2,730 results match your criteria Pericardiocentesis


Isolated Chylopericardium: An Unusual Cause of Late Cardiac Tamponade After Mitral Valve Repair.

Ann Thorac Surg 2020 May 23. Epub 2020 May 23.

Department of Cardiothoracic Surgery, National Heart Centre Singapore, SINGAPORE.

Isolated chylopericardium after cardiac surgery is extremely rare, but potentially fatal. We present an unusual case of late postoperative chylopericardium causing cardiac tamponade 6 weeks after mitral valve repair, tricuspid annuloplasty and left atrial appendage closure via median sternotomy. Emergent pericardiocentesis was performed. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2020.04.030DOI Listing

A case report of pyopneumopericardium following bungee jumping in a patient with tuberculosis.

Medicine (Baltimore) 2020 May;99(20):e19894

Department of Infectious Diseases, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou.

Rationale: Pyopneumopericardium related to bungee jumping is a rare occurrence in the current antibiotic era. We present a case of esophagus-seeded Streptococcus sanguinis pyopneumopericardium in a young man with tuberculosis who had just completed bungee jumping.

Patient Concern: A 27-year-old man was hospitalized with a 1-day history of fever, chest tightness, and intermittent sharp chest pain after bungee jumping for the first time. Read More

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http://dx.doi.org/10.1097/MD.0000000000019894DOI Listing

Exposure and Confidence With Critical Nonairway Procedures: A Global Survey of Pediatric Emergency Medicine Physicians.

Pediatr Emerg Care 2020 May 19. Epub 2020 May 19.

Paediatric Research in Emergency Departments International Collaborative.

Background: Children rarely experience critical illness, resulting in low exposure of emergency physicians (EPs) to critical procedures. Our primary objective was to describe senior EP confidence, most recent performance, and/or supervision of critical nonairway procedures. Secondary objectives were to compare responses between those who work exclusively in PEM and those who do not and to determine whether confidence changed for selected procedures according to increasing patient age. Read More

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http://dx.doi.org/10.1097/PEC.0000000000002092DOI Listing

Tuberculous pericardial disease: a focused update on diagnosis, therapy and prevention of complications.

Cardiovasc Diagn Ther 2020 Apr;10(2):289-295

Division of Cardiology, Department of Medicine, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa.

Tuberculous pericarditis (TBP) is the most important manifestation of tuberculous heart disease and is still associated with a significant morbidity and mortality in TB endemic areas. The high prevalence of the disorder over the last 3 decades has been fueled by the human immunodeficiency virus/AIDS (HIV/AIDS) pandemic in these areas. The objective of this review is to provide a focused update on developments in the diagnosis and therapy of this condition, prevention of its complications, as well as future novel therapies. Read More

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http://dx.doi.org/10.21037/cdt.2019.09.20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225424PMC

Surviving Case of a Blowout-Type Left Ventricular Free Wall Rupture During Percutaneous Coronary Intervention for a Lateral Acute Myocardial Infarction.

Int Heart J 2020 May 15. Epub 2020 May 15.

Division of Cardiology, Department of Medicine, Nihon University School of Medicine.

A 76-year-old man suffering from chest pain was admitted to our hospital with a suspected acute myocardial infarction (AMI). Emergent coronary angiography revealed a totally occluded proximal left circumflex artery (LCX). During primary percutaneous coronary intervention, his blood pressure suddenly fell within seconds, and he developed pulseless electrical activity (PEA). Read More

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http://dx.doi.org/10.1536/ihj.19-495DOI Listing

Patient-reported outcomes after cryoballoon ablation are equivalent between moderate sedation and general anesthesia.

J Cardiovasc Electrophysiol 2020 May 12. Epub 2020 May 12.

Division of Cardiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Introduction: Moderate sedation (MS) during cryoballoon ablation (CBA) avoids risks of general anesthesia (GA) and improves electrophysiology (EP) lab throughput. However, one barrier to the use of MS is the potential for patient discomfort. The objective of this study was to compare patient-reported outcome measures following CBA for paroxysmal atrial fibrillation (pAF) under MS and GA. Read More

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http://dx.doi.org/10.1111/jce.14547DOI Listing

Graft-versus-host disease: a case report of a rare but reversible cause of constrictive pericarditis.

Eur Heart J Case Rep 2020 Apr 4;4(2):1-5. Epub 2020 Mar 4.

Barts Heart Centre, Barts Health NHS Trust, West Smithfield, London EC1A 7BE, UK.

Background : Constrictive pericarditis (CP), although an uncommon cause of heart failure, requires specialist multidisciplinary input and multi-modality imaging to identify the underlying aetiology and treat potentially reversible causes.

Case Summary : We report the case of a 74-year-old gentleman referred for assessment of progressive exertional dyspnoea and peripheral oedema, 30 months following treatment of acute myeloid leukaemia with high-dose chemotherapy and allogeneic stem cell transplantation. Clinical examination and cardiac imaging revealed a small pericardial effusion and pericardial thickening with constrictive physiology; however, no aetiology was identified despite diagnostic pericardiocentesis. Read More

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http://dx.doi.org/10.1093/ehjcr/ytaa009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180538PMC

Long-Term Outcome of Pericardial Drainage in Cases of Chronic, Large, Hemodynamically Insignificant, C-Reactive Protein Negative, Idiopathic Pericardial Effusions.

Am J Cardiol 2020 Apr 8. Epub 2020 Apr 8.

1(st) Cardiology Clinic, National and Kapodistrian University of Athens, School of Medicine, Hippokration General Hospital, Athens, Greece.

Pericardial effusion (PE) prognosis depends on the underlying etiology. We sought to assess the outcome of patients with chronic (>3 months), large (diastolic echo-free space >2 cm), idiopathic (without apparent etiology), C-reactive protein (CRP) negative PE, a topic where data are lacking. A total of n = 74 patients were enrolled in this study. Read More

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http://dx.doi.org/10.1016/j.amjcard.2020.03.035DOI Listing

Cardiac Tamponade Secondary to COVID-19.

JACC Case Rep 2020 Apr 23. Epub 2020 Apr 23.

Heart and Vascular Institute, Henry Ford Hospital, Detroit, Michigan.

A 67-year-old female presented with upper respiratory symptoms and was diagnosed with COVID-19. She was found to have a large hemorrhagic pericardial effusion with echocardiographic signs of tamponade and mild left ventricular impairment. Clinical course was complicated by development of Takotsubo cardiomyopathy. Read More

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http://dx.doi.org/10.1016/j.jaccas.2020.04.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177077PMC

Cardiac Tamponade after Thrombolysis for Acute Ischemic Stroke A Case with an Excellent Outcome.

Eur J Case Rep Intern Med 2020 13;7(4):001534. Epub 2020 Mar 13.

Emergency Department, Intermediate Care Unit, District Hospital of Santarém, Santarém, Portugal.

Intravenous thrombolysis with recombinant tissue plasminogen activator (rtPA) is the established treatment for acute ischemic stroke and has been highly effective in reducing the neurological deficit. Serious adverse events are not uncommon, with hemorrhage being the major complication. We describe the case of a patient with acute ischemic stroke that also presented with vague cardiac symptoms and was treated with rtPA, which was complicated by a hemopericardium causing cardiac tamponade. Read More

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http://dx.doi.org/10.12890/2020_001534DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162566PMC

Pericardial Effusion as an Initial Presentation of Panhypopituitarism.

Eur J Case Rep Intern Med 2020 24;7(4):001478. Epub 2020 Feb 24.

Department of Internal Medicine, Hospital Garcia de Orta, Almada, Portugal.

Pericardial effusion has a broad spectrum of clinical presentation, ranging from an incidental finding on imaging to a potentially fatal emergency such as pericardial tamponade, the most severe presentation. The authors present a case of a middle-aged male hospitalized due to shortness of breath. Initial work-up was positive for massive pericardial effusion with haemodynamic compromise. Read More

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http://dx.doi.org/10.12890/2020_001478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162561PMC
February 2020

Cardiac tamponade complicating thoracentesis in a patient after left pneumonectomy: A case report.

Medicine (Baltimore) 2020 Apr;99(15):e19778

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Rationale: Therapeutic or diagnostic thoracentesis is widely used in different clinical settings. Cardiac injury, a rare complication, could lead to fatal consequences. We describe a case of cardiac tamponade complicating thoracentesis that was recognized and rescued in a timely manner. Read More

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http://dx.doi.org/10.1097/MD.0000000000019778DOI Listing

A case of co-infection: First reported case of severe plasmodium knowlesi malaria and dengue co-infection in Sabah, Malaysia.

Med J Malaysia 2020 03;75(2):171-172

Queen Elizabeth Hospital, Department of Medicine, Infectious Disease Unit, Kota Kinabalu, Sabah, Malaysia.

We report a rare case of severe Plasmodium knowlesi malaria and dengue co-infection in a 36-year-old lady with hyperparasitaemia, metabolic acidosis, haemolysis and acute kidney injury. She was in shock requiring inotropic support and elective intubation. She had pericardial tamponade which necessitate pericardiocentesis to allow for haemodynamic stability during haemodialysis. Read More

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Direct autotransfusion following emergency pericardiocentesis in patients undergoing cardiac electrophysiology procedures.

J Cardiovasc Electrophysiol 2020 Apr 3. Epub 2020 Apr 3.

Electrophysiology, New York University Langone Medical Center, New York, New York.

Introduction: Acute hemopericardium during cardiac electrophysiology (EP) procedures may result in significant blood loss and is the most common cause of procedure-related death. Matched allogeneic blood is often not immediately available. The feasibility and safety of direct autotransfusion in cardiac electrophysiology patients requiring emergency pericardiocentesis is unknown. Read More

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http://dx.doi.org/10.1111/jce.14462DOI Listing

Minimal Cardiac Perforation by Lead Pacemaker Complicated with Pericardial Effusion and Impending Tamponade: Optimal Management with No Pericardiocentesis Driven by Echocardiography.

Diagnostics (Basel) 2020 Mar 30;10(4). Epub 2020 Mar 30.

Institute of Cardiovascular Disease, Department of Emergency and Organ Transplantations, University of Bari "Aldo Moro", 70121 Bari, Italy.

We report the case of a 51-year-old patient who underwent the implantation of a bi-ventricular implantable cardioverter defibrillator (ICD) complicated by a sub-acute right ventricular minimal perforation with pericardial effusion and echocardiographic signs of tamponade. A new echocardiographic plane orientation allowed us to diagnose this condition in emergency and to make the right decision without delay, which consisting in unscrewing the active fixation screw under fluoroscopy guidance, while the pericardiocentesis was postponed. Thanks to the intervention focused on eliminating the cause of the postcardiac injury syndrome, the patient recovered rapidly and ultimately avoided the pericardiocentesis procedure. Read More

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http://dx.doi.org/10.3390/diagnostics10040191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7235835PMC

[Clinical outcomes of opening coronary chronic total occlusion lesions with the assistance of BridgePoint devices].

Zhonghua Xin Xue Guan Bing Za Zhi 2020 Mar;48(3):236-243

Department of Cardiology, Xijing Hospital Affiliated to Air Force Military Medical University, Xi'an 710032, China.

To investigate the safety, efficacy and prognosis of antegrade dissection re-entry (ADR) with the assistance of BridgePoint devices in opening coronary chronic total occlusion (CTO). A total of 87 consecutive patients, who underwent percutaneous coronary intervention using BridgePoint devices from April 2016 to December 2018 in Xijing Hospital, were included in this study. General information of the selected patients, features of CTO lesions and intraoperative parameters were recorded. Read More

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http://dx.doi.org/10.3760/cma.j.cn112148-20190702-00372DOI Listing

Cardiac Tamponade: An Unusual Cause of a Severe Headache with Normal Blood Pressure.

Cureus 2020 Feb 15;12(2):e7004. Epub 2020 Feb 15.

Radiology, Hamad General Hospital, Doha, QAT.

Cardiac tamponade is a life-threatening condition characterized by slow or rapid compression of the heart due to the accumulation of fluid in the pericardial space and rarely presents mainly as a headache. We report an unusual presentation of cardiac tamponade associated mainly with severe headache over three days and mild shortness of breath in a 60-year-old male not known to have any previous heart disease. Immediate computed tomography (CT) scan of the head ruled out intracranial hemorrhage. Read More

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http://dx.doi.org/10.7759/cureus.7004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077064PMC
February 2020

Cardiac Tamponade Due to Inferior Vena Cava Filter Removal: A Case Report and Review of Literature.

Cureus 2020 Feb 14;12(2):e6996. Epub 2020 Feb 14.

Internal Medicine, Fauji Foundation Hospital, Rawalpindi, PAK.

Cardiac tamponade is a condition characterized by the accumulation of pericardial fluid, compromising the hemodynamics of the circulation. It has several known causes, including traumatic injury to the pericardium, idiopathic, neoplastic or purulent pericarditis, and, rarely, iatrogenic etiology. Inferior vena cava (IVC) filter removal can lead to multiple complications including but not limited to IVC perforation, air embolism, pneumothorax or filter migration. Read More

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http://dx.doi.org/10.7759/cureus.6996DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079764PMC
February 2020

Two Intriguing Cases of Stanford Type A Acute Aortic Dissection.

Cureus 2020 Feb 13;12(2):e6986. Epub 2020 Feb 13.

Cardiology, Cleveland Clinic Fairview Hospital, Cleveland, USA.

Stanford type A acute aortic dissection (AAD) is a life-threatening illness that presents with chest pain and hemodynamic instability. Prompt and accurate evaluation and management are critical for survival as it is a cardiac surgical emergency. We aim to highlight the physicians about this potentially fatal condition, by reporting two cases of Stanford type A AAD, with atypical presentations that were initially misdiagnosed. Read More

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http://dx.doi.org/10.7759/cureus.6986DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7075513PMC
February 2020

Liver stiffness increases in patients with severe pericardial effusion, especially in the presence of cardiac tamponade.

Med Ultrason 2020 May 16;22(2):133-138. Epub 2020 Feb 16.

Department of Cardiology, University of Health Sciences - Adana Health Practice and Research Center, Adana, Turkey.

Aims: Liver stiffness (LS) is associated with central venous pressure and pericardial effusion (PE) may be associated with these increased pressures. The aim of this study was to investigate the change in LS obtained by liver elastography (LE) in patients with severe PE and its usefulness for the diagnosis of cardiac tamponade.

Materials And Methods: Forty-patients with severe-PE were included in this study. Read More

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http://dx.doi.org/10.11152/mu-2295DOI Listing

"I Tripped and Broke My Heart": A Case Report of Right Atrial Rupture.

CJC Open 2020 Mar 5;2(2):74-76. Epub 2020 Feb 5.

Section of Cardiology, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.

A 66-year-old woman tripped and fell onto outstretched hands. She did not hit her chest. She developed chest pain and presented to the emergency department in shock. Read More

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http://dx.doi.org/10.1016/j.cjco.2020.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7067688PMC

Pericardial tamponade during pembrolizumab treatment in a patient with advanced lung adenocarcinoma: A case report and review of the literature.

Thorac Cancer 2020 May 17;11(5):1350-1353. Epub 2020 Mar 17.

Department of Internal Medicine, Kushiro Rosai Hospital, Kushiro, Japan.

Several studies have demonstrated increased pericardial effusion during anti-PD-1 immunotherapy, and treatment in patients who have developed pericardial tamponade is controversial. In this study, we describe a 63-year-old woman with stage IVA lung adenocarcinoma given pembrolizumab as a first-line therapy. After four cycles of pembrolizumab treatment, the patient suddenly developed a pericardial tamponade. Read More

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http://dx.doi.org/10.1111/1759-7714.13399DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180565PMC

Effects of Systemic Steroid Administration on Recurrence of Pericardial Effusion in Pediatric Patients After Hematopoietic Stem Cell Transplantation.

J Pediatr Hematol Oncol 2020 May;42(4):256-260

Masonic Children's Hospital, University of Minnesota, Minneapolis, MN.

Although rare in the general pediatric population, the incidence of pericardial effusion is significantly higher in pediatric patients undergoing hematopoietic stem cell transplant (HCT) with a reported incidence of up to 16.9%. The development of pericardial effusion in this setting is associated with higher mortality. Read More

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http://dx.doi.org/10.1097/MPH.0000000000001775DOI Listing

Multimodality Imaging of Purulent Pericarditis: Hints to Speed up Diagnosis and Promote Healing.

J Invasive Cardiol 2020 Mar;32(3):E79-E80

Cardiovascular Department ASL Romagna via Forlanini 34, 47121 Forlì, Italy.

Purulent pericarditis is rare and usually associated with pneumonia, bacteremia, immunosuppression, and thoracic surgery. A timely diagnostic pericardiocentesis with dedicated maneuvers to improve the effectiveness of drainage and pericardial fibrinolytic rinsing can improve prognosis and prevent a surgical pericardiectomy. Imaging offers useful clues for a more aggressive approach. Read More

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Idiopathic chylopericardium. A case report from Saudi Arabia.

Authors:
Abeer M Kawthar

Saudi Med J 2020 Mar;41(3):304-308

Department of Medicine, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia. E-mail.

Chylopericardium is a rare clinical condition in which chyle leaks into the pericardial space owing to lymphatic system derangement. It can be idiopathic or occur secondarily to another clinical condition. Optimal management is accomplished through surgical intervention to impede leaks and drain fluid. Read More

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http://dx.doi.org/10.15537/smj.2020.3.24960DOI Listing

Idiopathic Purulent Pericarditis: A Rare Diagnosis.

Am J Case Rep 2020 Feb 28;21:e921633. Epub 2020 Feb 28.

Department of Electrophysiology, MedStar Heart and Vascular Institute at MedStar Union Memorial Hospital, Baltimore, MD, USA.

BACKGROUND Acute bacterial pericarditis is rare, and the incidence numbers have been declining in the modern antibiotic era. Purulent bacterial pericarditis is a fatal disease in which mortality rates can reach 100% if left untreated. CASE REPORT We present a case of primary purulent bacterial pericarditis with polymicrobial growth including Micromonas micro, Prevotella intermedia and Fusobacterium species, all of which are anaerobic flora of the oral cavity. Read More

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http://dx.doi.org/10.12659/AJCR.921633DOI Listing
February 2020

Left Internal Mammary Artery Transection: A Rare Complication of Pericardiocentesis.

Cureus 2020 Jan 16;12(1):e6677. Epub 2020 Jan 16.

Cardiovascular Medicine, Cleveland Clinic, Cleveland, USA.

Pericardiocentesis is a procedure performed to aspirate fluid from the pericardial space. It is most often performed as an acute therapeutic procedure in cases of massive pericardial effusion or pericardial tamponade. Our case describes an unusual complication of pericardiocentesis leading to hemorrhagic pericardial effusion and hemodynamic compromise. Read More

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http://dx.doi.org/10.7759/cureus.6677DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026879PMC
January 2020

Prenatal Diagnosis and Management of a Rare Central Tendon Defect Type of Congenital Diaphragmatic Hernia with a Massive Pericardial Effusion.

Case Rep Obstet Gynecol 2020 22;2020:6798253. Epub 2020 Jan 22.

Division of Neonatal Medicine, Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

The central tendon defect type of congenital diaphragmatic hernia (CDH) is extremely rare and usually associated with a significant pericardial effusion. Prenatal diagnostic ultrasound features of this quite rare entity remain often overlooked or misdiagnosed. There is a dearth of literature about the role of prenatal intervention, often through an elective pericardiocentesis, for the prevention of lung hypoplasia and to decrease the overall neonatal morbidity and mortality. Read More

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http://dx.doi.org/10.1155/2020/6798253DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996704PMC
January 2020

Pericardial Tamponade After Systemic Alteplase in Stroke and Emergent Reversal With Tranexamic Acid.

Clin Pract Cases Emerg Med 2020 Feb 17;4(1):55-58. Epub 2019 Dec 17.

Emory University Hospital, Department of Emergency Medicine, Atlanta, Georgia.

Alteplase, or tissue plasminogen activator (tPA), lyses clots by enhancing activation of plasminogen to plasmin. Conversely, tranexamic acid (TXA) functions by inhibiting the conversion of plasminogen to plasmin, which inhibits fibrinolysis. TXA has proven safe and effective in major bleeding with various etiologies. Read More

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http://dx.doi.org/10.5811/cpcem.2019.10.44369DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012568PMC
February 2020

A rare late complication of traumatic diaphragmatic hernia repair.

Anaesth Rep 2019 Jan-Jun;7(1):26-28. Epub 2019 Apr 11.

Department of Anaesthesia and Intensive Care Medicine Torbay Hospital Torquay UK.

We report a case of sudden cardiovascular collapse several weeks following surgical repair of a traumatic diaphragmatic hernia. The patient presented with features of circulatory shock without a clear diagnosis, therefore an urgent computed tomography scan of the chest and abdomen was undertaken, which revealed a pericardial effusion with evidence of cardiac tamponade. Ultrasound-guided needle pericardiocentesis with aspiration of blood from the pericardial sac in the Emergency Department provided an immediate response and her cardiac output improved. Read More

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http://dx.doi.org/10.1002/anr3.12008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6931299PMC

Comprehensive review of pericardial diseases using different imaging modalities.

Int J Cardiovasc Imaging 2020 May 11;36(5):947-969. Epub 2020 Feb 11.

Department of Radiology, University of Washington Medical Center, Seattle, WA, USA.

Pericardial abnormalities are common cardiovascular disease entity, which are encountered in various clinical settings. Imaging plays an integral role in evaluation of pericardial abnormalities. The appropriate use of multiple imaging modalities is crucial to initiate the diagnosis and guide the referring providers to establish a management plan. Read More

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http://dx.doi.org/10.1007/s10554-020-01784-xDOI Listing

Streptococcus Gallolyticus endocarditis in patient with liver cirrhosis: a case report.

J Infect Dev Ctries 2019 04 30;13(4):352-356. Epub 2019 Apr 30.

Clinic for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia.

Streptococcus gallolyticus (S. gallolyticus) bacteremia is commonly associated with endocarditis and diseases of gastrointestinal tract, especially with colorectal carcinoma. On the other side, it is rarely connected to liver disease, especially alcoholic liver disease. Read More

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http://dx.doi.org/10.3855/jidc.11126DOI Listing

A collective European experience with left atrial appendage suture ligation using the LARIAT+ device.

Europace 2020 Feb 11. Epub 2020 Feb 11.

Department of Electrophysiology, University Heart Center Lübeck, Cardiology, Angiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Ratzeburger Allee 160, 23562 Lübeck, Germany.

Aims: We report the collective European experience of percutaneous left atrial appendage (LAA) suture ligation using the recent generation LARIAT+ suture delivery device.

Methods And Results: A total of 141 patients with non-valvular atrial fibrillation and contraindication to oral anticoagulation (OAC), thrombo-embolic events despite OAC or electrical LAA isolation were enrolled at seven European hospitals to undergo LAA ligation. Patients were followed up by clinical visits and transoesophageal echocardiography (TOE) following LAA closure. Read More

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http://dx.doi.org/10.1093/europace/euaa004DOI Listing
February 2020
3.050 Impact Factor

Takotsubo cardiomyopathy complicated by cardiac tamponade due to non-hemorrhagic pericardial effusion: a case report.

BMC Cardiovasc Disord 2020 Feb 6;20(1):67. Epub 2020 Feb 6.

Department of Cardiology, Graduate School of Medical Science, Kanazawa University, 13-1 Takara-machi, Kanazawa, 920-8641, Japan.

Background: Cardiac tamponade is a rare but serious complication of Takotsubo cardiomyopathy (TC). Two cases of cardiac tamponade subsequent to TC have been reported. The pericardial effusion in these cases was hemorrhagic and caused by ventricular rupture. Read More

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http://dx.doi.org/10.1186/s12872-020-01377-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006067PMC
February 2020

Asymptomatic Pneumopericardium with Atrial Fibrillation after Pericardiocentesis: A Case Report.

J Tehran Heart Cent 2019 Jul;14(3):134-137

Department of Cardiology, Rehman Medical Institute, Peshawar, Pakistan.

Air inside the pericardial cavity is called "pneumopericardium", which is a rare complication of pericardiocentesis. Pneumopericardium may resolve spontaneously or can complicate into tension pericardium, requiring urgent aspiration. We herein describe a 55-year-old man with pericardial effusion who underwent pericardiocentesis. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6981340PMC

Etiology of Pericardial Effusion and Outcomes Post Pericardiocentesis in the Western Region of Saudi Arabia: A Single-center Experience.

Cureus 2020 Jan 11;12(1):e6627. Epub 2020 Jan 11.

Cardiology, King Faisal Cardiac Center, King Saud Bin Abdulaziz University for Health Sciences, King Abdullah International Research Center, Jeddah, SAU.

Background Pericardial effusion is the accumulation of blood or excess fluid in the cavity between the heart and the pericardium sac. Pericardial effusion can be caused by several etiologies, including malignant and non-malignant causes. Pericardiocentesis is the gold standard assessment method for pericardial effusion etiology. Read More

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http://dx.doi.org/10.7759/cureus.6627DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957035PMC
January 2020

Heart failure enigma in young man: the acute onset of a frequently encountered condition with an unexpected cause.

BMJ Case Rep 2020 Jan 19;13(1). Epub 2020 Jan 19.

Department of Cardiology (Transplant & Heart Failure, Interventional), University of Miami Health System, Miami, Florida, USA.

An 18-year-old male patient presented to the emergency department complaining of new onset chest pain, fever and orthopnoea. Initial workup was remarkable for elevated troponin, diffuse ST-segment elevation on ECG and chest X-ray with enlarged cardiac silhouette. Transthoracic echocardiogram (TTE) demonstrates severe biventricular concentric hypertrophy and pericardial effusion. Read More

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http://dx.doi.org/10.1136/bcr-2019-233190DOI Listing
January 2020

Percutaneous Simple Lead Traction Is a Feasible and Effective Method for Right Ventricular Lead Perforations.

Int Heart J 2020 Jan 17;61(1):54-59. Epub 2020 Jan 17.

Department of Cardiology, Saitama Medical University International Medical Center.

Right ventricular (RV) lead perforations are relatively rare but a potentially life-threatening complication of surgical implantations of cardiac implantable electronic devices (CIEDs). The result of percutaneous simple lead traction after lead perforations in the Japanese population has not been well clarified.We retrospectively studied 1359 patients (pacemakers [PMs], 973 patients; implantable cardioverter defibrillators [ICD], 386 patients) from April 2007 to December 2018 who underwent initial CIED implantation. Read More

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http://dx.doi.org/10.1536/ihj.19-326DOI Listing
January 2020

Fetal intrapericardial teratomas.

Turk J Pediatr 2019 ;61(2):153-158

Departments of Cardiology, The First Hospital of Putian, Teaching hospital, Fujian Medical University, Putian, Fujian Province, China.

Yuan SM, Lin H. Fetal intrapericardial teratomas. Turk J Pediatr 2019; 61: 153-158. Read More

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http://dx.doi.org/10.24953/turkjped.2019.02.001DOI Listing
January 2019

A Case of Acute Type A Aortic Dissection with Double Aortic Arch.

Ann Vasc Dis 2019 Dec;12(4):534-536

Department of Cardiovascular Surgery, Iida Municipal Hospital, Iida, Nagano, Japan.

Double aortic arch (DAA) is extremely rare in adults. A 71-year-old woman suffered from syncope, and an acute-type aortic dissection with a DAA accompanied by a massive pericardial effusion was shown in a non-enhanced computed tomography (CT). Enhanced CT was not performed because of her hemodynamic instability. Read More

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http://dx.doi.org/10.3400/avd.cr.19-00073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957896PMC
December 2019

Emergency Surgery for Blunt Cardiac Injury: Experience in 43 Cases.

World J Surg 2020 May;44(5):1666-1672

Department of Traumatology, Central Affiliated Hospital of Chongqing University, Chongqing Emergency Medical Center, Chongqing, 400014, China.

Background: Blunt cardiac injury (BCI) increases with traffic accidents and is an important cause of death in trauma patients. In particular, for patients who need surgical treatment, the mortality rate is extremely high unless the patient is promptly operated on. This study aimed to explore early recognition and expeditious surgical intervention to increase survival. Read More

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http://dx.doi.org/10.1007/s00268-020-05369-6DOI Listing

Effusion and coin shadow: is there a relation? A case report.

Eur Heart J Case Rep 2019 Dec 4;3(4):1-6. Epub 2019 Oct 4.

Department of Cardiovascular Medicine, Cairo University, 31, 30 Street, Hadayek Helwan, Cairo, Egypt.

Background: Malignant pericardial effusion is a common consequence of various types of cancer. The diagnosis of cardiac tamponade in malignant effusion may be challenging, as the typical echocardiographic signs are not met. Patients with cancer can present with cardiac tamponade in form of tachycardia (rather that hypotension) that improves after pericardiocentesis. Read More

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http://dx.doi.org/10.1093/ehjcr/ytz168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939791PMC
December 2019

Pericardial decompression syndrome: A comprehensive review.

World J Cardiol 2019 Dec;11(12):282-291

Department of Cardiology, Heartland Regional Medical Center, Marion, IL 62959, United States.

Pericardial decompression syndrome (PDS) is an infrequent, life-threatening complication following pericardial drainage for cardiac tamponade physiology. PDS usually develops after initial clinical improvement following pericardiocentesis and is significantly underreported and may be overlooked in the clinical practice. Although the precise mechanisms resulting in PDS are not well understood, this seems to be highly associated with patients who have some underlying ventricular dysfunction. Read More

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http://dx.doi.org/10.4330/wjc.v11.i12.282DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937413PMC
December 2019

Efficacy of a Novel Surgical Manikin for Simulating Emergency Surgical Procedures.

Am Surg 2019 Dec;85(12):1318-1326

From the *Discipline of Trauma Surgery, Department of Surgery, University of São Paulo Medical School, São Paulo, Brazil.

The practical component of the Advanced Trauma Life Support (ATLS®) course typically includes a TraumaMan® manikin. This manikin is expensive; hence, a low-cost alternative (SurgeMan®) was developed in Brazil. Our primary objective was to compare user satisfaction among SurgeMan, TraumaMan, and porcine models during the course. Read More

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December 2019

Early versus delayed removal of the pericardial drain in patients with cardiac tamponade complicating radiofrequency ablation of atrial fibrillation.

J Cardiovasc Electrophysiol 2020 Mar 10;31(3):597-603. Epub 2020 Jan 10.

Department of Cardiology, National Clinical Research Center for Cardiovascular Diseases, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Introduction: Cardiac tamponade is a common life-threatening complication during radiofrequency ablation of atrial fibrillation (RAAF) and is mostly managed by pericardiocentesis. Thus far, the optimal timing for drain removal has not been established.

Methods And Results: We retrospectively enrolled patients with cardiac tamponade complicating RAAF. Read More

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http://dx.doi.org/10.1111/jce.14332DOI Listing

Clinical significance of 12 lead ECG changes in patients undergoing pericardiocentesis for cardiac tamponade.

Acta Cardiol 2019 Dec 27:1-4. Epub 2019 Dec 27.

Division of Cardiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

The electrocardiogram (ECG) is one of the initial tests done in patients suspected of having a cardiac Tamponade. Historically the emphasis has been on low QRS voltage and electrical alternans, which lacks specificity and sensitivity respectively. Majority of these studies included patients with pericardial effusions without tamponade. Read More

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http://dx.doi.org/10.1080/00015385.2019.1700336DOI Listing
December 2019

Safety and Feasibility of Performing Pericardiocentesis on Patients with Significant Pulmonary Hypertension.

Cardiovasc Revasc Med 2019 Dec 22;20(12):1090-1095. Epub 2019 Oct 22.

Section of Interventional Cardiology, MedStar Washington Hospital Center, 110 Irving Street NW, Washington, DC 20010, United States of America.

Background/purpose: Pericardial effusion (PE) is a complication of pulmonary hypertension (PHT) and, specifically, pulmonary arterial hypertension (PAH), that confers a worse prognosis. The safety of performing pericardiocentesis in patients with PHT has not been established. We aimed to assess the safety and feasibility of performing pericardiocentesis in patients with significant PHT. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.09.022DOI Listing
December 2019

Outcomes of patients who undergo percutaneous coronary intervention with covered stents for coronary perforation: A systematic review and pooled analysis of data.

Catheter Cardiovasc Interv 2019 Dec 18. Epub 2019 Dec 18.

Royal Stoke University Hospital, Stoke-on-Trent, UK.

Objectives: This review aims to evaluate the adverse outcomes for patients after treatment with covered stents.

Background: Coronary perforation is a potentially fatal complication of percutaneous coronary revascularization which may be treated using covered stents. Studies have evaluated long-term outcomes among patients who received these devices, but hitherto no literature review has taken place. Read More

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http://dx.doi.org/10.1002/ccd.28646DOI Listing
December 2019
2.107 Impact Factor

Heart-type fatty acid-binding protein (H-FABP), pentraxin-3 (PTX-3) and thrombomodulin in bovine traumatic pericarditis.

Acta Vet Hung 2019 12;67(4):505-516

Department of Internal Medicine, Faculty of Veterinary Medicine, Mustafa Kemal University, Hatay, Turkey.

The aim of this study was to evaluate the biomarkers of cardiac damage such as heart-type fatty acid-binding protein (H-FABP), pentraxin-3 (PTX-3), and thrombomodulin (TM) for the detection and prognosis of bovine traumatic pericarditis (TP). Spontaneous TP was diagnosed on the basis of history, clinical signs, complete blood count, glutaraldehyde test, ultrasonography, and pericardiocentesis findings. H-FABP, PTX-3 and TM levels in serum were compared between 25 Holstein cows diagnosed with spontaneous TP and 10 healthy control cows using bovine-specific ELISA kits. Read More

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http://dx.doi.org/10.1556/004.2019.050DOI Listing
December 2019