14,424 results match your criteria Pericardial Effusion


Assessing the perforation site of cardiac tamponade during radiofrequency catheter ablation using gas analysis of pericardial effusion.

Heart Rhythm O2 2020 Oct 24;1(4):268-274. Epub 2020 Jun 24.

Department of Cardiovascular Medicine, Kyorin University Hospital, Tokyo, Japan.

Background: The incidence of pericardial effusion (PE) during radiofrequency catheter ablation (CA) for atrial fibrillation is approximately 1%. PE is a major complication during CA, but there has been limited literature about the perforation site responsible.

Objective: This study aimed to retrospectively investigate the characteristics of the procedure and the patients in whom PE developed during CA. Read More

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October 2020

Diagnostic approach to a cardiac mass: a case report of misdiagnosed cardiac synovial sarcoma.

Eur Heart J Case Rep 2021 Mar 10;5(3):ytab039. Epub 2021 Mar 10.

Department of Cardiology, University Hospital of Ibn Rochd, Casablanca , Morocco.

Background: Cardiac synovial sarcoma (CSS) is an extremely rare malignant tumour with a poor prognosis. We report the case of a 31-year-old woman who presented with a CSS in the right atrium and was initially misdiagnosed with a tuberculoma. The aim of this article is to focus on the importance of having broad differential diagnoses including rare entities. Read More

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Cardiac Tamponade Unmasking Recurrent Ovarian Cancer.

Cureus 2021 Jun 5;13(6):e15464. Epub 2021 Jun 5.

Gynecologic Oncology, State University of New York (SUNY) Downstate Medical Center, Brooklyn, USA.

Pericardial disease is a common manifestation of malignancy. Gynecologic malignancies such as ovarian cancer rarely present with cardiac involvement. Cardiac tamponade may be the initial presentation of malignancy in as many as half of pericardial disease cases. Read More

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Expanding mutational spectrum of HRAS by a patient with Schimmelpenning-Feuerstein-Mims syndrome.

J Dermatol 2021 Jun 9. Epub 2021 Jun 9.

Department of Pediatric Hematology-Oncology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

As one of the epidermal nevus syndromes, Schimmelpenning-Feuerstein-Mims (SFM) is characterized by craniofacial nevus sebaceous (NS) and extracutaneous abnormalities (e.g., brain, eyes, and bone). Read More

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Left atrial appendage perforation during appendage angiography treated by percutaneous left atrial appendage closure: a case report.

Eur Heart J Case Rep 2021 May 22;5(5):ytab187. Epub 2021 May 22.

Department of Cardiology, Québec Heart and Lung Institute, 2725 Chemin Sainte-Foy, Québec City, Québec G1V 4G5, Canada.

Background: Pericardial effusion is a common complication of percutaneous left atrial appendage (LAA) closure. Acute management is the cornerstone of pericardial effusion treatment and interrupting the intervention is often required.

Case Summary: A 65-year-old man presented an acute 10 mm pericardial effusion following pigtail contrast appendage injection. Read More

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Diagnosis and treatment of effusive-constrictive pericarditis: a case report.

Eur Heart J Case Rep 2021 May 8;5(5):ytab174. Epub 2021 May 8.

Department of Cardiology, Pennsylvania Hospital-University of Pennsylvania Health System, 800 Spruce Street, Philadelphia, PA, USA.

Background: Effusive-constrictive pericarditis (ECP) is a rare syndrome involving pericardial effusion and concomitant constrictive pericarditis. The hallmark is a persistently elevated right atrial pressure of >10 mmHg or reduction of less than 50% from baseline despite pericardiocentesis. Aetiologies include radiation, infection, malignancy, and autoimmune disease. Read More

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Cardiac Tamponade Secondary to Influenza B Infection.

Cureus 2021 May 7;13(5):e14888. Epub 2021 May 7.

Internal Medicine, University of Alabama at Birmingham (UAB) Montgomery, Montgomery, USA.

Every year, Influenza infection contributes to significant morbidity and mortality carrying a huge economic burden. Extra-pulmonary manifestations are increasingly being recognized. We present a 29-year-old woman with acute pericarditis and cardiac tamponade requiring emergent pericardiocentesis secondary to Influenza B infection. Read More

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Extreme bradycardia as presentation of an eating disorder.

BMJ Case Rep 2021 Jun 9;14(6). Epub 2021 Jun 9.

Cardiovascular Research Unit, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK

We present a case of extreme bradycardia in an 18-year-old man, accompanied by bilateral pleural effusions, pericardial effusion, endocrine dysregulation and Horner's syndrome. Despite extensive investigations as an inpatient and multidisciplinary input, it was not until subsequent assessment by an endocrine team that it was revealed that his presentation was attributable to an eating disorder. Following dietary advice, easing of extreme exercise and continued support, the patient improved in all parameters including body mass index and he remains well. Read More

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Multisystemic inflammatory syndrome in children associated with COVID-19: a single center experience in Turkey.

Turk Arch Pediatr 2021 1;56(3):192-199. Epub 2021 May 1.

Division of Cardiology, Department of Pediatrics, Kocaeli University, Kocaeli, Turkey.

Objective: Multisystem inflammatory syndrome in children (MIS-C) associated with the coronavirus disease 2019 (COVID-19) is a new concern emerging as a severe presentation of COVID-19 in children. We aimed to describe the characteristics and short-term outcomes of children diagnosed with MIS-C.

Material And Methods: A retrospective study was conducted on 24 patients who were diagnosed with MIS-C between June 1, 2020 and December 1, 2020. Read More

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Is the use of dual antiplatelet therapy following urgent and emergency coronary artery bypass surgery associated with increased risk of cardiac tamponade?

J Clin Transl Res 2021 Apr 13;7(2):229-233. Epub 2021 Mar 13.

Department of Cardiothoracic Surgery, Castle Hill Hospital, Hull University Teaching Hospitals NHS Trust, Hull, UK.

Background And Aim: Cardiac tamponade is a recognized post-cardiac surgery complication, resulting in increased morbidity and mortality. The 2016 American College of Cardiology and American Heart Association Guidelines recommended the use of Dual Antiplatelet Therapy (DAPT) in the management of patients undergoing urgent or emergency coronary artery bypass grafting (CABG). The effect of DAPT on cardiac tamponade rates was investigated in comparison to aspirin monotherapy (AMT). Read More

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[Clinical features of primary isolated chylopericardium: a retrospective review study].

Zhonghua Wai Ke Za Zhi 2021 Jun;59(6):507-512

Department of Lymphatic Surgery, Affiliated Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.

To examine the clinical characteristics and abnormal reflux branches of primary isolated chylopericardium. Totally 43 patients with primary isolated chylopericardium at Department of Lymphatic Surgery, Affiliated Beijing Shijitan Hospital,Capital Medical University from June 2007 to January 2018 were recruited in this study. There were 21 males and 22 females, aging (23. Read More

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High frequency ultrasound-guided pericardiocentesis performed in the sitting position: A novel apical approach.

Clin Cardiol 2021 Jun 8. Epub 2021 Jun 8.

Department of Ultrasound, Harbin Medical University Cancer Hospital, Harbin, China.

Background: So far, few approaches have been described to reduce inadvertent injury to structure of the heart and nearby organs in percutaneous pericardiocentesis.

Hypothesis: We hypothesized that an in-plane high frequency ultrasound-guided apical approach, performed in the sitting position, would provide additional benefits in terms of feasibility and safety for draining malignant pericardial effusion (MPE).

Methods: The authors selected 53 consecutive patients with moderate or large symptomatic MPE who underwent high frequency ultrasound-guided pericardiocentesis. Read More

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Indirect signs of aortic dissection on POC-TTE despite an ADD-RS of 0 and D-dimer < 500 ng/mL: A case report.

Am J Emerg Med 2021 Jun 1. Epub 2021 Jun 1.

Department of Emergency Medicine, Highland Hospital - Alameda Health System, 1411 East 31st Street, Oakland, CA 94602, United States of America.

Aortic dissection (AD) is a "can't miss" diagnosis for emergency physicians. An algorithm combining the Aortic Dissection Detection Risk Score (ADD-RS) with D-dimer has been proposed as a high-sensitivity clinical decision tool for AD that can determine the need for advanced imaging. Here we present a case of a 48-year-old male who presented to the emergency department (ED) with chest pain and dyspnea. Read More

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A Case of Stage II Ascending Colon Cancer with Cardiac Tamponade Due to Pericardial Metastasis.

Am J Case Rep 2021 Jun 7;22:e932239. Epub 2021 Jun 7.

Department of Surgery, National Hospital Organization Higashihiroshima Medical Center, Hiroshima, Japan.

BACKGROUND Malignant tumors, such as lung and breast cancers, can metastasize to the heart. However, cardiac metastasis rarely occurs in colorectal cancer. Cardiac metastasis cases are typically asymptomatic and rarely cause cardiac tamponade. Read More

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Late-onset Pleural and Pericardial Effusion as Immune-related Adverse Events after 94 Cycles of Nivolumab: A Case Report.

Intern Med 2021 Jun 5. Epub 2021 Jun 5.

Department of Pulmonary Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.

A 67-year-old man with primary lung adenocarcinoma was hospitalized due to massive bilateral pleural effusion and pericardial effusion after 94 cycles of nivolumab therapy. We were unable to identify the cause of these effusions using blood tests, cytology tests, or bacterial culture of pleural effusion and thoracoscopy. Finally, we administrated corticosteroids, which immediately improved the fluid accumulation. Read More

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Cardiac abnormalities determined by tissue Doppler imaging and arrhythmias in adolescents with anorexia nervosa.

Cardiol Young 2021 Jun 7:1-4. Epub 2021 Jun 7.

Department of Pediatric Cardiology, Hospital de Niños Roberto del Rio, Santiago, Chile.

Background: Anorexia nervosa has a prevalence of 0.5-3% in adolescents, placing this population at increased risk of cardiac anomalies including arrhythmias, pericardial effusion, and myocardial dysfunction. Our objective is to describe cardiovascular anomalies observed by tissue Doppler imaging in patients with anorexia nervosa. Read More

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Case report of worsening of preexisting pericardial effusion after ASD device closure: is it calamitous?

Egypt Heart J 2021 Jun 5;73(1):50. Epub 2021 Jun 5.

Atherosclerosis Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Background: Secundum-type atrial septal defects (ASD) constitute 8% to 10% of congenital heart defect. Secundum ASDs can be closed either percutaneously or surgically. However, ASD device closure has proven to be technically safe and feasible; it is not free of complications. Read More

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Unusual Gastric Contrast Extravasation After Coronary Angiography.

J Invasive Cardiol 2021 Jun;33(6):E489

Ascension Borgess Hospital/Michigan State University, 1717 Shaffer Street, Kalamazoo, MI 49048 USA.

A 79-year-old woman presented with new-onset heart failure. She had pleural effusion, pericardial effusion, and an ejection fraction of 35% on echocardiogram. Her coronary angiogram revealed mild coronary artery disease (CAD). Read More

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Potential pitfalls when interpreting plasma BNP levels in heart failure practice.

J Cardiol 2021 Jun 1. Epub 2021 Jun 1.

Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan.

B-type (or brain) natriuretic peptide (BNP) is synthesized in cardiac myocytes and released constitutively into the circulation. Pressure/volume overload, neurohumoral factors, cytokines, and ischemia enhance BNP gene expression, and then precursor proBNP is produced. It has been thought that proBNP is cleaved into active BNP molecule and inactive marker molecule NT-proBNP intracellularly by processing enzyme furin, and they are released into the circulation. Read More

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Acute acalculous cholecystitis as the initial manifestation of systemic lupus erythematous: A case report.

Medicine (Baltimore) 2021 Jun;100(22):e26238

Department of Obstetrics and Gynecology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Korea.

Rationale: Acute acalculous cholecystitis (AAC) is an extremely rare manifestation of systemic lupus erythematous (SLE). In previous reports, most of the patients were already diagnosed cases of SLE upon confirmation of AAC.

Patient Concerns: A 24-year-old female who initially presented with fever and acute right upper quadrant abdominal pain. Read More

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Echocardiographic Screening for Postoperative Pericardial Effusion in Children.

Pediatr Cardiol 2021 Jun 4. Epub 2021 Jun 4.

Division of Cardiology, Department of Pediatrics, Stollery Children's Hospital, University of Alberta, 8440-112thSt. NW, Edmonton, AB, T6G 2B7, Canada.

Pericardial effusion (PE) after cardiac surgery can be life threatening without timely detection, and the optimal screening method is unknown. We sought to evaluate the role of a surveillance echocardiogram on postoperative day 10 (± 2), determine the incidence of postoperative PE, and identify risk factors. We conducted a retrospective cohort study including all pediatric patients who underwent open heart surgery at a single institution over a 7-month period. Read More

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Comparative study on clinical efficacy of different methods for the treatment of intramural aortic hematoma.

Sci Rep 2021 Jun 3;11(1):11752. Epub 2021 Jun 3.

Department of Vascular Surgery, The Second Affiliated Hospital of Nanchang University, No. 1 Minde Road, Nanchang, 330006, Jiangxi Province, China.

To explore the difference of curative effect between different treatment modalities, in order to provide reference for the treatment of aortic intramural hematoma (IMH). 168 patients with aortic intramural hematoma diagnosed and treated from January 2010 to July 2020 were selected in the Second Affiliated Hospital of Nanchang University. Among them, 48 patients were diagnosed with Stanford A aortic intramural hematoma and 120 were diagnosed with Stanford B aortic intramural hematoma. Read More

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Impact of pericardial fluid glucose level and computed tomography attenuation values on diagnosis of malignancy-related pericardial effusion.

BMC Cardiovasc Disord 2021 Jun 3;21(1):272. Epub 2021 Jun 3.

Division of Cardiology, Department of Internal Medicine, Kindai University Faculty of Medicine, 377-2 Ohno-Higashi, Osakasayama, 589-8511, Japan.

Background: We evaluated malignancy according to the characteristics of pericardial fluid in symptomatic Japanese patients undergoing pericardiocentesis and computed tomography (CT).

Methods: This was a retrospective, single-center, observational study of 125 symptomatic patients undergoing pericardiocentesis. The patients were classified into two groups: a malignancy group and a non-malignancy group, according to the primary disease and cytology of the pericardial effusion (PE). Read More

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Could chest CT findings taken on admission in symptomatic patients with COVID-19 be related to the prognosis and clinical outcome of the disease?

Curr Med Imaging 2021 Jun 3. Epub 2021 Jun 3.

Radiology Department, Sakarya University Medical Faculty, Sakarya, Turkey.

Aim: Initial chest CT findings of patients were compared by grouping them according to the clinical outcome of the infection and those which could predict clinical outcome, prognosis and mortality were investigated.

Background: Published studies on chest CT in COVID-19 infection do not go beyond describing the characteristics of the current period. Nevertheless, comparative analysis of chest CT findings on hospital admission among patients in different clinical outcomes is scarce. Read More

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A prospective study on the consequences of SARS-CoV-2 infection on the heart of young adult competitive athletes: Implications for a safe return-to-play.

Int J Cardiol 2021 May 31. Epub 2021 May 31.

Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy. Electronic address:

Objectives: The COVID-19 pandemic has shocked the sports world because of the suspension of competitions and the spread of SARS-CoV-2 among athletes. After SARS-CoV-2 infection, cardio-pulmonary complications can occur and, before the resumption of sports competitions, a screening has been recommended. However, few data are available and discrepancies exist in the screening modalities. Read More

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Pericardial Diseases in COVID19: a Contemporary Review.

Curr Cardiol Rep 2021 06 3;23(7):90. Epub 2021 Jun 3.

Center for the Diagnosis and Treatment of Pericardial Diseases, Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, OH, USA.

Purpose Of Review: Coronavirus disease 2019 (COVID19) involves the heart, including pericardium. This article reviews the possible pathophysiological mechanisms in pericardial involvement in COVID19 and pericardial manifestations of COVID19. It also summarizes the patients with pericarditis secondary to COVID19 and outlines the contemporary treatment strategies in this patient population. Read More

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A Delayed Case of Pericarditis Following Recovery From COVID-19 Infection.

Cureus 2021 Apr 10;13(4):e14397. Epub 2021 Apr 10.

Emergency Medicine, Mayo Clinic, Jacksonville, USA.

Pericarditis is a rare cardiac complication of coronavirus 19 (COVID-19) infection. Recent case reports describe severe sequelae of pericarditis, including cardiac tamponade, developing within days of initial COVID-19 symptoms. We present a case of pericarditis with slower onset and milder symptoms, developing over a period of a few weeks in an immunocompetent male who recovered from COVID-19 several months earlier. Read More

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A fatal toxic shock-like syndrome post COVID-19 infection in a child.

Ital J Pediatr 2021 Jun 2;47(1):120. Epub 2021 Jun 2.

Department of Pediatrics, Sahloul University Hospital, 4054, Sousse, Tunisia.

Background: Children affected by Coronavirus disease 2019 (COVID-19) showed various manifestations. Some of them were severe cases presenting with multi-system inflammatory syndrome (MIS-C) causing multiple organ dysfunction.

Case Presentation: We report the case of a 12-year-old girl with recent COVID-19 infection who presented with persistent fever, abdominal pain and other symptoms that meet the definition of MIS-C. Read More

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Fetal atrial appendage aneurysm: Prenatal diagnosis by echocardiography and prognosis.

Echocardiography 2021 Jun 1. Epub 2021 Jun 1.

Echocardiography Medical Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Background: Congenital atrial appendage aneurysm (AAA) is a rare malformation which can coexist with potentially lethal complications. We aimed to summary echocardiographic characteristics and prognosis of fetal AAA.

Methods: We retrospectively analyzed the echocardiographic data of 17 fetuses with AAA,and their outcomes or pathological reports were also collected. Read More

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Evaluation of Thoracoscopic Pericardial Window Size and Execution Time in Dogs: Comparison of Two Surgical Approaches.

Animals (Basel) 2021 May 18;11(5). Epub 2021 May 18.

Department of Veterinary Sciences, University of Messina, Viale Palatucci, 98168 Messina, Italy.

Pericardial effusion presents clinicians with a challenge when diagnosing the underlying cause and performing a prognosis. Different techniques have been suggested for canine thoracoscopic pericardiectomy with the creation of variable pericardial window size. The aim of this study was to statistically compare the surgical time and achieved window size of the paraxiphoid transdiaphragmatic and monolateral intercostal approaches. Read More

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