15,256 results match your criteria Pericardial Effusion


Right ventricular laceration caused by sternal wire fracture following cardiac surgery: a case report.

Indian J Thorac Cardiovasc Surg 2022 Jul 14;38(4):418-421. Epub 2022 Feb 14.

Division of Cardiac Surgery, Queen Elizabeth II Health Sciences Centre, Halifax, Nova Scotia Canada.

Sternal dehiscence and sternal wire fractures are of significant concern for patients post cardiac surgery. Right ventricular laceration resulting from injury secondary to fractured sternal wires is a rare cause of life-threatening postoperative hemorrhage. A 68-year-old male presented for coronary artery bypass grafting (CABG). Read More

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Early-Age Manifestation of Singleton Merten Syndrome With Systemic Lupus Erythematosus Features: A Case Report.

Cureus 2022 May 23;14(5):e25244. Epub 2022 May 23.

Pediatrics, King Abdulaziz Medical City, Jeddah, SAU.

Singleton Merten syndrome (SMS) is one of the rarest multisystem genetic disorders that had been recognized in only a few cases. Patients who have this syndrome often present with calcification of the aorta and heart valves, dental dysplasia, joint calcification, distinct facial features, and growth and developmental delay. Other physical findings usually associated with SMS may include glaucoma, skeletal abnormalities including tendon rupture, muscle weakness, and arthropathy. Read More

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Chronic Uncontrolled Hypothyroidism Associated With Dysphonia and Concurrent Pericardial Effusion.

Cureus 2022 May 23;14(5):e25261. Epub 2022 May 23.

Internal Medicine, HCA Florida Orange Park Hospital, Orange Park, USA.

Hypothyroidism is a commonly encountered pathology within internal medicine. It commonly presents with symptoms of fatigue, weight gain, constipation, and dry skin. Long-standing uncontrolled hypothyroidism can manifest with atypical symptoms of dysphonia and even pericardial effusion. Read More

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Disseminated Tuberculosis in a Nigerian Adolescent with Linear IgA Bullous Dermatosis: A Case Report and Review of Literature.

West Afr J Med 2022 Jun;39(6):646-650

Department of Pathology, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.

Linear IgA bullous dermatosis (LABD) is an auto-immune disease affecting young children and adults, characterized by the linear deposition of IgA at the basement membrane zone with resultant complement activation and a cascade of immune reactions. There is a loss of adhesion at the dermo-epidermal junction and subsequent blister formation. It is a rare disease that has a good prognosis with adequate therapy. Read More

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Molecular mechanism of ethylparaben on zebrafish embryo cardiotoxicity based on transcriptome analyses.

Sci Total Environ 2022 Jun 22:156785. Epub 2022 Jun 22.

Institute of Reproductive Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, People's Republic of China. Electronic address:

Ethylparaben (EP), one of the parabens, a ubiquitous food and cosmetic preservatives, has caused widespread concern due to its health risks. Recently, studies have found that parabens exposure during pregnancy is negatively correlated with fetal and early childhood development. However, studies about EP on embryo development are few. Read More

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Giant coronary aneurysms in an infant: Dilemma of MIS-C.

Echocardiography 2022 Jun 25. Epub 2022 Jun 25.

Washington State University/Elson S. Floyd College of Medicine, Spokane, Washington, USA.

COVID-19 related multisystem inflammatory syndrome in children (MIS-C) can present with cardiovascular complications like shock, arrhythmias, pericardial effusion, and coronary artery dilatation. The majority of MIS-C associated coronary artery abnormalities are dilation or small aneurysms which are transient and resolve in a few weeks. We present here a case of a 3-month-old child who was noted to have giant aneurysms of her coronary arteries (LAD and RCA) 26 days after testing positive for COVID-19. Read More

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Decoding the primary tumor origin in carcinomatous serous effusions by immunocytochemistry.

Cytopathology 2022 Jun 24. Epub 2022 Jun 24.

Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Introduction: Malignant effusions are commonly encountered in day-to-day cytology practice. Determining the primary site of malignancy in carcinomatous effusions is a Herculean task. Cytology coupled with immunocytochemistry is often found helpful in this context. Read More

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Predictive risk score of respiratory complications in children with mediastinal tumors: A case-control study.

Cancer Med 2022 Jun 23. Epub 2022 Jun 23.

Department of Hematology/Oncology, Saitama Children's Medical Center, Saitama, Japan.

Background: The aim of this study was to examine risk factors of respiratory complications at the diagnosis and establish an algorithm of clinical management in children and adolescents with mediastinal tumors.

Methods: We retrospectively collected clinical information of all children and adolescents who presented with mediastinal tumors at Saitama Children's Medical Center from 1999 to 2019, including age, sex, pathological diagnosis, eight major clinical symptoms (cough, dyspnea, hypoxia, orthopnea, chest pain, wheeze, superior vena cava syndrome, and stridor), chest computed tomography (CT) findings (tumor location, mediastinal mass ratio, pleural fluid, pericardial effusion, and compression of trachea and bronchi), types of diagnostic procedure and anesthesia, respiratory complications (severe hypoxia, difficult ventilation, respiratory failure, and cardiopulmonary arrest), and clinical outcome. Subsequently, we calculated the risk score for predicting respiratory complications by combining clinical and radiological findings. Read More

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Outpatient parenteral antimicrobial therapy (OPAT) service is associated with inpatient-bed cost savings.

Br J Cardiol 2021 1;28(3):38. Epub 2021 Sep 1.

Consultant Cardiologist Department of Cardiology, Royal Stoke University Hospital, Newcastle Road, Stoke-on-Trent, ST4 6QG.

In a cardiology department, there are some patients that require long-term antibiotics, such as those with infective endocarditis or infected prosthetic devices. We describe our experience with intravenous antibiotic therapy for patients with cardiology diagnoses who require a period of antibiotics in our outpatient service during the period of the COVID-19 pandemic. A total of 15 patients were selected to have outpatient antibiotic therapy (age range 36 to 97 years, 60% male). Read More

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September 2021

Clinical presentation and short-term outcomes of multisystemic inflammatory syndrome in children in Lagos, Nigeria during the COVID-19 pandemic: A case series.

EClinicalMedicine 2022 Jul 27;49:101475. Epub 2022 May 27.

Department of Paediatrics, College of Medicine, University of Lagos, Lagos, Nigeria.

Background: Multisystemic inflammatory syndrome in children (MIS-C) has increasingly been documented globally with the progression of the COVID-19 pandemic and a significant proportion of cases have been noted in children of Black descent. There has been a noticeable discrepancy in the presentation and outcomes of COVID-19 infection in sub-Saharan Africa compared to the rest of the world. We documented the demography, clinical features, laboratory and imaging findings, therapeutic management, and short-term outcomes of paediatric patients with MIS-C diagnosed during the COVID-19 pandemic in Lagos, Nigeria. Read More

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A Rare Case of Effusive-Constrictive Pericarditis Caused by : Emergency Surgical Treatment.

Medicina (Kaunas) 2022 May 25;58(6). Epub 2022 May 25.

Adult and Pediatric Cardiac Surgery, Department of Advanced Biomedical Sciences, University of Naples Federico II, 80131 Naples, Italy.

A 70-year-old male patient was admitted to the emergency room in cardiac arrest. The patient was resuscitated and then referred to our cardiac surgery department, where he was diagnosed with suspected effusive constrictive pericarditis. A failed trial of TEE-guided pericardiocentesis led to the decision of surgical intervention. Read More

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Systematic Cardiovascular Screening in Olympic Athletes before and after SARS-CoV-2 Infection.

J Clin Med 2022 Jun 17;11(12). Epub 2022 Jun 17.

Institute of Sport Medicine, Sport and Health, National Italian Olympic Committee, 00197 Rome, Italy.

Conflicting results on the cardiovascular involvement after SARS-CoV-2 infection generated concerns on the safety of return-to-play (RTP) in athletes. The aim of this study was to evaluate the prevalence of cardiac involvement after COVID-19 in Olympic athletes, who had previously been screened in our pre-participation program. Since November 2020, all consecutive Olympic athletes presented to our Institute after COVID-19 prior to RTP were enrolled. Read More

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Left Atrial Appendage Amputation for Atrial Fibrillation during Aortic Valve Replacement.

J Clin Med 2022 Jun 14;11(12). Epub 2022 Jun 14.

Department of Cardiac Surgery, Klinikum Nürnberg, Paracelsus Medical University Nuremberg, 90471 Nuremberg, Germany.

Background: Occluding the left atrial appendage (LAA) during cardiac surgery reduces the risk of ischemic stroke; nonetheless, it is currently only softly recommended with "may be considered" by the current guidelines. We aimed to assess thromboembolic risk after LAA amputation in patients with atrial fibrillation (AF) and aortic stenosis undergoing biological aortic valve replacement (AVR) as primary cardiac surgery.

Methods: Two cohorts were generated retrospectively: patients with AF undergoing AVR alone or combined with revascularization either with LAA amputation or without. Read More

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

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

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

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

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

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Pericardial Effusion Provoking Atrial Fibrillation After Cardiac Surgery: JACC Review Topic of the Week.

J Am Coll Cardiol 2022 Jun;79(25):2529-2539

Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York, USA.

Postoperative atrial fibrillation (POAF) is the most common complication after cardiac surgery. Patients who develop POAF are more likely to experience adverse outcomes, including increased rates of death, stroke, heart failure, and hospitalizations, and higher hospital costs. Understanding the mechanisms underlying POAF is important to improve patients' outcome and optimize health systems' efficiency. Read More

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

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

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

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

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

Echocardiography 2022 Jun 22. Epub 2022 Jun 22.

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

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

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Left Atrial Appendage Occlusion as an Alternative to Anticoagulants in Ibrutinib-Induced Hemorrhagic Pericardial Effusion.

JACC Case Rep 2022 Jun 15;4(12):751-754. Epub 2022 Jun 15.

Department of Medicine, Rosalind Franklin University/Chicago Medical School, North Chicago, Illinois, USA.

Bleeding tendency increases with concomitant use of ibrutinib and anticoagulants. Our patient presented with shortness of breath and was found to have a nonmalignant hemorrhagic pericardial effusion. Ibrutinib was resumed, and percutaneous left atrial appendage occlusion was performed as a substitute for the chemical anticoagulation to decrease the drug-drug interaction. Read More

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Acute pericarditis after atrial fibrillation ablation: Incidence, characteristics, and risk factors.

Heart Rhythm O2 2022 Jun 13;3(3):248-251. Epub 2022 Feb 13.

Section of Cardiac Pacing and Electrophysiology, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio.

Background: Little is known about the incidence and risk factors for the development of acute pericarditis after ablation for atrial fibrillation (AF).

Objective: The purpose of this retrospective cohort study was to describe the occurrence of and associations with suspected acute pericarditis after AF ablation.

Methods: All patients undergoing AF ablation in our center were enrolled in a prospectively maintained registry. Read More

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

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

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

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

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

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

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

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

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

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Treatment of severe fetal Ebstein's anomaly with prenatal non-steroidal anti-inflammatory therapy.

Fetal Diagn Ther 2022 Jun 21. Epub 2022 Jun 21.

Introduction: Prenatally diagnosed Ebstein's anomaly with tricuspid valve dysplasia (EA/TVD) is a rare and high-risk congenital heart malformation with limited effective treatments. We report a case of severe fetal EA with hydrops treated with modest doses of non-steroidal anti-inflammatory drug (NSAID) therapy, resulting in reversal of hydrops and a favorable fetal outcome.

Case Presentation: Fetal heart defects included an inferiorly displaced tricuspid valve, severe tricuspid regurgitation, significantly dilated right atrium, and hypoplastic pulmonary valve with moderate regurgitation resulting in a circular shunt across the ductus arteriosus. Read More

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Secondary bacterial infections are a leading factor triggering New Onset Atrial Fibrillation in intubated ICU Covid-19 ARDS patients.

J Infect Public Health 2022 Jun 16;15(7):766-772. Epub 2022 Jun 16.

Critical Care Department, University Hospital of Larissa, University of Thessaly Faculty of Medicine, Greece.

Background: Cardiac arrhythmias, mainly atrial fibrillation (AF), is frequently reported in COVID-19 patients, more often in Intensive Care Unit (ICU) patients, yet causality has not been virtually explored. Moreover, non-Covid ICU patients frequently present AF, sepsis being the major trigger. We aimed to examine whether sepsis or other factors-apart from Covid-19 myocardial involvement-contribute to elicit New Onset AF (NOAF) in intubated ICU patients. Read More

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An Unusual Cause of Right Heart Failure: Hemorrhagic Pericardial Cyst Presenting as a Pericardial Mass and Constrictive Pericarditis.

Indian J Radiol Imaging 2022 Mar 19;32(1):132-135. Epub 2022 Apr 19.

Department of Thoracic and vascular Surgery, Government Medical College Hospital, Thiruvananthapuram, Kerala, India.

Congenital pericardial cysts are very rare neoplasms of the middle mediastinum. We report a case of a young woman who was referred to the surgical department with abdominal pain. The ultrasound done showed moderate ascites and pleural effusion. Read More

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Pericarditis complicating COVID-19 infection: a report of two cases.

Pan Afr Med J 2022 21;41:229. Epub 2022 Mar 21.

Department of Cardiology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University, Oujda, Morocco.

COVID-19 infection is responsible for many complications, which can lead to a high risk of mortality. Respiratory manifestations are the most encountered, while that cardiovascular complications are classified as the most severe. We report two cases of COVID-19 infection complicated by pericarditis. Read More

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Primary Hypothyroidism Presenting as Cardiac Tamponade.

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

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

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

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A difficult-to-diagnose pericardial fistula.

Am J Med Sci 2022 Jun 16. Epub 2022 Jun 16.

Department of Oncology, Changzhi People's Hospital, The Affiliated Hospital of Changzhi Medical College, Changzhi, Shanxi 046000, China. Electronic address:

Pericardial fistula is a rare complication. Generally, the diagnosis can be confirmed by imaging examination, but our patient was an exception. We present a 71-year-old female patient that complained of remnant gastric cancer for five months and dyspnea for seven days; the dyspnea became aggravated during the last two days. Read More

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

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

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

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

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

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

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