentation. Read More

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http://dx.doi.org/10.7759/cureus.3478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318088PMC
October 2018

Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Chronic Kidney Disease: A Meta-Analysis.

J Cardiothorac Vasc Anesth 2018 Dec 5. Epub 2018 Dec 5.

Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address:

Objective: The aim of this meta-analysis was to compare the clinical outcomes of transcatheter aortic valve replacement (TAVR) with those of surgical aortic valve replacement (SAVR) in patients with chronic kidney disease (CKD).

Design: Meta-analysis of 10 observational studies.

Setting: Hospital. Read More

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http://dx.doi.org/10.1053/j.jvca.2018.12.010DOI Listing
December 2018

Acute, in-hospital outcome of percutaneous coronary intervention for in-stent chronic total occlusion.

Cardiovasc Revasc Med 2018 Dec 19. Epub 2018 Dec 19.

Department of Cardiology, Helios Clinic Velbert, Velbert, Germany.

Background: Percutaneous coronary intervention (PCI) of total chronic total occlusion (CTO) still remains a major challenge in interventional cardiology. Recanalization of in-stent CTO (IS-CTO) is associated with inferior success rates. This present study aims to comparatively evaluate the acute outcome of patients with IS-CTO and de novo CTO. Read More

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http://dx.doi.org/10.1016/j.carrev.2018.12.007DOI Listing
December 2018

Cardiac surgeon and electrophysiologist shoulder-to-shoulder approach: Hybrid room, a kingdom for two. A zero mortality transvenous lead extraction single center experience.

Int J Cardiol 2019 Jan 3. Epub 2019 Jan 3.

Heart Rhythm Center, Centro Cardiologico Monzino IRCCS, Milan, Italy.

Background: Nowadays, transvenous lead extraction (TLE) is considered an essential technique in lead management strategy. Since 2011, a multidisciplinary approach was undertaken in our centre involving electrophysiologists, cardiac surgeons and anaesthesiologists to improve cross- unit cooperation and minimize complications and mortality. The present paper reports procedural outcomes and complications of our lead extraction experience. Read More

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http://dx.doi.org/10.1016/j.ijcard.2018.12.074DOI Listing
January 2019

Acute Influenza Infection Presenting with Cardiac Tamponade: A Case Report and Review of Literature.

Perm J 2019 ;23

Department of Pulmonary and Critical Care, University of Arkansas for Medical Sciences Medical Center, Little Rock.

Introduction: Cardiac complications associated with influenza infection can occur either via a direct effect of the virus on the heart or through exacerbation of preexisting cardiovascular disease. We present a case of a 57-year-old man with acute influenza infection complicated by pericardial effusion and cardiac tamponade.

Case Presentation: A 57-year-old white man presented to the Emergency Department with sudden onset of severe, nonexertional, retrosternal, pressure-like chest pain for a few hours and with fever and muscle aches for 2 days. Read More

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http://dx.doi.org/10.7812/TPP/18-104DOI Listing
January 2019

Dry Needling-Induced Pneumothorax.

J Am Osteopath Assoc 2019 Jan;119(1):59-62

Dry needling is a widely used alternative therapy for musculoskeletal disorders, such as myofascial pain. The procedure involves placing a solid monofilament needle into myofascial trigger points or connective tissue to relieve pain. Some of the complications secondary to this procedure include cardiac tamponade, hematoma, infection, nerve injury, and pneumothorax. Read More

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http://dx.doi.org/10.7556/jaoa.2019.009DOI Listing
January 2019

[Morphological analysis of cardiac rupture due to blunt injury, cardiopulmonary resuscitation and myocardial infarction in forensic pathology].

Nan Fang Yi Ke Da Xue Xue Bao 2018 Dec;38(12):1514-1520

College of Forensic Medicine, Southern Medical University, Guangzhou 510515, China.

Objective: To analyze the morphological features and forensic pathological characteristics of cardiac ruptures of different causes for their differential diagnosis.

Methods: We analyzed the data of 44 autopsy cases of cardiac rupture from 2014 to 2017 in our institute, including 11 cases caused by blunt violence with intact pericardium, 4 caused by cardiopulmonary resuscitation (CPR), 9 by myocardial infarction, and 20 by aorta dissection rupture.The gross features and histopathological characteristics of cardiac rupture and pericardial effusion were analyzed and compared. Read More

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http://dx.doi.org/10.12122/j.issn.1673-4254.2018.12.19DOI Listing
December 2018
2 Reads

Early and Long-Term Outcomes in Patients Undergoing Cardiac Surgery Following Iatrogenic Injuries During Percutaneous Coronary Intervention.

J Am Heart Assoc 2019 Jan;8(1):e010940

1 University department of Cardiac Surgery Leipzig Heart Center Germany.

Background Iatrogenic coronary artery injuries during percutaneous coronary interventions ( PCI ) often require emergent surgical management. Our study evaluated the early and long-term outcomes in patients undergoing surgical treatment of iatrogenic PCI complications and identified the predictors of operative and long-term mortality. Methods and Results Pre-, intra- and post-operative data and hospital outcomes of 168 consecutive patients undergoing cardiac surgical procedures for iatrogenic complications following PCI between December 1999 and July 2015, were prospectively collected in our computerized database. Read More

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http://dx.doi.org/10.1161/JAHA.118.010940DOI Listing
January 2019

Acute tension pneumopericardium due to perforated gastric ulcer without diagnostic radiographic findings 72 h before perforation.

J Cardiol Cases 2018 Dec 2;18(6):201-203. Epub 2018 Oct 2.

Department of Cardiology, Helios University Hospital and University of Witten/Herdecke, Wuppertal, Germany.

Introduction: Acute tension pneumopericardium due to gastric perforation is a rare and often lethal condition. Only a few case reports have been described in the literature. Diagnosis based on clinical evaluation is difficult and it is usually made incidentally upon computed tomography (CT) or plain radiography of the chest. Read More

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http://dx.doi.org/10.1016/j.jccase.2018.07.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306572PMC
December 2018
1 Read

Hybrid thoracoscopic epicardial ablation of right ventricular outflow tract in patients with Brugada Syndrome.

Heart Rhythm 2018 Dec 27. Epub 2018 Dec 27.

Cardiac Surgery Department, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.

Background: Abnormal delayed electrograms (EGM) from the anterior wall of the right ventricular outflow tract (RVOT) epicardium has become the ablation target in Brugada Syndrome (BrS).

Objetive: The study's aim was to analyse the safety, feasibility and efficacy of a novel hybrid thoracoscopic approach to perform epicardial RVOT radio-frequency (RF) ablation in BrS.

Methods: Thirty-six patients affected by BrS (26 males; mean age 36. Read More

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http://dx.doi.org/10.1016/j.hrthm.2018.12.026DOI Listing
December 2018
1 Read

Major cardiac and vascular complications after transvenous lead extraction: acute outcome and predictive factors from the ESC-EHRA ELECTRa (European Lead Extraction ConTRolled) registry.

Europace 2018 Dec 27. Epub 2018 Dec 27.

Second Department of Cardiology, Cardiac Thoracic and Vascular Department - University Hospital of Pisa, Via Paradisa, 2, 56124, Cisanello, Italy.

Aims: We aimed at describing outcomes and predictors of cardiac avulsion or tear (CA/T) with tamponade and vascular avulsion or tear (VA/T) after transvenous lead extraction (TLE) in the ESC-EHRA European Lead Extraction ConTRolled (ELECTRa) registry.

Methods And Results: A total of 3555 consecutive patients of whom 3510 underwent TLE at 73 centres in 19 European countries were enrolled. Among 58 patients (1. Read More

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http://dx.doi.org/10.1093/europace/euy300DOI Listing
December 2018

Outcomes and indications for emergency thoracotomy after adoption of a more liberal policy in a western European level 1 trauma centre: 8-year experience.

Updates Surg 2018 12 26. Epub 2018 Dec 26.

Trauma Surgery Unit, Maggiore Hospital Regional Emergency Surgery and Trauma Center, Bologna Local Health District, Bologna, Italy.

The role of emergency thoracotomy (ET) in blunt trauma is still a matter of debate and in Europe only a small number of studies have been published. We report our experience about ET both in penetrating and blunt trauma, discussing indications, outcomes and proposing an algorithm for patient selection. We retrospectively analysed patients who underwent ET at Maggiore Hospital Trauma Center over two periods: from January 1st, 2010 to December 31st, 2012, and from January 1st, 2013 to May 31st, 2017. Read More

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http://dx.doi.org/10.1007/s13304-018-0607-4DOI Listing
December 2018

[Ruptured Coronary Artery Aneurysm Associated with Coronary Artery Fistula;Report of a Case].

Kyobu Geka 2018 Dec;71(13):1122-1124

Department of Cardiac Surgery, Asahi General Hospital, Asahi, Japan.

We report a case of a ruptured coronary artery aneurysm associated with coronary artery fistula. A 63-year-old man was suffering from cardiac tamponade due to a ruptured coronary artery aneurysm. An emergency operation was performed to repair the aneurysm. Read More

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December 2018

Intracardiac vs transesophageal echocardiography for percutaneous left atrial appendage occlusion: A meta-analysis.

J Cardiovasc Electrophysiol 2018 Dec 26. Epub 2018 Dec 26.

Structural Heart and Valve Center, Center for Interventional Vascular Therapy, Division of Cardiology, Columbia University Medical Center, New York, New York.

Introduction: Percutaneous left atrial appendage closure (LAAC) is typically performed utilizing transesophageal echocardiography (TEE) and fluoroscopy. Intracardiac echocardiography (ICE) can be a suitable alternative to guide implantation. Given the limited data, we performed a meta-analysis of all studies that compared ICE vs TEE for percutaneous LAAC. Read More

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http://dx.doi.org/10.1111/jce.13820DOI Listing
December 2018

Hemopericardium and Cardiac Tamponade Secondary to Migrated Inferior Vena Cava Filter.

Case Rep Cardiol 2018 21;2018:5919767. Epub 2018 Nov 21.

Department of Cardiology, University of North Carolina Hospitals & Clinics, Chapel Hill, NC, USA.

A 73-year-old female presented with cardiogenic shock secondary to hemopericardium and cardiac tamponade. Imaging revealed two fractured legs of an inferior vena cava filter, with one leg within the anterior myocardium of the right ventricle and another penetrating the inferior septum through the middle cardiac vein. Hemopericardium and cardiac tamponade were treated with pericardiocentesis. Read More

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https://www.hindawi.com/journals/cric/2018/5919767/
Publisher Site
http://dx.doi.org/10.1155/2018/5919767DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280290PMC
November 2018
2 Reads

Extracorporeal cardiopulmonary resuscitation after pulmonary artery rupture.

Perfusion 2018 Dec 22:267659118815311. Epub 2018 Dec 22.

1 Department of Pediatric Cardiac Surgery, E.N. Meshalkin National Medical Research Center, Novosibirsk, Russian Federation.

Pulmonary artery rupture during pulmonary balloon valvuloplasty is a rare and life-threatening complication. Here, we present a pulmonary artery rupture in a 10-month-old infant. The patient had a tamponade, ineffective cardiac massage for 40 minutes and extreme hemodilution due to blood loss. Read More

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http://dx.doi.org/10.1177/0267659118815311DOI Listing
December 2018

Cardiac Tamponade from Purulent Pericarditis due to .

Case Rep Cardiol 2018 18;2018:4739830. Epub 2018 Nov 18.

Department of Cardiology, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.

Purulent pericarditis is a potentially fatal disease with high mortality rates if untreated. (formerly ) is an anaerobic bacteria that is ubiquitous in skin flora and is commonly thought of as a culture contaminant; however, it does have pathogenic potential. We present a case of purulent pericarditis secondary to leading to cardiac tamponade. Read More

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http://dx.doi.org/10.1155/2018/4739830DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276432PMC
November 2018
5 Reads

Thoracic Damage Control: Let's Think About Intrathoracic Packing.

Am J Case Rep 2018 Dec 24;19:1526-1529. Epub 2018 Dec 24.

Anesthesiology and Critical Care Unit, University Teaching Hospital of Toulouse, Toulouse, France.

BACKGROUND In cases of hemorrhagic shock following thoracic trauma, thoracotomy is indicated as primary surgical management, as a chest tube might lead to exsanguination. Thoracic packing is an alternative, particularly in severe injury trauma. CASE REPORT A 48-year-old male was involved in an accident in which 2 cars collided. Read More

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http://dx.doi.org/10.12659/AJCR.911097DOI Listing
December 2018
2 Reads

The successful treatment for cardiac tamponade during radiofrequency ablation of hepatocellular carcinoma.

Hepatobiliary Pancreat Dis Int 2018 Dec 10. Epub 2018 Dec 10.

Department of Infectious Disease, The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou 450052, China; Precision Medicine Center, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China. Electronic address:

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http://dx.doi.org/10.1016/j.hbpd.2018.12.006DOI Listing
December 2018
1 Read

A risk score model for predicting intraprocedural cardiac injury during implantable cardioverter defibrillator implantation: Insights from the National Cardiovascular Data Registry.

J Cardiovasc Electrophysiol 2018 Dec 21. Epub 2018 Dec 21.

Divison of Cardiology, Department of Electrophysiology, Virginia Commonwealth University, Richmond, Virginia.

Background: Individual risk factors of intraprocedural cardiac injury (cardiac perforation and tamponade) during implantable cardioverter defibrillator (ICD) placement have been documented. However, the prognostic impact of their coexistence has not been explored.

Objective: To develop a risk score model to identify patients at risk for intraprocedural cardiac injury. Read More

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http://doi.wiley.com/10.1111/jce.13823
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http://dx.doi.org/10.1111/jce.13823DOI Listing
December 2018
2 Reads
2.958 Impact Factor

Percutaneous pulmonary valve implantation in patients after Ross procedure: role of intravascular ultrasound.

Cardiol Young 2018 Dec 21:1-3. Epub 2018 Dec 21.

1First Department of Cardiology,Medical University of Warsaw,Warsaw,Poland.

Coronary compression exclusion during right ventricle outflow tract stenting is recommended and potential oversight may be fatal. Balloon inflation in right ventricle outflow tract with simultaneous aortography can be inconclusive or falsely negative. We present a case of 27-year-old male post Ross operation qualified for percutaneous pulmonary valve implantation. Read More

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http://dx.doi.org/10.1017/S1047951118002202DOI Listing
December 2018

Cardiac tamponade as the initial symptom due to systemic lupus erythematosus in a young man: A case report.

Medicine (Baltimore) 2018 Dec;97(51):e13708

Rationale: Systemic lupus erythematosus (SLE) is a connective tissue disease that has many clinical manifestations. However, cardiac tamponade has been rarely reported especially as an initial presenting feature of systemic lupus erythematosus. Herein, we describe a case of cardiac tamponade as the first presentation of systemic lupus erythematosus in a male and presented the course of diagnosis and treatment of this patient. Read More

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http://dx.doi.org/10.1097/MD.0000000000013708DOI Listing
December 2018
1 Read

Rare complication of central venous catheter placement: bilateral hydrothorax.

BMJ Case Rep 2018 Dec 17;11(1). Epub 2018 Dec 17.

Dr Suat Seren Chest Diseases and Surgery, Medical Practice and Research Center, Department of Thoracic Surgery, University of Health Sciences, Izmir, Turkey.

Central venous catheters (CVCs) are very useful tools in clinical medicine. It is important not only for the administration of medications or fluids but also the measurement of haemodynamic variables, especially in intensive care patients. CVC placement is a relatively safe procedure but may occasionally be associated with complications, such as pneumothorax, haemothorax, cardiac tamponade, sepsis and thrombosis. Read More

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http://dx.doi.org/10.1136/bcr-2018-226699DOI Listing
December 2018
1 Read

Pediatric Oncologic Emergencies: A Clinical and Imaging Review for pediatricians.

Pediatr Int 2018 Dec 19. Epub 2018 Dec 19.

Departments of Pediatrics, St. Luke's International Hospital, Tokyo, Japan.

Children with cancer are at increased risk of life-threatening emergencies, either from cancer itself or related to cancer treatment. These conditions need to be assessed and treated as early as possible to minimize their morbidity and mortality. Cardiothoracic emergencies encompass a variety of pathologies, including pericardial effusions and cardiac tamponade, massive hemoptysis, superior vena cava syndrome, pulmonary embolism, and pneumonia. Read More

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http://dx.doi.org/10.1111/ped.13755DOI Listing
December 2018
2 Reads

Iatrogenic cardiac tamponade after laparoscopic hiatal hernia repair requiring emergency sternotomy.

Eur J Cardiothorac Surg 2018 Dec 18. Epub 2018 Dec 18.

Department of Cardiothoracic Surgery, Maastricht University Medical Center+, Maastricht, Netherlands.

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https://academic.oup.com/ejcts/advance-article/doi/10.1093/e
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http://dx.doi.org/10.1093/ejcts/ezy433DOI Listing
December 2018
4 Reads

A case report of hemorrhagic cardiac tamponade with rapid blood clot formation: A serious complication of acute type a aortic dissection.

Medicine (Baltimore) 2018 Dec;97(50):e13699

Department of Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, P.R. China.

Rationale: Acute type A aortic dissection (AAAD) remains a life-threatening disease. We previously reported a case with ultrasound findings of a homogeneous hemopericardium and evidence highly indicative of hemorrhagic cardiac tamponade complicated by AAAD. Here, we report a similar case who presented with a more serious situation and for whom critical care ultrasound revealed fast blood clot formation within the hemopericardium. Read More

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http://Insights.ovid.com/crossref?an=00005792-201812140-0012
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http://dx.doi.org/10.1097/MD.0000000000013699DOI Listing
December 2018
1 Read

Point of Care Echocardiography in an Irish Critical Care Unit

Ir Med J 2018 Sep 10;111(8):800. Epub 2018 Sep 10.

Consultant Intensivist, Mater Misercordiae University Hospital, Eccles Street, Dublin 7, Ireland

Aims We sought to evaluate the clinical impact of a 6 month transthoracic echocardiography (TTE) teaching programme in a critical care unit. Methods An observational single centre study. Four critical care doctors, 2 fellows and 2 consultants were trained to use TTE. Read More

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September 2018
5 Reads

Cardiac tamponade after radiofrequency ablation for hepatocellular carcinoma: Case report and literature review.

Medicine (Baltimore) 2018 Dec;97(49):e13532

Department of Internal Medicine, Chonnam National University Medical School.

Rationale: Radiofrequency ablation (RFA) is a safe and effective local treatment modality with a low complication rate and is commonly used to treat hepatocellular carcinoma (HCC). The clinical outcome of RFA may be closely related to the location, size, and shape of index tumors, and major complications, including hemorrhage, liver abscess, infarction, visceral organ perforation, hemothorax, pneumothorax, tumoral seeding, and hepatic failure. Cardiac tamponade is a rare and serious life-threatening complication associated with RFA. Read More

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http://dx.doi.org/10.1097/MD.0000000000013532DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310525PMC
December 2018
4 Reads

Complications and Outcomes of Temporary Transvenous Pacing: An Analysis of > 360,000 Patients From the National Inpatient Sample.

Chest 2018 Dec 10. Epub 2018 Dec 10.

Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.

Background: The incidence of complications and the outcomes of temporary transvenous pacemaker (TTP) placement in the modern era are not well established.

Methods: To determine the current incidence of pericardial complications and the outcomes of patients undergoing TTP, we performed an analysis using the National Inpatient Sample (NIS), which is a US national database of hospital admissions. All patients who underwent TTP were identified by using International Classification of Diseases, Ninth Revision, Clinical Modification codes. Read More

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http://dx.doi.org/10.1016/j.chest.2018.11.026DOI Listing
December 2018

Cardiac tamponade caused by acute coxsackievirus infection related pericarditis complicated by aortic stenosis in a hemodialysis patient: a case report.

Surg Case Rep 2018 Dec 6;4(1):141. Epub 2018 Dec 6.

Second Department of Surgery, Yamagata University Faculty of Medicine, 2-2-2 Iida-Nishi, Yamagata, 990-9585, Japan.

Background: Pericardial effusion is observed in the majority of viral pericarditis cases; however, viral pericarditis accompanied by a large effusion resulting in cardiac tamponade is rare.

Case Presentation: Here, we report the case of a 75-year-old hemodialysis patient with acute viral pericarditis complicated by aortic stenosis. The patient was referred with a diagnosis of aortic stenosis and pericardial effusion. Read More

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http://dx.doi.org/10.1186/s40792-018-0550-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283806PMC
December 2018
1 Read

Contrast-free, echocardiography-guided left atrial appendage occlusion (LAAo): a propensity-matched comparison with conventional LAAo using the AMPLATZER™ Amulet™ device.

Clin Res Cardiol 2018 Dec 10. Epub 2018 Dec 10.

Med. Klinik und Poliklinik II-Herzzentrum Bonn, Universitätsklinikum Bonn, Bonn, Germany.

Aims: Percutaneous left atrial appendage occlusion (LAAo) is commonly performed under fluoroscopy including the use of contrast dye. In this study, we aimed to assess feasibility and safety of contrast-free, 3D-echo-based LAAo with the use of the AMPLATZER™ Amulet™ device.

Methods And Results: We analyzed 20 patients (74 ± 10 years, 65% males) at an increased thromboembolic and bleeding risk (CHADSVASC 4. Read More

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http://dx.doi.org/10.1007/s00392-018-1401-5DOI Listing
December 2018
3 Reads

Positive Murphy's Sign in Pericardial Hematoma from a Right Atrial Tear.

Cureus 2018 Oct 2;10(10):e3402. Epub 2018 Oct 2.

Cardiology, Maricopa Integrated Health System, Phoenix, USA.

A positive Murphy's sign in a patient with right upper quadrant abdominal pain is the arrest of inspiration during deep palpation of the quadrant. It is usually suggestive of acute cholecystitis. We report an unusual case of a positive Murphy's sign not due to acute cholecystitis, but rather from a pericardial hematoma from a right atrial tear causing right heart failure. Read More

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http://dx.doi.org/10.7759/cureus.3402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6279000PMC
October 2018
7 Reads

An Unusual Case of Cardiac Tamponade Secondary to an Elevated Right Hemidiaphragm.

Can J Cardiol 2018 Dec 19;34(12):1688.e21-1688.e23. Epub 2018 Oct 19.

Northern Ontario School of Medicine, Health Sciences North, Sudbury, Ontario, Canada. Electronic address:

Diaphragmatic eventration in old age is a rare phenomenon. Typically, it is thought to originate as a result of failure of development of the muscles of the diaphragm. Less commonly, it can occur secondary to acquired conditions resulting from spinal cord or phrenic nerve injury and is only detected incidentally when the patient presents with dyspnea, chest infection, or cardiac compression symptoms. Read More

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http://dx.doi.org/10.1016/j.cjca.2018.10.008DOI Listing
December 2018
1 Read

A 56-Year-Old Man With Cardiac Tamponade and Eosinophilia.

Chest 2018 Dec;154(6):e173-e176

Département de Médecine Interne, Université Paris-Diderot, Assistance Publique Hôpitaux de Paris, Hôpital Bichat-Claude Bernard, Paris, France; Unite INSERM U1149, Paris, France. Electronic address:

Case Presentation: A 56-year-old man was admitted to the ICU with chest pain, cough, hemoptysis, increasing dyspnea, and orthopnea for 1 week. The patient reported an 8-kg weight loss over the last month and recurrent wheezing episodes for approximately 1 year. He had a history of tobacco smoking and excessive alcohol consumption, both of which he stopped 15 years ago. Read More

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http://dx.doi.org/10.1016/j.chest.2018.06.031DOI Listing
December 2018
1 Read

Successful repair of coronary sinus rupture presenting as cardiac tamponade following blunt chest trauma.

Interact Cardiovasc Thorac Surg 2018 Dec 1. Epub 2018 Dec 1.

Department of Thoracic and Cardiovascular Surgery, Research Institute of Clinical Medicine, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Republic of Korea.

The isolated coronary sinus (CS) rupture causing cardiac tamponade following blunt chest trauma is a very rare and very unique traumatic form of cardiac tamponade. Prompt recognition of this injury is crucial for patient survival. CS injuries are frequently difficult to repair and are potentially lethal. Read More

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http://dx.doi.org/10.1093/icvts/ivy323DOI Listing
December 2018
2 Reads

National Trends and Procedural Complications from Endomyocardial Biopsy: Results from the National Inpatient Sample, 2007-2014.

Cardiology 2018 Dec 5;141(3):125-131. Epub 2018 Dec 5.

Department of Cardiovascular Medicine, University of Kansas Medical Center, Kansas City, Kansas,

Aim: The aim of this study is to report recent trends in the performance of endomyocardial biopsy (EMB) and its in-hospital complications (and their predictors) in the United States (US).

Method: We analyzed Nationwide Inpatient Sample (NIS) database from years 2007 through 2014 to identify patients who underwent EMB. Once identified, the patients were subdivided into those with no history of heart transplant (HT) (cohort 1) and those with history of HT (cohort 2). Read More

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http://dx.doi.org/10.1159/000493786DOI Listing
December 2018
2 Reads

Percutaneous lead extraction and repositioning: An effective and safe therapeutic strategy for early ventricular lead perforation with dislocation both inside and outside the pericardial sac following a cardiac device implantation.

J Cardiovasc Electrophysiol 2018 Dec 5. Epub 2018 Dec 5.

Department of Cardiology, Hippokration General Hospital, Athens, Greece.

Introduction: Cardiac perforation of the right ventricle associated with pacemaker or implantable cardioverter defibrillator (ICD) leads' implantation is uncommon, albeit potentially life-threatening, complication. The aim of this study is to further identify the optimal therapeutic strategy, especially when lead dislocation has occurred outside the pericardial sac.

Methods And Results: The study population included 10 consecutive patients (six female, mean age: 66. Read More

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http://dx.doi.org/10.1111/jce.13804DOI Listing
December 2018
3 Reads

Successful Treatment of Cardiac Tamponade with Corticosteroids After Surgical Myocardial Revascularization: Case Report.

Med Arch 2018 Oct;72(4):285-288

Special Hospital Heart Center BH Tuzla, Tuzla, Bosnia and Herzegovina.

Aim: The aim of this case report is to show the significance of the cardiac tamponade, it's timely diagnosis and to present the unusual approach of the treatment. That was conducted with corticosteroids when the surgical procedure gave no results in rare cases like this.

Case Report: This paper presents the case of a man aged 72 years with a verified tamponade of pericardium. Read More

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http://dx.doi.org/10.5455/medarh.2018.72.285-288DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195019PMC
October 2018
1 Read

Uremic Pericarditis: Distinguishing Features in a Now-Uncommon Clinical Syndrome.

South Med J 2018 Dec;111(12):754-757

From the Hospital Medicine Unit and the Core Educator Faculty and Renal Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, the Heart and Vascular Center, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.

We present the case of a 47-year-old man with a history of diabetes mellitus and diabetic nephropathy who was admitted to our hospital with acute uremic myopericarditis. Echocardiography demonstrated a fibrinous pericardial effusion. The patient was initiated on hemodialysis for hyperkalemia, metabolic acidosis, and uremia. Read More

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http://sma.org/southern-medical-journal/article/uremic-peric
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http://dx.doi.org/10.14423/SMJ.0000000000000899DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281170PMC
December 2018
11 Reads

Physical Diagnosis of Cardiac Tamponade.

Authors:
Yasuharu Tokuda

Am J Med 2018 Dec;131(12):e504

Muribushi Okinawa Center for Teaching Hospitals, Okinawa, Japan. Electronic address:

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http://dx.doi.org/10.1016/j.amjmed.2018.06.017DOI Listing
December 2018

Outcomes of Surgical Ablation in Patients with Atrial Fibrillation Undergoing Cardiac Surgeries.

Ann Thorac Surg 2018 Nov 24. Epub 2018 Nov 24.

Department of Cardiovascular Medicine, University of Iowa, Iowa City, IO.

Background: Surgical ablation procedure is commonly performed in patients with atrial fibrillation (AF) undergoing cardiac surgeries; however, the evidence regarding its impact on in-hospital cardiovascular outcomes is controversial.

Methods: We queried the Nationwide Inpatient Sample Database from 1998-to-2013 for patients with AF who underwent cardiac surgeries. We performed a propensity-score matching including 27 various baseline characteristics to compare those who underwent surgical ablation versus not. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975183169
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http://dx.doi.org/10.1016/j.athoracsur.2018.10.040DOI Listing
November 2018
7 Reads
3.849 Impact Factor

Blunt trauma-induced pericardial tamponade after video-assisted thoracoscopic surgery.

Ann Thorac Surg 2018 Nov 24. Epub 2018 Nov 24.

School of Forensic Medicine, Southern Medical University, Guangzhou 510515, China. Electronic address:

We report a case of blunt cardiac injury and pericardial tamponade following video-assisted thoracoscopic surgery (VATS) in a lung cancer patient with hypertension and cardiac hypertrophy. Anatomical findings included massive hemorrhage in the pericardium, cardiac hypertrophy, and a superficial contusion with a ruptured blood vessel on the epicardium at the lateral wall of the left ventricle. The patient died of pericardial tamponade due to blunt trauma from the tip of the thoracoscopic instrument. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00034975183170
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http://dx.doi.org/10.1016/j.athoracsur.2018.10.046DOI Listing
November 2018
6 Reads

Usefulness of Oximetry Paradoxus to Diagnose Cardiac Tamponade.

Am J Cardiol 2019 Feb 6;123(3):498-506. Epub 2018 Nov 6.

Division of Cardiology, Rush University Medical Center, Chicago, Illinois.

Although echocardiography is usually diagnostic of cardiac tamponade, it may not be readily available at the point-of-care. We sought to develop and validate a measurement of respirophasic variation in the amplitude of pulse oximetry plethysmographic waveforms as a diagnostic tool for cardiac tamponade. Pulse oximetry plethysmographic waveforms were recorded, and the ratio of maximum-to-minimum measured amplitude of these waveforms from one respiratory cycle was calculated by blinded observers. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029149183204
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http://dx.doi.org/10.1016/j.amjcard.2018.10.031DOI Listing
February 2019
12 Reads

Cardiac tamponade after pulmonary endarterectomy: mind the left side….

Eur Heart J 2018 Nov 22. Epub 2018 Nov 22.

Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto General Hospital, University Health Network, 200 Elizabeth Street, Toronto, Ontario, Canada.

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http://dx.doi.org/10.1093/eurheartj/ehy785DOI Listing
November 2018

Endovascular Fenestration/Stenting First Followed by Delayed Open Aortic Repair for Acute Type A Aortic Dissection With Malperfusion Syndrome.

Circulation 2018 Nov;138(19):2091-2103

Radiology (M.S.K., N.D., D.M.W.), Michigan Medicine, Ann Arbor.

Background: Immediate open repair of acute type A aortic dissection is traditionally recommended to prevent death from aortic rupture. However, organ failure because of malperfusion syndrome (MPS) might be the most imminent life-threatening problem for a subset of patients.

Methods: From 1996 to 2017, among 597 patients with acute type A aortic dissection, 135 patients with MPS were treated with upfront endovascular reperfusion (fenestration/stenting) followed by delayed open repair (OR). Read More

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http://dx.doi.org/10.1161/CIRCULATIONAHA.118.036328DOI Listing
November 2018
12 Reads

What echocardiographic findings suggest a pericardial effusion is causing tamponade?

Am J Emerg Med 2018 Nov 17. Epub 2018 Nov 17.

Department of Emergency Medicine, Rutgers New Jersey Medical School, 150 Bergen Street, Newark, NJ 07103, USA.

Background: Pericardial tamponade is neither a clinical nor an echocardiographic diagnosis alone. The echocardiogram carries diagnostic value and should be performed when there is suspicion for tamponade based on the history and physical exam. A pericardial effusion uncovered on point-of-care ultrasound (POCUS) may be mistaken for tamponade and thereby lead to inappropriate and invasive management with pericardiocentesis. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.11.004DOI Listing
November 2018
11 Reads