2,943 results match your criteria Pericardiocentesis

Cardiac Tamponade, Sever Hypothyroidism and Acute Respiratory Distress Syndrome (ARDS) with COVID-19 Infection.

J Saudi Heart Assoc 2021 19;33(1):71-76. Epub 2021 Apr 19.

Adult Cardiology Department, Prince Sultan Cardiac Center, Riyadh, Kingdom of Saudi Arabia.

A 21-years-old with Down syndrome presented with respiratory distress. Initial investigations revealed a cardiac tamponade. On further evaluation, he had positive coronavirus disease-2019 (COVID-19), severe chest infection and severe hypothyroidism. Read More

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Idiopathic Purulent Pericarditis Caused by Methicillin-Sensitive Staphylococcus Aureus in an Immunocompetent Adult.

Cureus 2021 Mar 29;13(3):e14173. Epub 2021 Mar 29.

Cardiology, Allegheny Health Network, Pittsburgh, USA.

Introduction: Acute purulent pericarditis is an exceedingly rare entity most often caused by direct intrathoracic contamination or hematogenous spread of a bacterial infection. Mortality nears 100% when left untreated. We present here a rare case of idiopathic bacterial pericarditis caused by methicillin-sensitive (MSSA). Read More

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Left internal mammary artery injury and subsequent hypovolemic shock due to a hemothorax after subxiphoid pericardiocentesis in a postoperative cardiac surgery patient.

Clin Case Rep 2021 Apr 7;9(4):2360-2364. Epub 2021 Mar 7.

Department of cardiology Amsterdam University Medical Center University of Amsterdam Amsterdam The Netherlands.

Multimodality imaging is recommended in patients in shock after seemingly uneventful pericardiocentesis. The aim of this study was to heighten awareness that LIMA injury can lead to a life-threatening hemothorax in postoperative cardiac surgery patients. Read More

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Early pericardial effusion as complication of umbilical venous catheter insertion in extreme preterm baby: A case report.

Clin Case Rep 2021 Apr 18;9(4):2109-2112. Epub 2021 Feb 18.

Azerbaijan Medical University Nariman Narimanov Baku Azerbaijan.

Reminder essential clinical practice: Pericardial effusion is a rare fatal condition, however potentially reversible when grasped in time. It should always be thought out in neonate with a central line who develops unexplained cardiorespiratory failure. Read More

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Acute Cardiac Tamponade: A Case of Life-Threatening Coronavirus Disease 2019 Complication During Air Medical Transportation.

Air Med J 2021 May-Jun;40(3):179-181. Epub 2021 Jan 28.

Aerospace and Sub-Aquatic Medical Faculty, Aja University of Medical Sciences, Tehran, Iran. Electronic address:

A 42-year-old man with coronavirus disease 2019 pneumonia was admitted to a small town hospital that did not have intensive care unit (ICU)-level resources available. Twelve hours later, the patient suddenly became agitated, and an extensive anterolateral ST-elevation myocardial infarction was detected by 12-lead electrocardiography and supported by a rise in serum cardiac enzymes. Low blood oxygen saturation (59%) and cardiac ejection fraction (ejection fraction = 20%) reflected criticality that could potentially require a catheterization laboratory, coronary artery bypass graft surgery, and ICU-level resources. Read More

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January 2021

The transseptal puncture experience: Safety insights from FDA MAUDE database.

Catheter Cardiovasc Interv 2021 May 1. Epub 2021 May 1.

Division of Cardiology, Florida Atlantic University, Boca Raton, Florida, USA.

Background: There is a paucity of literature on safety and efficacy of various transseptal puncture (TSP) needles.

Objectives: To assess the reported mechanisms of failure, complications, and outcomes among the most frequently used transseptal needles in the United States.

Methods: We queried the Food and Drug Administration (FDA) Manufacturer and User Facility Device Experience (MAUDE) database between January 2011 and January 2021 for reports on the most commonly used transseptal needles: NRG (Baylis Medical, Montreal, Canada), and BRK (St. Read More

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Pericardial Access Through the Right Atrium in a Porcine Model.

Tex Heart Inst J 2021 Jan;48(1)

Center for Preclinical Surgical and Interventional Research, Texas Heart Institute, Houston, Texas.

As procedures such as epicardial ventricular ablation and left atrial appendage occlusion become more commonplace, the need grows for safer techniques to access the physiologic pericardial space. Because this space contains minimal fluid for lubrication, prevailing methods of pericardial access pose considerable periprocedural risk to cardiac structures. Therefore, we devised a novel method of pericardial access in which carbon dioxide (CO2) is insufflated through a right atrial puncture under fluoroscopic guidance, enabling clear visualization of the cardiac silhouette separating from the chest wall. Read More

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January 2021

Immune checkpoint inhibitors-associated pericardial disease: a systematic review of case reports.

Cancer Immunol Immunother 2021 Apr 20. Epub 2021 Apr 20.

Oncologia Medica, IRCCS Ospedale Sacro Cuore Don Calabria, Via don A. Sempreboni 5, 37024, Negrar di Valpolicella, Verona, Italy.

Treatment with immune checkpoint inhibitors (ICIs) can be complicated by cardiovascular toxicity, including pericardial disease. To date, no prospective studies specifically investigated the optimal treatment of ICI-associated pericardial disease, and the available evidence is based on case reports and series only. We performed a systematic review of case reports and series including 20 publications for a total of 28 cases of ICI-associated pericardial disease. Read More

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Idarucizumab for dabigatran reversal in cardiac tamponade complicating percutaneous intervention in ST elevation myocardial infarction.

Postepy Kardiol Interwencyjnej 2021 Mar 27;17(1):129-130. Epub 2021 Mar 27.

3 Department of Cardiology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Silesian Center for Heart Disease in Zabrze, Poland.

An 83-year-old man with a history of permanent atrial fibrillation (AF) anticoagulated by dabigatran 150 b.i.d. Read More

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Lung Adenocarcinoma Presenting as Malignant Pericardial Effusion/Tamponade.

Cureus 2021 Mar 8;13(3):e13762. Epub 2021 Mar 8.

Internal Medicine, Chicago Medical School Internal Medicine Residency Program at Northwestern McHenry Hospital, McHenry, USA.

Lung cancers are the most common primary tumors that involve the pericardium with a prevalence of up to 50%. Usually, pericardial involvement goes undetected with almost 10%-12% found among all cancer related autopsies. Rarely pericardial effusions can be the initial site of metastasis and initial manifestation of a primary tumor. Read More

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Pericardiocentesis induced right ventricular changes in patients with and without pulmonary hypertension.

Echocardiography 2021 Apr 9. Epub 2021 Apr 9.

MedStar Heart and Vascular Institute, MedStar Washington Hospital Center, Washington, DC, USA.

Background: Pericardial effusion drainage in patients with significant pulmonary hypertension (PH) has been questioned because of hemodynamic collapse concern, mainly because of right ventricular (RV) function challenging assessment. We aimed to assess RV function changes related to pericardiocentesis in patients with and without PH.

Methods: Consecutive patients with symptomatic moderate-to-large pericardial effusion who had either echocardiographic or clinical signs of cardiac tamponade and who underwent pericardiocentesis from 2013 to 2018 were included. Read More

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Shock and Diffuse ST-elevation in a Patient with Coronavirus Disease-2019 Disease.

J Cardiovasc Echogr 2020 Oct-Dec;30(4):223-226. Epub 2021 Jan 20.

Department of Medicine, Vascular and Emergency Medicine - Stroke Unit, University of Perugia, Perugia, Italy.

The infection by the novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is associated with significant cardiovascular morbidity and mortality. Cardiac events require prompt diagnosis and management, also in the SARS-CoV-2 era. A 58-year-old male, heavy smoker and with known SARS-CoV-2 infection, abruptly developed severe hypotension and asthenia. Read More

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January 2021

Thirteen dogs and a cat with ultrasonographically detected gallbladder wall edema associated with cardiac disease.

J Vet Intern Med 2021 Apr 7. Epub 2021 Apr 7.

Oncura Partners Diagnostics, Fort Worth, Texas, USA.

Background: Ultrasonographically detected gallbladder wall edema (GBWE) is a marker for anaphylaxis in dogs. Cardiac disease can cause GBWE with similar signs and should be included as a differential diagnosis to prevent interpretation errors.

Hypothesis/objectives: Document GBWE associated with cardiac disease. Read More

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Development and validation of a novel prediction score for cardiac tamponade in emergency department patients with pericardial effusion.

Eur Heart J Acute Cardiovasc Care 2020 Nov 7. Epub 2020 Nov 7.

Department of Medicine, Cardiovascular Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

Aims: Determining which patients with pericardial effusion require urgent intervention can be challenging. We sought to develop a novel, simple risk prediction score for patients with pericardial effusion.

Methods And Results: Adult patients admitted through the emergency department (ED) with pericardial effusion were retrospectively evaluated. Read More

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November 2020

Eosinophilic pericardial effusion in a cat with complex systemic disease and associated peripheral eosinophilia.

J Vet Cardiol 2021 Mar 17;35:55-62. Epub 2021 Mar 17.

Cardiopulmonary and Internal Medicine Service, Hospital for Small Animals, Royal (Dick) School of Veterinary Studies & The Roslin Institute, The University of Edinburgh, Roslin, Midlothian, EH25 9RG, UK.

An 11-year-old domestic shorthair cat was referred for investigation of dry cough of 1-week duration and cardiomegaly. Echocardiography revealed pericardial effusion, and eosinophils were identified as the predominant cell type in fluid collected by pericardiocentesis. Thoracic computed tomography imaging and bronchoscopy were supportive of mild lower airway disease, while bronchoalveolar lavage confirmed eosinophilic inflammation and concurrent Mycoplasma felis infection. Read More

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Successful Re-administration of Atezolizumab for a Non-small-cell Lung Cancer Patient after Cardiac Tamponade Development as a Manifestation of Pseudo-progression Induced by Combination Treatment with Atezolizumab and Cytotoxic Chemotherapy.

Intern Med 2021 Apr 5. Epub 2021 Apr 5.

Third department of Internal medicine, Faculty of Medical Sciences, University of Fukui, Japan.

Pseudo-progression is a phenomenon induced by treatment with immune checkpoint inhibitors and is characterized by an increase in tumor size or the appearance of new lesions, followed by tumor regression. However, life-threatening conditions, such as cardiac tamponade, can develop in such patients. We herein report on a 69-year-old man with lung adenocarcinoma who developed cardiac tamponade as a manifestation of pseudo-progression induced by treatment with atezolizumab combined with cytotoxic chemotherapy. Read More

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Delayed PET/CT of Pericardial Synovial Sarcoma.

Clin Nucl Med 2021 Mar 16. Epub 2021 Mar 16.

From the Departments of Radiology and Diagnostic Imaging Radiology and Diagnostic Imaging, Nuclear Medicine Unit Oncology Department, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy.

Abstract: Pericardial synovial sarcoma is a rare malignancy. We report the case of a patient who was referred to our institution for a large pericardial effusion requiring pericardiocentesis. CT imaging revealed an inhomogeneous pericardial mass beside the right atrium, and then a PET/CT scan was performed. Read More

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Transvenous lead extraction in 1000 patients guided by intraprocedural risk stratification without surgical backup.

Ziad F Issa

Heart Rhythm 2021 Mar 27. Epub 2021 Mar 27.

Division of Cardiac Electrophysiology, Prairie Heart Institute, Springfield, Illinois. Electronic address:

Background: Transvenous lead extraction (TLE) carries a significant risk of morbidity and mortality. Reliable preprocedural risk predictors to guide resource allocation and optimize procedural safety are lacking.

Objective: The aim of this study was to evaluate an intraprocedural approach to risk stratification during elective TLE procedures. Read More

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A Possible Drug-Drug Interaction Between Eliquis and Amiodarone Resulting in Hemopericardium.

Cureus 2021 Feb 22;13(2):e13486. Epub 2021 Feb 22.

Internal Medicine, Creighton University School of Medicine, Phoenix, USA.

According to the ARISTOTLE trial, apixaban was superior to warfarin because it was associated with fewer strokes, systemic embolism, and bleeding. Hemopericardium was one of the major bleeding events reported in this trial. However, the percentage of patients that developed hemopericardium was not stated in the trial results. Read More

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February 2021

A Significant Pericardial Effusion Leading to Bronchial Compression: A Case Report.

J Investig Med High Impact Case Rep 2021 Jan-Dec;9:23247096211005064

SUNY Upstate Medical University, Syracuse, NY, USA.

Commonly, pericardial effusions can cause suboptimal heart contractility. Larger pericardial effusions can lead to compression of structures that surround in the heart in the mediastinum. Our patient presented with dyspnea that required mechanical ventilation. Read More

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Pericardial metastasis of parotid mucoepidermoid carcinoma diagnosed by pericardial biopsy.

Auris Nasus Larynx 2021 Mar 6. Epub 2021 Mar 6.

Department of Otorhinolaryngology, Head and Neck Surgery, Tokyo Medical University, 6-7-1, Shinjuku-ku, Tokyo, Nishishinjuku 160-0023, Japan.

A 30-year-old man presented with swelling in the lower left ear. Close examination led to a diagnosis of parotid gland cancer, T4N0M0 Stage IVA, so total resection of the left parotid gland and left neck dissection were performed. Pathological examination led to a diagnosis of high-grade malignant-type mucoepidermoid, and chemoradiotherapy was performed as postoperative treatment. Read More

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Minimally invasive closure of transthoracic ventricular septal defect: postoperative complications and risk factors.

J Cardiothorac Surg 2021 Mar 19;16(1):30. Epub 2021 Mar 19.

Department of Cardiothoracic Surgery, Children's Hospital of Chongqing Medical University, Chongqing, 400014, No.136, Zhongshan 2nd Road, Yuzhong Dis, P.R. China.

Objectives: To summarize and analyze the clinical characteristics of postoperative complications after minimally invasive closure of transthoracic ventricular septal defect, and to explore the risk factors for its occurrence.

Methods: Retrospectively analyzed the clinical data of 209 patients underwent transthoracic ventricular septal defect closure performed in the Department of Cardiothoracic Surgery, Children's Hospital of Chongqing Medical University from January 2018 to January 2020, obtained relevant clinical data from the electronic medical record system and summarized their postoperative complications. And used univariate logistics regression and multivariate logistics regression to analyze the risk factors of its occurrence. Read More

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Successful surgical treatment of a 1160 g neonate with cardiac teratoma and severe foetal hydrops: a case report.

Eur Heart J Case Rep 2021 Feb 4;5(2):ytaa527. Epub 2021 Jan 4.

Department of Surgery, Division of Cardiac Surgery, Medical University of Vienna, Austria.

Background: Prenatally diagnosed pericardial teratoma present a rare finding with an unfavourable prognosis due to frequently associated Foetal hydrops and limited treatment options. We report a successful surgical resection of a prenatally diagnosed cardiac teratoma in a 1160 g neonate with severe Foetal hydrops and cardiac deterioration.

Case Summary: The patient was transferred in utero to our institution due to prior diagnosed pericardial mass and severe foetal hydrops, which necessitated caesarean section one day after arrival at a gestational age of 28 + 0 weeks. Read More

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February 2021

Left ventricular tamponade- pathophysiology determines the therapeutic approach: a case series.

Eur Heart J Case Rep 2021 Feb 11;5(2):ytaa502. Epub 2020 Dec 11.

Department of Cardiology, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India.

Background: Left ventricular (LV) tamponade is rare. LV tamponade can occur in cases of a loculated pericardial effusion overlying the LV and in cases of circumferential pericardial effusions in patients with severe pulmonary arterial hypertension (PAH). Both causes of LV tamponade share the common feature of not presenting with the classical features of cardiac tamponade. Read More

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February 2021

Timed Controlled Repeated Rotation of the CAR-170-C NXSTAGE Chronic Cartridge Hemodialysis Filter: A Novel Approach to Enabling Heparin-Free Frequent Daily Home Hemodialysis.

Mayo Clin Proc Innov Qual Outcomes 2021 Feb 6;5(1):219-224. Epub 2020 Nov 6.

Home Dialysis Unit, University of Vermont Medical Center, Burlington, VT.

Heparin-free hemodialysis is often warranted in postoperative states, bleeding diathesis, and critically ill patients. Conventionally, this is achieved through normal saline flushes or regional citrate anticoagulation. An 87-year-old white man with end-stage renal disease and atrial fibrillation, who was taking warfarin and using maintenance home hemodialysis (HHD) with an NxStage machine, underwent laparoscopic appendicectomy. Read More

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February 2021

Investigating the Usefulness of European Society of Cardiology Guidelines for Hospitalization in Acute Pericarditis at a Single Tertiary Center.

Cureus 2021 Feb 7;13(2):e13189. Epub 2021 Feb 7.

Cardiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, PRT.

Background The European Society of Cardiology (ESC) guidelines for the diagnosis and management of pericardial diseases identify predictive factors of poor prognosis and advise either in favor or against hospitalization accordingly. We aim to evaluate the adequacy of hospitalization criteria in a cohort of patients presenting to the emergency department (ED) with acute pericarditis. Methods Retrospective analysis of patients admitted to ED with acute pericarditis, from 2009 to 2019. Read More

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February 2021

Cardiac tamponade secondary to leptospirosis. A rare association: A case report.

J Cardiol Cases 2021 Mar 29;23(3):140-143. Epub 2020 Nov 29.

Cardiology Department, University Hospital of Badajoz, Badajoz, Spain.

Herein is described the case of a 39-year-old female agronomist who was admitted to hospital after a syncopal episode. She had had fever, abdominal pain, nausea, and vomiting for the previous month. The patient showed signs of hypoperfusion, so a trans-thoracic echocardiography was done, demonstrating the presence of a cardiac tamponade. Read More

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Activated Prothrombin Complex Concentrate for coagulopathy reversal secondary to ischemic hepatic injury due to cardiac tamponade: A case report.

Int J Surg Case Rep 2021 Apr 5;81:105719. Epub 2021 Mar 5.

Critical Care Department, Al-Wakra Hospital, Hamad Medical Corporation, Doha, Qatar.

Introduction And Importance: Correction of coagulopathy is needed before invasive procedures. However, there is limited evidence to support using Prothrombin Complex Concentrate (PCC) to reverse coagulopathy secondary to liver disease.

Case Presentation: We report a case of a 68-year-old male patient a known case of heart failure with preserved ejection fraction, who developed cardiac tamponade, resulting in hemodynamic instability and ischemic liver injury leading to coagulopathy of INR 2. Read More

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Left atrial appendage closure device complicated by late-onset pericardial effusion and tamponade: a case report.

Eur Heart J Case Rep 2021 Mar 28;5(3):ytab058. Epub 2021 Feb 28.

Division of Cardiology, Umberto Parini Regional Hospital, Viale Ginevra, 3, 11100 Aosta, Italy.

Background: Late-onset complications of left atrial appendage occlusion (LAAO) device procedure are anecdotal and there are no such complications reported in literature using Cardia Ultraseal (Cardia, Inc., Eagan, MN, USA).

Case Summary: We report the case of a 74-year-old Caucasian man affected by paroxysmal atrial fibrillation with significant bleeding risk (familiar thrombocytopenia, macroscopic haematuria episodes during therapy with direct oral anticoagulants, HAS-BLED risk score: 4) and ischaemic risk as well (CHADSVASC score: 3). Read More

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Delayed presentation of pericardial tamponade following blunt chest trauma.

BMJ Case Rep 2021 Mar 10;14(3). Epub 2021 Mar 10.

Department of Cardiology, University of Florida College of Medicine, Gainesville, Florida, USA.

We present a case of delayed-onset pericardial tamponade nine weeks after a blunt chest trauma. The patient is a 77-year-old man who presented with shortness of breath nine weeks after fracturing his sternum in a head-on motor vehicle collision. CT and echocardiography revealed a massive pericardial effusion prompting pericardiocentesis. Read More

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