13,021 results match your criteria Pericardial Effusion


Recurrent haemorrhagic pericardial effusion due to idiopathic pericarditis: a case report.

Eur Heart J Case Rep 2019 Mar 25;3(1):ytz018. Epub 2019 Feb 25.

Cardiovascular Surgery Department, IIS-Fundación Jiménez Díaz University Hospital, Av. Reyes Católicos 2, Madrid, Spain.

Background: Haemorrhagic pericardial effusion (PE) has been described in pericarditis due to infection, neoplasm, collagen vascular disease, uraemia, pericardial inflammation after acute myocardial infarction, trauma, irradiation, and idiopathic pericarditis. Patients with large haemorrhagic PE develop recurrence or constrictive pericarditis (CP) frequently as complication without being treated intensively.

Case Summary: A 22-year-old female patient with a previous episode of pericarditis with severe PE was admitted for acute pericarditis. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6439374PMC

The waffle procedure as treatment of a first episode of right heart failure: a case report.

Eur Heart J Case Rep 2018 Dec 14;2(4):yty148. Epub 2018 Dec 14.

Cardiovascular Institute, Hospital Clínico San Carlos, Universidad Complutense, c/Profesor Martín Lagos s/n, Madrid, Spain.

Background: Constrictive pericarditis is a rare condition which is characterized by pericardial layers thickening and it may not be relieved by conventional medical or surgical therapies. Some patients could profit from specific surgical techniques such as the waffle procedure which removes epicardial tissue strips of the visceral layer of the pericardium. It alleviates diastolic dysfunction, since it is known that the constrictive physiology observed in constrictive pericarditis depends mainly on the visceral layer. Read More

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http://dx.doi.org/10.1093/ehjcr/yty148DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426000PMC
December 2018

Fluoroscopy-free cryoablation of atrial fibrillation guided solely by transoesophageal echocardiography: a case report.

Eur Heart J Case Rep 2018 Dec 26;2(4):yty137. Epub 2018 Nov 26.

Department of Perioperative Medicine, Barts Heart Centre, St Bartholomew's Hospital, 1st Floor KGV Wing, London, UK.

Background: Atrial fibrillation (AF) ablation has been shown to be possible using minimal or no fluoroscopic imaging for guidance. However, the techniques previously described focus on radiofrequency ablation or rely on the use of resource-heavy technology such as intra-cardiac echocardiography. We describe the first reported case in the literature of successful fluoroscopy-free AF cryoablation guided solely by transoesophageal echocardiography (TOE). Read More

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http://dx.doi.org/10.1093/ehjcr/yty137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426113PMC
December 2018

A case report: metastatic complete heart block.

Eur Heart J Case Rep 2018 Dec 29;2(4):yty131. Epub 2018 Nov 29.

Department of Cardiology, Seth GS Medical College, KEM Hospital, Achary Dhonde MargParel, Mumbai, Maharashtra, India.

Background: Though primary malignant tumours of the heart are rare, secondary metastatic affection of the heart is quite common. Common presentations include pericardial effusion, obstruction of inflow and outflow tracts and arrhythmias, most notably tachyarrhythmias, and very rarely complete heart blocks (CHBs).

Case Summary: A 28-year-old man suffering from carcinoma of the tongue underwent a surgery in the form of radical hemimandibulectomy. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426093PMC
December 2018
1 Read

Unusual presence of 'ghosts' following lead extraction for recurrent reactive pericarditis: a case report.

Eur Heart J Case Rep 2018 Dec 26;2(4):yty127. Epub 2018 Nov 26.

Dipartimento Cardiotoracovascolare, ASST Grande Ospedale Metropolitano Niguarda, piazza dell'Ospedale Maggiore n° 3, Milano, Italia.

Background: The presence of a persistent fibrous sheath in right-sided heart chambers after transvenous lead extraction has already been described in some studies as echocardiographic tubular mobile masses called 'ghosts'. Their presence has been associated with cardiac device-related infective endocarditis or local device infection, but to the best of our knowledge, this is the first case where 'ghosts' have been reported among non-infected patients.

Case Summary: We present a case of a 73-year-old woman hospitalized due to worsening dyspnoea and a significant pericardial effusion, relapsed after pericardiocentesis with removal of about 1500 mL of non-haemorrhagic fluid. Read More

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http://dx.doi.org/10.1093/ehjcr/yty127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426005PMC
December 2018

The first post-cardiac injury syndrome reported following transcatheter aortic valve implantation: a case report.

Eur Heart J Case Rep 2018 Dec 28;2(4):yty107. Epub 2018 Sep 28.

Department for Internal Medicine III, Cardiology, Angiology and Intensive Care Medicine, Saarland University Medical Center, Homburg, Germany.

Background: Post-cardiac injury syndrome is a form of secondary pericarditis with or without pericardial effusion, which typically occurs weeks to months following an injury to the heart or pericardium. Disease activity can be followed with serial testing of inflammatory markers e.g. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426006PMC
December 2018
1 Read

Solitary neuroendocrine carcinoma of the heart: a case report.

Eur Heart J Case Rep 2018 Sep 12;2(3):yty096. Epub 2018 Sep 12.

Department of Diagnostic and Interventional Radiology and Nuclear Medicine, University Medical Center Hamburg-Eppendorf, Martinistr.52, Hamburg, Germany.

Background: Cardiac tumours are of rare incidence and usually occur in the form of secondary tumours. Most metastatic tumours are melanomas, sarcomas, lung, and haematological malignancies. Neuroendocrine carcinomas (NECs) of the heart are extremely unusual. Read More

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http://dx.doi.org/10.1093/ehjcr/yty096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177085PMC
September 2018

Left ventricular lead misplacement discovered a decade after cardiac resynchronization therapy-defibrillator implantation: a case report.

Eur Heart J Case Rep 2018 Jun 21;2(2):yty071. Epub 2018 Jun 21.

Cardiology Department, Cardiology Clinical Academic Group, St George's University Hospitals, NHS Foundation Trust, St. George's, University of London, London, UK.

Introduction: Satisfactory left ventricular (LV) lead placement into the coronary sinus (CS) can be achieved in the majority of patients but there are still instances of acute failure most often due to anatomical differences, for example due to tortuous CS anatomy. Chronic LV lead misplacement and its delayed discovery is not a common scenario. It is unclear if chronic dual right ventricular pacing can hasten the progression of heart failure. Read More

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https://academic.oup.com/ehjcr/article/doi/10.1093/ehjcr/yty
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http://dx.doi.org/10.1093/ehjcr/yty071DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176968PMC
June 2018
1 Read

Prominent epicardial fat mimicking pericardial effusion on echocardiography.

Eur Heart J Case Rep 2018 Jun 20;2(2):yty034. Epub 2018 Mar 20.

Department of Cardiology, Hospital of the Government of the City of Buenos Aires 'Dr Cosme Argerich, Pi y Margall 750 (C1155AHB), Capital Federal, Ciudad Autónoma de Buenos Aires, Argentina.

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http://dx.doi.org/10.1093/ehjcr/yty034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177058PMC

Chronic pericardial effusion in the setting of pericardial capillary haemangioma: a case report and review of the literature.

Eur Heart J Case Rep 2018 Mar 6;2(1):yty024. Epub 2018 Mar 6.

Department of Cardiology, Robert Bosch Medical Center, Auerbachstr. 110, 70376 Stuttgart, Germany.

Introduction: Cardiac haemangiomas are rare vascular tumours of the heart accounting for less than 5% of benign primary cardiac neoplasms. They are sometimes diagnosed incidentally, since patients can be asymptomatic. The clinical presentation in symptomatic patients, however, is variable, depending on size and exact localization of the tumour. Read More

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http://dx.doi.org/10.1093/ehjcr/yty024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426034PMC

Chylous Cardiac Tamponade with Chylothoraces Secondary to Hodgkin's Lymphoma: Octreotide in Conjuncture with Standard of Care Dietary Fat Restriction.

Case Rep Crit Care 2019 25;2019:1406840. Epub 2019 Mar 25.

Children's Hospital of Philadelphia - Department of Dietetics and Nutrition, USA.

Chylous effusions are a well-known complication from a variety of etiologies including trauma, malignancies, and anatomic defects, with the most common location being in the pleural space. A pericardial chylous effusion (chylopericardium) is uncommon, and a chylopericardium with concomitant bilateral chylous pleural effusions (chylothoraces) has only been reported in less than a handful of case reports. Our patient presented with bilateral chylothoraces and a chylopericardium with tamponade physiology secondary to Hodgkin's Lymphoma. Read More

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http://dx.doi.org/10.1155/2019/1406840DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6452529PMC

Should transcatheter closure of atrial septal defects with inferior-posterior deficient rim still be attempted?

J Thorac Dis 2019 Mar;11(3):708-716

Pediatric Cardiology Service, Royal Brompton and Harefield Hospital Trust, London, UK.

Background: Transcatheter closure for atrial septal defect (ASD) with inferior-posterior rim deficiency has been scarcely reported with proper identification of the indications and limits. We aimed to assess the safety and feasibility of transcatheter closure of ASDs with deficient rims, paying particular attention to cases with inferior-posterior rim deficiency.

Methods: From January 2008 to January 2013, 241 patients underwent transcatheter ASD closure, including 50 cases (20. Read More

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http://jtd.amegroups.com/article/view/27481/20451
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http://dx.doi.org/10.21037/jtd.2019.02.89DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6462671PMC
March 2019
1 Read

Pericardial effusion with necrotic ventricular mass in a kidney transplant recipient.

Am J Transplant 2019 May;19(5):1589-1591

Division of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah.

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http://dx.doi.org/10.1111/ajt.15294DOI Listing

Changes of the Heart Valves in the Long Term After Chemoradiotherapy According to Different Protocols for Hodgkin's Lymphoma in Children and Adolescents.

J Adolesc Young Adult Oncol 2019 Apr 24. Epub 2019 Apr 24.

1 Medical Institute of Russian Peoples Friendship University (RUDN University), Moscow, Russia.

The purpose of our work was to study late cardiac complications after treatment for Hodgkin's lymphoma (HL) in children and adolescents. Sixty-seven patients were examined in the long term (>5 years) after chemoradiotherapy for HL according to two different programs of treatment (groups I and II). Mean total doses of radiotherapy (RT) to the mediastinum were 37. Read More

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http://dx.doi.org/10.1089/jayao.2018.0142DOI Listing

[Pericarditis and pericardial effusion as the first presentation of systemic lupus erythematosus. Case report].

Rev Alerg Mex 2019 Jan-Mar;66(1):132-139

Hospital Pediátrico de Sinaloa, Departamento de Pediatría Médica, Culiacán, Sinaloa, México.

Background: Acute pericarditis is rare in children; it can evolve to effusion or even cardiac tamponade. The main infectious agents are viruses and bacteria. The pharmacological treatment includes NSAIDs; just a few patients need pericardiocentesis. Read More

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http://dx.doi.org/10.29262/ram.v66i1.528DOI Listing

Midterm Results of Transaxillary Occluder Device Closure of Perimembranous Ventricular Septal Defect Guided Solely by Transesophageal Echocardiography.

Heart Surg Forum 2019 Mar 8;22(2):E112-E118. Epub 2019 Mar 8.

Children's Heart Center, People's Hospital of Zhengzhou University, Zhengzhou, China.

Background: Perimembranous ventricular septal defect (pmVSD) is a common congenital heart disease. Transaxillary occluder device closure of the pmVSD has been proved effective and an alternative to surgical closure. The study aimed to evaluate the immediate operation outcomes and the early and midterm follow-up outcomes of transaxillary occluder device closure. Read More

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http://dx.doi.org/10.1532/hsf.2185DOI Listing

Successful lung donation at the age of 6 weeks: Challenges and lessons learned.

Pediatr Transplant 2019 Apr 23:e13419. Epub 2019 Apr 23.

Royal Papworth Hospital, Cambridge, UK.

A clinical case of successful procurement and transplantation of bilateral lungs from 6-week-old infant with sepsis secondary to bacterial meningitis is reported. Forty-one-day-old male infant (height 60 cm, weight 4 kg) died of cerebral edema secondary to Escherichia coli meningitis and bacteremia. Preretrieval assessment included the following: arterial gases; pO 50. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/petr.13419
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http://dx.doi.org/10.1111/petr.13419DOI Listing
April 2019
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Sirolimus-associated pericardial effusion with cardiac tamponade and interstitial pneumonitis in a hematopoietic stem cell transplant recipient.

Pediatr Transplant 2019 Apr 23:e13425. Epub 2019 Apr 23.

Division of Pediatric Infectious Diseases, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.

Sirolimus, a mammalian target of rapamycin (mTOR) inhibitor, is a potent immunosuppressant that is increasingly used in prevention and treatment of graft-vs-host disease (GVHD) in allogeneic hematopoietic stem cell transplant (HSCT) patients. However, data regarding its adverse effects in HSCT patients remain limited. We describe an 18-year-old HSCT patient with a history of invasive fungal infection, who developed pericardial effusion with cardiac tamponade and interstitial pneumonitis while receiving sirolimus for GVHD prophylaxis. Read More

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http://dx.doi.org/10.1111/petr.13425DOI Listing

Impact of novel oral anticoagulants vs warfarin on effusions after coronary artery bypass grafting.

J Card Surg 2019 Apr 23. Epub 2019 Apr 23.

Division of Cardiovascular and Thoracic Surgery, Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.

Background: Novel oral anticoagulants (NOAC) have been shown to have comparable risk profiles compared with warfarin. However, data on the use of NOACs in cardiac surgery patients is limited. The aim of this study is to compare postoperative effusion rates in patients who were anticoagulated with NOACs vs warfarin after coronary artery bypass grafting (CABG). Read More

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http://dx.doi.org/10.1111/jocs.14054DOI Listing
April 2019
1 Read

Acute Cardiac Tamponade: An Adult Simulation Case for Residents.

MedEdPORTAL 2016 Sep 23;12:10466. Epub 2016 Sep 23.

Assistant Professor of Emergency Medicine, Central Michigan University College of Medicine.

Introduction: This case was designed to be an interprofessional scenario to assist the learner in the approach to a patient with cardiac tamponade. This resource provides information and materials for a high-fidelity simulation scenario that is appropriate for learners at multiple levels. Each learner has the opportunity to interact with embedded patient actors. Read More

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http://dx.doi.org/10.15766/mep_2374-8265.10466DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6464418PMC
September 2016

Serum BNP levels are associated with malignant pericardial effusion.

Int J Cardiol Heart Vasc 2019 Jun 9;23:100359. Epub 2019 Apr 9.

Division of Cardiovascular Medicine, Baruch Padeh Medical Center, Poriya, Israel.

Introduction: The development of malignant pericardial effusion indicates a poor prognosis and is the leading cause of cardiac tamponade. The objectives of the study were to examine the levels of BNP in traumatic, malignant and non-malignant pericardial effusion etiologies, and to assess the value of serum and pericardial fluid BNP levels in the prognosis of malignant pericardial effusion.

Methods: A of 56 patients with clinical and echocardiographic diagnosis of pre-tamponade or tamponade who required pericardiocentesis were included in the study. Read More

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http://dx.doi.org/10.1016/j.ijcha.2019.100359DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458500PMC

Left atrial appendage closure device implantation guided with fluoroscopy only: Long-term results.

J Arrhythm 2019 Apr 4;35(2):262-266. Epub 2019 Feb 4.

Department of Cardiology and Vascular Medicine Faculty of Medicine Universitas Indonesia, and National Cardiovascular Center Harapan Kita Jakarta Indonesia.

Background: Left atrial appendage (LAA) closure device is an alternative to anticoagulants for stroke prevention in selected atrial fibrillation (AF) patients. The LAA device implantation is safe with short period of learning curve. The standard implantation technique warrants a transesophageal echocardiography (TEE) guided and general anesthesia. Read More

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http://dx.doi.org/10.1002/joa3.12151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6457374PMC

Right Heart Mass in Transit with a Hemorrhagic Pericardial Effusion: A Diagnostic Dilemma.

Cureus 2019 Feb 4;11(2):e4009. Epub 2019 Feb 4.

Cardiology, Washington University, Saint Louis, USA.

Metastatic disease to the heart is more often a post-mortem diagnosis due to non-specific symptoms and a low index of suspicion. Our case is a unique presentation of a rare case of cardiac metastasis from oropharyngeal cancer, which eluded echocardiographic diagnosis despite the presence of a hemorrhagic pericardial effusion. The cardiac metastasis, in fact, starts as pericardial seeding, as illustrated by the positron emission tomography (PET) imaging. Read More

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http://dx.doi.org/10.7759/cureus.4009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6450589PMC
February 2019

Pericardial effusion in prosthetic and native valve infective endocarditis.

Indian Heart J 2019 Jan - Feb;71(1):80-84. Epub 2019 Jan 26.

Cardiology Department, Faculty of Medicine, Cairo University, Cairo 11411, Egypt.

Background: Pericardial effusion (PE) is widely believed to signify more advanced infective endocarditis (IE) and a generally worse outcome.

Purpose: To determine the prevalence and clinical significance of PE in a series of patients with confirmed native and prosthetic valve infections.

Methods: Data were collected from 338 consecutive patients with definite or possible IE who visited a single referral center; these patients were examined for the presence of PE as detected by transthoracic echocardiography. Read More

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http://dx.doi.org/10.1016/j.ihj.2018.12.002DOI Listing
January 2019

Thoracoscopic pericardiectomy associated with fully implantable catheter via thoracoscopy in the management of mesothelioma in a bitch.

J Vet Med Sci 2019 Apr 17. Epub 2019 Apr 17.

Department of Small Animal Clinics, Center of Rural Science, Federal University of Santa Maria (UFSM).

Mesothelioma is a very aggressive malignant tumor with low survival rates that is often diagnosed belatedly. Pericardial effusion is a common consequence in cases of mesothelioma, with pericardiocentesis and pericardiectomy indicated; therefor thoracocentesis is necessary to drain the contents no longer retained in the pericardium. The present report describes a mesothelioma - carrying dog with a history of cardiac tamponade that underwent thoracoscopic pericardiectomy and, later, thoracoscopic implantation of a fully implantable catheter to function as a thoracic drain. Read More

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https://www.jstage.jst.go.jp/article/jvms/advpub/0/advpub_17
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http://dx.doi.org/10.1292/jvms.17-0631DOI Listing
April 2019
2 Reads

Multimodality Imaging for the Assessment of Pericardial Diseases.

Curr Cardiol Rep 2019 Apr 16;21(5):41. Epub 2019 Apr 16.

Heart and Vascular Institute, Center for the Diagnosis and Treatment of Pericardial Disease, Cleveland Clinic, Cleveland, OH, USA.

Purpose Of Review: The diagnosis of pericardial syndromes, while occasionally straightforward, includes a wide range of pathologies and is often a well-recognized clinical challenge. The aim of this review is to highlight the key role of the various imaging modalities for the diagnosis and management of the spectrum of pericardial diseases.

Recent Findings: Cardiac imaging has become an integral part of the diagnostic process often beginning with echocardiography and supported by advanced imaging modalities including computed tomography, magnetic resonance imaging, and positive emission tomography. Read More

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http://link.springer.com/10.1007/s11886-019-1115-y
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http://dx.doi.org/10.1007/s11886-019-1115-yDOI Listing
April 2019
2 Reads

Human Herpes-8 virus copy to cell ratio: A diagnostic tool in primary effusion lymphoma.

J Clin Virol 2019 Mar 22;116:7-10. Epub 2019 Mar 22.

Virus Reference Department, National Infection Service, Public Health England, 61 Colindale Ave, London, NW9 5HT, United Kingdom. Electronic address:

Primary effusion lymphoma (PEL) is a serious sequel to Human Herpes Virus 8 (HHV8) infection in the immunosuppressed host. Usually requiring a cytological diagnosis, body cavity effusions are often referred for investigation for possible PEL. Although absence of HHV8 effectively refutes this, the presence of HHV8 DNA, though indicative is not diagnostic. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S13866532193006
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http://dx.doi.org/10.1016/j.jcv.2019.03.013DOI Listing
March 2019
2 Reads

[Post Radiotherapy Lesions of the Heart Valves. Principles of Diagnosis and Results of Treatment].

Kardiologiia 2019 Apr 12;59(3):36-42. Epub 2019 Apr 12.

A. N. Bakoulev Scientific Center for Cardiovascular Surgery.

Background: The use of radiation therapy for the treatment of tumors of the chest сan lead to the development of cardiac pathology, including that of the valves and coronary arteries.

Study Aim: to analyze the specifics of post-radiation lesions of the valvular apparatus and coronary arteries, and to assess the immediate results and risks of surgical correction of detected defects. Materials and  methods. Read More

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http://dx.doi.org/10.18087/cardio.2019.3.10239DOI Listing
April 2019
1 Read

Risk Analysis of Perioperative Death in Lung Transplant Patients With Severe Idiopathic Pulmonary Hypertension.

Transplant Proc 2019 Apr 8;51(3):875-879. Epub 2019 Jan 8.

Department of Lung Transplantation, Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China. Electronic address:

Objective: To investigate the risk factors for perioperative mortality in patients with severe idiopathic pulmonary hypertension (IPAH) undergoing lung transplantation (LTx).

Methods: Twenty-two IPAH patients were included in the study and were divided 2 groups: a case group with early death post LTx (n = 5, 22.7%) and the remaining 17 recipients (87. Read More

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http://dx.doi.org/10.1016/j.transproceed.2019.01.024DOI Listing
April 2019
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Intra-procedural monitoring protocol using routine transthoracic echocardiography with backup trans-oesophageal probe in transcatheter aortic valve replacement: a single centre experience.

Eur Heart J Cardiovasc Imaging 2019 Apr 11. Epub 2019 Apr 11.

Echocardiography Unit, Cardio-Thoracic Department, San Raffaele Hospital, IRCCS, Milano, Italy.

Aim: The aim of this study is to describe our 9-year experience in transcatheter aortic valve replacement (TAVR) using transthoracic echocardiography (TTE) as a routine intra-procedural imaging modality with trans-oesophageal echocardiography (TEE) as a backup.

Methods And Results: From January 2008 to December 2017, 1218 patients underwent transfemoral TAVR at our Institution. Except the first 20 cases, all procedures have been performed under conscious sedation, with fluoroscopic guidance and TTE imaging monitoring. Read More

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https://academic.oup.com/ehjcimaging/advance-article/doi/10.
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http://dx.doi.org/10.1093/ehjci/jez066DOI Listing
April 2019
4 Reads

Endovascular Treatment of Post Type A Chronic Aortic Arch Dissection With a Branched Endograft: Early Results From a Retrospective International Multicenter Study.

Ann Surg 2019 Apr 8. Epub 2019 Apr 8.

German Aortic Center, Department of Vascular Medicine, University Heart Center Hamburg, Hamburg, Germany.

MINI: The objective of this study was to evaluate the outcome of endovascular repair of chronic aortic arch dissecting aneurysms with a custom-made branched endograft during follow-up after acute type A aortic dissection open repair. Unmatched outcomes are reported in a population at high risk for a redo sternotomy.

Objective: The objective of this study was to evaluate the outcome of endovascular aortic arch repair for chronic dissection with a custom-made branched endograft. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003310DOI Listing
April 2019
1 Read

Three consecutive pregnancies in a patient with chronic autoimmune thyroid disease associated with hypothyroidism and extremely high levels of anti-TSH receptor antibodies.

Thyroid 2019 Apr 11. Epub 2019 Apr 11.

Centre Hospitalier Universitaire de Reims, 26992, Service d'Endocrinologie - Diabète - Nutrition, Reims, Champagne-Ardenne, France.

Background: Thyroid-stimulating hormone (TSH) receptor (TSHR) antibodies (TRAb) can be present in chronic autoimmune thyroiditis. Transplacental TRAb transfer can lead to fetal thyroid dysfunction and serious complications.

Patient Findings: We report the case of a woman with autoimmune hypothyroidism and extremely high TRAb levels, with blocking and stimulating activities (biological activities characterized with Chinese hamster ovary cells expressing TSHR). Read More

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https://www.liebertpub.com/doi/10.1089/thy.2018.0098
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http://dx.doi.org/10.1089/thy.2018.0098DOI Listing
April 2019
3 Reads

Thoracic Complications of Bariatric Surgeries: Overlooked Entities.

Obes Surg 2019 Apr 10. Epub 2019 Apr 10.

Thoracic Surgery Division, Department of Surgery, King Fahad Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Introduction: Bariatric surgeries are increasingly performed to treat obesity worldwide. The currently available literature on these surgeries mainly focuses on their abdominal complications, giving less attention to their thoracic ones. Hence, the present work aimed to highlight the thoracic complications associated with bariatric surgeries. Read More

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http://dx.doi.org/10.1007/s11695-019-03868-7DOI Listing
April 2019
1 Read

Cytological evaluation of pericardial fluids: A 5 years experience in tertiary care center.

Indian J Pathol Microbiol 2019 Apr-Jun;62(2):270-273

Department of Pathology, Maulana Azad Medical College, New Delhi, India.

Background: Cytological examination of pericardial effusion fluids is important in diagnosing the etiology of underlying disease, staging, and prognosis of cancer.

Aims And Objectives: (1) To study cytological evaluation of pericardial effusions in various pathological conditions in a tertiary care center. (2) To analyze their frequency and clincopathological correlation of the diagnosis. Read More

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http://dx.doi.org/10.4103/IJPM.IJPM_360_18DOI Listing
April 2019
1 Read

Peripartum outcomes in a large population of women with pulmonary arterial hypertension associated with congenital heart disease.

Eur J Prev Cardiol 2019 Apr 11:2047487318821246. Epub 2019 Apr 11.

1 Department of Pediatric Cardiology, Beijing Anzhen Hospital, Capital Medical University, China.

Aims: Pulmonary arterial hypertension is a severe complication in patients with congenital heart disease and poses a significant risk to women wishing to become pregnant. This study describes the clinical presentation, maternal outcomes and risk factors for the peripartum period in women with pulmonary arterial hypertension related to congenital heart disease (PAH-CHD).

Methods: All pregnant women with PAH-CHD who were admitted for delivery in a tertiary center between February 2011-September 2016 were included. Read More

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http://dx.doi.org/10.1177/2047487318821246DOI Listing
April 2019
3 Reads

Neovascularization in pericarditis: a possible etiology of hemopericardium.

Gen Thorac Cardiovasc Surg 2019 Apr 9. Epub 2019 Apr 9.

Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan.

Hemorrhagic pericardial effusion is life-threatening and mostly occurs during pericarditis; however, its underlying mechanism is unclear. We report a case of pericardial hematoma with obvious hemorrhage. A 56-year-old man without prior chest trauma presenting with exertional dyspnea and abdominal fullness was treated for idiopathic pericarditis. Read More

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http://dx.doi.org/10.1007/s11748-019-01124-4DOI Listing
April 2019
1 Read

An extremely severe case of Aicardi-Goutières syndrome 7 with a novel variant in IFIH1.

Eur J Med Genet 2019 Apr 6. Epub 2019 Apr 6.

Division of Neonatology, Center for Maternal-Fetal, Neonatal, and Reproductive Medicine, National Center for Child Health and Development, Tokyo, Japan.

We describe herein an extremely severe case of Aicardi-Goutières syndrome 7 (AGS7). The female patient was the daughter of nonconsanguineous parents and developed cardiomegaly, pericardial effusion, splenomegaly, and intracranial calcification during the fetal period. Because her cardiotocogram showed a non-reassuring fetal status, she was delivered at 29 weeks and 4 days of gestation by an emergency cesarean section. Read More

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http://dx.doi.org/10.1016/j.ejmg.2019.04.003DOI Listing
April 2019
1 Read

Massive Pericardial Effusion with Cardiac Tamponade.

Med Intensiva 2019 Apr 5. Epub 2019 Apr 5.

Department of Cardiology, National University Heart Centre Singapore, National University Health System, Singapore.

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http://dx.doi.org/10.1016/j.medin.2019.02.007DOI Listing
April 2019
6 Reads

Primary Mediastinal Large B-Cell Lymphoma in a Child Presenting With Superior Mediastinal Syndrome and Chylous Pleural and Pericardial Effusion.

J Pediatr Hematol Oncol 2019 Apr 3. Epub 2019 Apr 3.

Departments of Pediatric Oncology.

Primary mediastinal (thymic) large B-cell lymphoma is an aggressive B-cell lymphoma. It comprises <3% of all pediatric non-Hodgkin lymphomas (NHLs). Primary mediastinal (thymic) large B-cell lymphoma usually presents with serous pleural effusion, but presentation with chylous pleural and pericardial effusions is rare. Read More

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http://dx.doi.org/10.1097/MPH.0000000000001472DOI Listing
April 2019
4 Reads

Mysterious quad of constrictive pericarditis, recurrent pleural effusions, bone involvement and interstitial lung disease.

Oxf Med Case Reports 2019 Mar 29;2019(3):omz015. Epub 2019 Mar 29.

Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA.

Erdheim-Chester disease (ECD) is a rare multisystemic non-Langerhans cell histiocytic neoplasm. The rarity of the disease and heterogenous clinical presentations often leads to delayed diagnosis. Historically, ECD lacked effective treatment and the prognosis was poor. Read More

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https://academic.oup.com/omcr/article/doi/10.1093/omcr/omz01
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http://dx.doi.org/10.1093/omcr/omz015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440277PMC
March 2019
3 Reads

Pericardial diseases in patients with hypothyroidism.

Heart 2019 Apr 4. Epub 2019 Apr 4.

Center for the Diagnosis and Treatment of Pericardial Diseases, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Hypothyroidism is a well-known cause of pericardial effusion (with an incidence of 3%-37%) and can cause cardiac tamponade in severe cases. In this review, we present the current knowledge on the epidemiology of hypothyroid-induced pericardial diseases, the mechanism through which low thyroid hormone levels affect the pericardium, the associated clinical manifestations, diagnostic tests and management options. Hypothyroidism causes pericardial effusion through increased permeability of the epicardial vessels and decreased lymphatic drainage of albumin, resulting in accumulation of fluid in the pericardial space. Read More

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http://dx.doi.org/10.1136/heartjnl-2018-314528DOI Listing
April 2019
4 Reads

Successful use of anakinra for colchicine-intolerant, corticosteroid-dependent recurrent pericarditis secondary to postcardiac injury syndrome after pacemaker placement.

BMJ Case Rep 2019 Apr 4;12(4). Epub 2019 Apr 4.

Division of Rheumatology, Internal Medicine, Albany Medical Center, Albany, New York, USA.

A 54-year-old woman was referred to our centre for the third recurrence of colchicine-intolerant, corticosteroid dependent iatrogenic post-traumatic pericarditis after pacemaker placement 3 months prior to the first episode. The initial episode and each recurrence were associated with a pericardial effusion requiring drainage. Evaluation for pericardial infection, malignancy, autoimmune disease and pacemaker lead perforation was negative. Read More

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http://dx.doi.org/10.1136/bcr-2018-229117DOI Listing
April 2019
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Acute heart failure in rabbits by avocado leaf poisoning.

Toxicon 2019 Apr 1;164:16-19. Epub 2019 Apr 1.

Facultad de Ciencias Agrarias y Veterinarias-UCASAL, INTA EEA Salta, RN 68 Km 172, 4403, Cerrillos, Salta, Argentina; Grupo de Trabajo de Patología, Epidemiología e Investigación Diagnóstica, Área de Sanidad Animal-IIACS Salta/INTA, INTA EEA Salta, RN 68 Km 172, 4403, Cerrillos, Salta, Argentina. Electronic address:

The aim of this paper was to report an outbreak of avocado poisoning in rabbits in Salta, Argentina. Fourteen rabbits died of congestive heart failure within 30 h of ingesting fresh avocado leaves from pruned trees. They showed clinical signs of respiratory and cardiac distress. Read More

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http://dx.doi.org/10.1016/j.toxicon.2019.03.024DOI Listing
April 2019
3 Reads

Uninterrupted non-vitamin K antagonist oral anticoagulants during implantation of cardiac implantable electronic devices in patients with atrial fibrillation.

J Chin Med Assoc 2019 Apr;82(4):256-259

Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Background: For patients with atrial fibrillation (AF) receiving cardiac implantable electronic device (CIED) implantations, current consensus recommends uninterrupted non-vitamin K antagonist oral anticoagulant (NOAC) considering low incidence of bleeding or thrombo-embolic events. It remains unknown whether uninterrupted strategy outweighs discontinuation method for patients receiving NOAC.

Methods: From January 1, 2013 to June 1, 2017, we enrolled 100 patients (mean age 78. Read More

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http://dx.doi.org/10.1097/JCMA.0000000000000050DOI Listing
April 2019
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99mTc-SC lymphoscintigraphy and SPECT/CT findings in a case report of Gorham-Stout disease presenting with chylothorax and bone pain.

Medicine (Baltimore) 2019 Apr;98(14):e15023

Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College.

Rationale: Gorham-Stout disease (GSD) is a rare disorder characterized by multiple osteolytic lesions, sometimes complicated by chylothorax. The aim of this case report is to introduce a very rare case of Gorham-Stout syndrome, which involved several bones along with chylous pericardial and pleural effusions detected by Tc-sulfur colloid (SC) lymphoscintigraphy and single photon emission computed tomography/computed tomography (SPECT/CT).

Patient Concerns: A 15-year-old girl presented to our hospital complaining of shortness of breath and bone pain. Read More

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http://dx.doi.org/10.1097/MD.0000000000015023DOI Listing
April 2019
3 Reads

Focused ultrasound to diagnose HIV-associated tuberculosis (FASH) in the extremely resource-limited setting of South Sudan: a cross-sectional study.

BMJ Open 2019 Apr 2;9(4):e027179. Epub 2019 Apr 2.

Doctors With Africa CUAMM, Yirol, South Sudan.

Objective: Our cross-sectional study aimed at evaluating the diagnostic performance of Focused Assessment with Sonography for HIV-associated tuberculosis (FASH) to detect extrapulmonary tuberculosis in extremely resource-limited settings, with visceral leishmaniasis as a differential diagnosis with overlapping sonographic feature.

Design: Cross-sectional study.

Setting: Voluntary Counselling and Testing Centre (VCT) of Yirol Hospital, South Sudan. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-027179DOI Listing

Safety, efficacy, and cost of four-factor prothrombin complex concentrate (4F-PCC) in patients with factor Xa inhibitor-related bleeding: a retrospective study.

J Thromb Thrombolysis 2019 Apr 2. Epub 2019 Apr 2.

Medical University of South Carolina, 150 Ashley Avenue, Charleston, SC, 29425, USA.

Oral factor Xa (fXa) inhibitor-related bleeding is a concerning drug safety problem. There is considerable controversy surrounding available reversal strategies. The recently approved reversal agent andexanet alfa has limited data, an unclear safety profile, and imparts a substantial financial burden. Read More

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http://dx.doi.org/10.1007/s11239-019-01846-5DOI Listing
April 2019
3 Reads

Fetal Intra-pericardial Morgagni Hernia with effusion affecting one member of a twin gestation.

Echocardiography 2019 Apr 1. Epub 2019 Apr 1.

Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Congenital diaphragmatic hernia (CDH) is a rare type of developmental defect of the diaphragm, occurring in 1 per 2000 pregnancies. Morgagni hernia, in particular, which results from an anterior defect of the diaphragm, is the least common type of CDH (5%). Herniation of the liver into the pericardial space, presenting as a thoracic mass with pericardial effusion, is an extremely rare form of Morgagni hernia. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/echo.14329
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http://dx.doi.org/10.1111/echo.14329DOI Listing
April 2019
4 Reads

From the Gut to the Heart: Cardiac Tamponade due to Lymphatic Metastasis.

Eur J Case Rep Intern Med 2019 11;6(2):001033. Epub 2019 Feb 11.

Internal Medicine Department, Egas Moniz Hospital, Lisbon, Portugal.

Malignant pericardial effusion is common, being reported in 5-15% of all cancer patients. It most commonly arises from metastasis of lymphomas and of tumours of the lung, breast and, infrequently, the gastrointestinal tract. We describe the case of a 76-year-old woman who presented to the emergency room with cervical adenopathies and clinical signs of acute heart failure. Read More

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http://dx.doi.org/10.12890/2019_001033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432822PMC
February 2019
2 Reads

Diagnosis and surgical management of pericardial effusion due to paragonimiasis.

Int J Infect Dis 2019 Mar 28. Epub 2019 Mar 28.

Department of Cardiothoracic Surgery, Children's Hospital of Chongqing Medical University, Chongqing, China; Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China; China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing, China; Chongqing Key Laboratory of Pediatrics, Chongqing, China. Electronic address:

Objectives: The pericardial effusion (PE) caused by paragonimiasis is rarely reported. This study aims to present experience in the diagnosis and surgical management of PE due to paragonimiasis.

Methods: Medical records of 57 children who were diagnosed with PE due to paragonimiasis and underwent surgery at Children's Hospital of Chongqing Medical University between January 2012 and August 2018 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.ijid.2019.03.032DOI Listing
March 2019
3 Reads