14,552 results match your criteria pericardial effusion

Characterization of Pericarditis Following Allogeneic Hematopoietic Cell Transplant.

Transplant Cell Ther 2021 Jul 30. Epub 2021 Jul 30.

Blood and Marrow Transplant and Cellular Therapy Program, Abramson Cancer Center and the Division of Hematology and Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA.

Background: Pericarditis is an uncommon cardiac complication following allogeneic hematopoietic transplant (alloHCT) with limited data characterizing incidence, presentation, and management. The etiology of pericarditis in this setting is poorly understood, and may include conditioning-related toxicity, infection, or graft-versus-host disease (GVHD).

Objective: The objective of this study was to characterize the clinical presentation, management and outcomes of post alloHCT pericarditis observed at a single center. Read More

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Pericarditis and pericardial effusion: one or two distinct diseases?

Minerva Cardiol Angiol 2021 Aug 2. Epub 2021 Aug 2.

First Cardiology Clinic, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.

The main pericardial syndromes include acute and recurrent pericarditis, constrictive pericarditis and chronic pericardial effusion in the absence of overt inflammation. Despite recent advances in pericardial syndromes, certain clinical scenarios depict remarkable peculiarities and their management is often challenging for the clinician. Acute pericarditis is the most common pericardial disease and in most instances is accompanied by pericardial effusion. Read More

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Coronavirus Disease 2019-Related Multisystem Inflammatory Syndrome in Children: A Systematic Review and Meta-Analysis.

Biochem Res Int 2021 15;2021:5596727. Epub 2021 Jul 15.

Pediatrics Department, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.

Background: This study aimed to describe the clinical symptoms, laboratory findings, treatment, and outcomes of coronavirus disease 2019-related multisystem inflammatory syndrome in children to provide a reference for clinical practice.

Methods: We employed a literature search of databases such as PubMed, Web of Science, EMBASE, and Johns Hopkins University for articles on COVID-19-related multisystem inflammatory syndrome in children published between April 1, 2020, and January 15, 2021. High-quality articles were selected for analysis on the basis of their quality standard scores. Read More

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Current treatment of recurrent pericarditis: safety considerations and future directions.

Massimo Imazio

Expert Opin Drug Saf 2021 Aug 2. Epub 2021 Aug 2.

Cardiology, Cardiothoracic Department, Santa Maria della Misericordia University Hospital, Azienda Sanitaria Universitaria del Friuli Centrale (ASUFC), Udine, Italy.

Introduction: Recurrent pericarditis is one of the most troublesome complications of pericarditis affecting a substantial amount of patients and often severely impairing the quality of life. Current medical treatments range from non-steroidal anti-inflammatory drugs (NSAIDs), colchicine and corticosteroids to biological agents (anti IL-1 agents, especially anakinra and rilonacept), intravenous immunoglobulins and immunosuppressive treatments. Safety is a major issue to deal with since the disease often affects relatively young or middle-aged patients. Read More

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Risk factors for and the prognostic impact of pericardial effusion after allogeneic hematopoietic stem cell transplantation.

Transplant Cell Ther 2021 Jul 29. Epub 2021 Jul 29.

Division of Hematology, Department of Internal Medicine, Faculty of Medicine, Kagawa University, Kagawa, Japan.

Background: Pericardial effusion (PE) is a rare complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT). While the mechanisms underlying the onset of PE remain unclear, patients with PE after allo-HSCT have poor clinical outcomes. However, the prognostic impact of PE remains controversial, and risk factors have varied among studies. Read More

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Cardiac hemangioma producing pericardial effusion detected on thoracoscopic pericardial fenestration.

Ann Thorac Surg 2021 Jul 28. Epub 2021 Jul 28.

Division of General Thoracic Surgery, Kohka Public Hospital, and Department of Thoracic Surgery, National University Corporation, Shiga University of Medical Science, Shiga, Japan.

A 76-year-old woman presented with dyspnea. Computed tomography showed massive pericardial effusion, so percutaneous catheter drainage was performed. The usual causes of exudate were ruled out, and no diagnosis was reached. Read More

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Non-invasive characterization of pleural and pericardial effusions using T1 mapping by magnetic resonance imaging.

Eur Heart J Cardiovasc Imaging 2021 Jul 30. Epub 2021 Jul 30.

Department of Cardiac Imaging, Barts Heart Centre, St Bartholomew's Hospital, King George V Building, West Smithfield, London EC1A 7BE, UK.

Aims: Differentiating exudative from transudative effusions is clinically important and is currently performed via biochemical analysis of invasively obtained samples using Light's criteria. Diagnostic performance is however limited. Biochemical composition can be measured with T1 mapping using cardiovascular magnetic resonance (CMR) and hence may offer diagnostic utility for assessment of effusions. Read More

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Correlation of clinical and computed tomography features of thymic epithelial tumours with World Health Organization classification and Masaoka-Koga staging.

Eur J Cardiothorac Surg 2021 Jul 30. Epub 2021 Jul 30.

Department of Radiology, Lanzhou University Second Hospital, Gansu, China.

Objectives: Our goal was to investigate the correlation of clinical and computed tomography (CT) features of thymic epithelial tumours (TET) with the World Health Organization classification and the Masaoka-Koga staging system.

Methods: Clinical and CT imaging data from 159 patients surgically and pathologically diagnosed with TET (82 men, 77 women; mean [± standard deviation] age, 52.08 ± 11. Read More

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Cardiac Magnetic Resonance Follow-Up of Children After Pediatric Inflammatory Multisystem Syndrome Temporally Associated With SARS-CoV-2 With Initial Cardiac Involvement.

J Magn Reson Imaging 2021 Jul 29. Epub 2021 Jul 29.

Department of Pediatric Radiology, Medical University of Warsaw, Warsaw, Poland.

Background: Pediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) is an inflammatory disease occurring in a small minority of children a few weeks after acute infection. Cardiac manifestations are common, but little is known about the potentially persistent heart changes after PIMS-TS.

Purpose: To analyze the frequency and type of myocardial complications of PIMS-TS with initial cardiac involvement assessed with cardiac magnetic resonance imaging (MRI), including parametric imaging, performed 3 months after hospitalization. Read More

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A rare case of toxocariasis presenting with hypereosinophilic pericardial effusion and mycotic aneurysm.

Trop Doct 2021 Jul 29:494755211034327. Epub 2021 Jul 29.

Department of Pediatrics, Post Graduate Institute of Medical Sciences and Research, Chandigarh, India.

Parasitic infections are the leading cause of hypereosinophilia in the paediatric population in tropical countries. We report an unusual case of infection in an eight-year-old boy who presented with intermittent fever, hypereosinophilia complicated by massive pericardial effusion and a mycotic aneurysm. This child received treatment with four weeks of albendazole and steroids. Read More

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Diagnostic Value of High-Resolution Computed Tomography Scan in COVID-19: Do We Need to Think Outside the Box?

Cureus 2021 Jun 23;13(6):e15849. Epub 2021 Jun 23.

Radiology, Sargoda Medical College, Sargoda, PAK.

Background and objective The ambiguous nature and high infectivity of the coronavirus disease 2019 (COVID-19) have caused soaring morbidity and mortality worldwide. Real-time polymerase chain reaction (RT-PCR) is preferred for detecting COVID-19. However, its poor sensitivity and the emerging use of high-resolution CT (HRCT) scan for disease severity make the use of RT-PCR quite obsolete. Read More

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Cardiopulmonary alterations by ultrasound in a patient with uncomplicated mixed malaria infection: a case report from the Amazon Basin.

Malar J 2021 Jul 28;20(1):330. Epub 2021 Jul 28.

Multidisciplinary Centre, Federal University of Acre, Câmpus Floresta, Cruzeiro do Sul, Acre, Brazil.

Background: Information on cardiopulmonary complications in clinical malaria is sparse and diagnosis may be difficult in resource-limited areas due to lack of proper diagnostic tools and access to medical care. A case of pericardial effusion and pulmonary alterations assessed by ultrasound in a patient with uncomplicated mixed malaria infection is described.

Case Presentation: A previously healthy 23-year-old male from the Amazon Basin was diagnosed with mixed infection of Plasmodium vivax and Plasmodium falciparum by peripheral blood smear. Read More

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Contemporaneous Comparison of Outcomes Among Patients Implanted With a Leadless vs Transvenous Single-Chamber Ventricular Pacemaker.

JAMA Cardiol 2021 Jul 28. Epub 2021 Jul 28.

Medtronic, Inc, Minneapolis, Minnesota.

Importance: The safety and efficacy of leadless VVI pacemakers have been demonstrated in multiple clinical trials, but the comparative performance of the device in a large, real-world population has not been examined.

Objective: To compare patient characteristics and complications among patients implanted with leadless VVI and transvenous VVI pacemakers.

Design, Setting, Participants: The Longitudinal Coverage With Evidence Development Study on Micra Leadless Pacemakers (Micra CED) is a continuously enrolling observational cohort study evaluating complications, utilization, and outcomes of leadless VVI pacemakers in the US Medicare fee-for-service population. Read More

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Gunshot-Related Cardiac Trauma: A Multidisciplinary Approach Using Multimodality Imaging.

JACC Case Rep 2021 Jan 20;3(1):31-33. Epub 2021 Jan 20.

Noninvasive Cardiology, Northside Hospital Cardiovascular Institute, Northside Hospital, Atlanta, Georgia, USA.

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January 2021

Leukemic Infiltration of Myocardium Presenting as Cardiac Arrest.

JACC Case Rep 2021 Jun 16;3(6):922-927. Epub 2021 Jun 16.

Smidt Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California, USA.

Clinically significant myocardial infiltration by leukemic cells is a rare phenomenon. We describe a case of a 47-year-old woman with newly diagnosed acute myeloid leukemia and pleuritic chest pain with rapid cardiopulmonary decompensation. Post-mortem analyses showed fibrinous pericarditis and extensive leukemic infiltration of the myocardium. Read More

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A Cautionary Tale of Triple Therapy.

JACC Case Rep 2021 May 5;3(5):789-794. Epub 2021 May 5.

Division of Cardiology, University of California-Los Angeles, Los Angeles, California, USA.

A 54-year-old man with a history of atrial flutter presented with anterior ST-segment elevation myocardial infarction complicated by cardiogenic shock and underwent percutaneous coronary intervention of the left main coronary artery. He was placed on triple antithrombotic therapy and ultimately recovered. However, before discharge, he developed hypotension, confusion, and hemiplegia. Read More

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A Pericardial Pin: Embolization of an Inferior Vena Cava Filter Strut Presenting as Acute Pericarditis.

JACC Case Rep 2021 Feb 17;3(2):304-308. Epub 2021 Feb 17.

Cardiology Division, Department of Internal Medicine, Hennepin Healthcare, Minneapolis, Minnesota, USA.

A 39-year-old man presented with chest pain initially attributed to viral pericarditis. He was found to have an embolized inferior vena cava filter strut that perforated the right ventricle. Inferior vena cava filter fracture and embolization should be considered in patients with chest pain and pericardial effusion. Read More

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February 2021

Pericardial Tamponade and Other Cardiac Complications in POEMS Syndrome.

JACC Case Rep 2021 Feb 17;3(2):286-290. Epub 2021 Feb 17.

Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon, USA.

Polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes (POEMS) is a multiorgan syndrome with rare and heterogenous cardiac manifestations. We present the case of a man with pericardial effusion complicated by cardiac tamponade, new onset atrial fibrillation, and high-degree atrioventricular block leading to a diagnosis of POEMS syndrome. (). Read More

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February 2021

Loculated Pericardial Effusion: An Uncommon Cause of Left Ventricular Outflow Tract Obstruction.

JACC Case Rep 2021 Jan 20;3(1):128-132. Epub 2021 Jan 20.

Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.

A patient with a previous lung transplant and aortic valve replacement had progressive dyspnea. He presented with subacute tamponade secondary to a loculated pericardial effusion that caused impaired left ventricular filling and outflow tract obstruction secondary to distortion of the mitral valve apparatus. We demonstrate the imaging features of this presentation. Read More

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January 2021

An Unusual Complication of Transseptal Puncture.

JACC Case Rep 2021 Jan 20;3(1):41-46. Epub 2021 Jan 20.

Division of Cardiac Electrophysiology, Virginia Commonwealth University, Richmond, Virginia, USA.

The interatrial septum is a structure with complex embryological development. The true atrial septum is a circumscribed structure, and transgression outside of this area during transseptal puncture may result in entry into the extracardiac space or aorta that may result in a pericardial effusion or cardiac tamponade. (). Read More

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January 2021

Collateral Damage: Gun Violence-Induced STEMI.

JACC Case Rep 2021 Jan 20;3(1):20-25. Epub 2021 Jan 20.

Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.

A young man who presented with chest trauma from multiple gunshot wounds was found to have regional ST-segment elevations perioperatively. This case describes the rapid evaluation and clinical management by a multidisciplinary consultative team pursued for this unusual presentation of cardiac injury. (). Read More

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January 2021

An Overlap Presentation of Pericardial Decompression Syndrome and Stress Cardiomyopathy Following Therapeutic Pericardiocentesis.

JACC Case Rep 2020 Jun 17;2(7):1009-1013. Epub 2020 Jun 17.

Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.

Pericardial decompression syndrome, defined as paradoxical hypotension and pulmonary edema after pericardiocentesis, is a rare complication of pericardiocentesis. Stress cardiomyopathy, caused by excess catecholamine response resulting in left ventricular dysfunction and elevated cardiac enzymes, can overlap with pericardial decompression syndrome, and both might belong to the same spectrum of disease. (). Read More

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Constrictive Pericarditis After Lung Transplantation.

JACC Case Rep 2020 Jun 17;2(6):938-942. Epub 2020 Jun 17.

Division of Cardiology, University of Washington, Seattle, Washington.

As a rare complication after lung transplant, cardiac constriction should not be missed. Physical exam, echocardiography, and catheterization are essential for diagnosis A 65-year-old man with previous coronary artery disease and idiopathic pulmonary fibrosis underwent bilateral lung transplant and subsequently presented for progressive dyspnea and volume overload. Cardiac imaging and cardiac catheterization confirmed constriction, and complete pericardiectomy was performed. Read More

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Cardioform Septal Occluder in the Management of Cardiac Tamponade as a Complication of LAA Closure.

JACC Case Rep 2020 Jun 17;2(6):915-918. Epub 2020 Jun 17.

Department of Cardiology, Heart and Vascular Institute, United Health Services Hospitals, Johnson City, New York.

Cardiac tamponade is a life-threatening complication during left atrial appendage (LAA) closure. We report a 77-year-old woman who underwent a transseptal puncture for LAA closure with the Watchman device that was complicated by tamponade. This was successfully treated with the deployment of a Cardioform 25-mm septal occluder device. Read More

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Cardiac Tamponade Secondary to IVC Filter Retrieval.

JACC Case Rep 2020 Jun 3;2(6):873-876. Epub 2020 Jun 3.

Division of Cardiovascular Medicine, Keck School of Medicine of USC, Los Angeles, California.

Cardiac tamponade is a rare but potentially fatal complication of inferior vena cava filter retrieval. We discuss such a case to facilitate prompt recognition and prevention of this complication by medical providers. (). Read More

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Transcatheter Closure of Iatrogenic Right Ventricular Perforation With Amplatzer Duct Occlude II.

JACC Case Rep 2020 Dec 16;2(15):2344-2347. Epub 2020 Dec 16.

Bethany Hospital, Thane, India.

Iatrogenic cardiac perforation is a major complication of cardiac intervention. Surgical correction of perforation is standard of care. We discuss a pacing wire induced right ventricular perforation during the coronavirus disease-2019 (COVID-19) pandemic. Read More

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December 2020

Isolated Chylopericardium in an Infant With Hypoplastic Left Heart Syndrome.

JACC Case Rep 2020 Nov 18;2(13):2115-2119. Epub 2020 Nov 18.

Pediatric Services, University Health System, San Antonio, Texas.

Isolated chylopericardium is an exceedingly rare complication in any age group. Review of the limited published case series shows the most common cause of isolated chylopericardium to be cardiac surgery. We present a case of isolated chylopericardium after a bidirectional Glenn procedure in an infant with hypoplastic left heart syndrome. Read More

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November 2020

Recurrent Left Pleural Effusion Following Left Atrial Appendage Closure With the Watchman Device.

JACC Case Rep 2020 Sep 15;2(11):1789-1792. Epub 2020 Sep 15.

Cardiovascular Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

A 75-year-old woman with recent left atrial appendage closure with the Watchman device (Boston Scientific, Natick, Massachusetts) presented with recurrent left pleural effusion. The constellation of chest pain, pericardial effusion, and exudative pleural effusion were suggestive of an inflammatory process precipitated by microperforation of the fixation anchors during the Watchman placement. (). Read More

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September 2020

Epicardial Nodules as the Initial Manifestation of Immunoglobulin G4-Related Pericarditis.

JACC Case Rep 2020 Aug 19;2(10):1505-1509. Epub 2020 Aug 19.

Department of Cardiovascular Surgery, Chiba-Nishi General Hospital, Matsudo, Japan.

Immunoglobulin G4 (IgG4)-related pericarditis, an immune-mediated fibro-inflammatory condition, is a rare yet life-threatening disease presenting with constrictive pericarditis. We describe a case of IgG4-related pericarditis presenting with epicardial nodules successfully treated with corticosteroids. This case highlights the clinical significance of assessing IgG4-related pericarditis in the diagnostic workup of pericardial masses. Read More

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Giant pericardial mass case report: role of echocardiography.

AME Case Rep 2021 25;5:23. Epub 2021 Jul 25.

Division of Cardiology, Sant' Eugenio Hospital, Rome, Italy.

Cardiac masses are rare and they are distinguished in tumors and non-tumoral masses. Primary pericardial masses are very rare and they are often asymptomatic, even if they can present with sudden cardiac death. The diagnosis of these masses is often accidental and they are generally identified with echocardiography; their characterization is usually performed by cardiac magnetic resonance imaging (MRI) but the definitive diagnosis is achieved by tissue biopsy. Read More

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