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Search Results: 1 - 10 of 535 matches for " Pericardial effusion "
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Swimming Heart: A Pleural, Pulmonary and Pericardial Disseminated Thymoma  [PDF]
Lígia Fernandes, André Rodrigues, Vera Clérigo, Cláudia Rocha, Dora Sargento, Glória Silva
Open Journal of Clinical Diagnostics (OJCD) , 2014, DOI: 10.4236/ojcd.2014.44030
Abstract: Thymoma is the most common neoplasm of the anterior mediastinum and accounts for one quarter of all mediastinal tumours and half of all anterior mediastinal masses. Pericardial effusion may be present in approximately 20% of cases. This report presents a patient with a previously diagnosed thymoma without surgical indication and with poor response to chemotherapy and radiotherapy who had a pericardial effusion that likely resulted from the malignancy dissemination to pericardium.
Mediastinoscope-controlled parasternal fenestration of the pericardium: definitive surgical palliation of malignant pericardial effusion
Imre Toth, Geza Szucs, Tamas F Molnar
Journal of Cardiothoracic Surgery , 2012, DOI: 10.1186/1749-8090-7-56
Abstract: The standard armamentarium of the Carlens collar mediastinoscopy procedure was utilized in a Chamberlain parasternal approach of the pericardial sac. The laterality of approach was decided based upon the pleural involvement, as tumor-free pericardiopleural reflection is required. A pericardio-pleural window at least 3?cm in diameter was created. From January 2000 to December 2009, 22 cases were operated on with mediastinoscope-controlled parasternal fenestration (MCPF). Considering the type of the primary tumor, there were 11 lung cancer, 6 breast cancers, 2 haematologic malignancies and in 3 patients the origin of malignancy could not be verified.There were no operative deaths. We lost one patient (4.5%) in the postoperative hospital period. All of the surviving patients had a minimum of 2?months of symptom-free survival. We detected transient recurrence of MPE in one patient (4.5%) 14?days after the MCPF, which disappeared spontaneously after 24 hours.The MCPF offers a real alternative in certain cases of pericardial effusion. We recommend this method especially for the definitive surgical palliation of MPE.
Presentación clínica y evolución alejada de los derrames pericárdicos crónicos severos idiopáticos
Gabe,Eduardo D.; Santos,José M.; Casabé,J. Horacio; Rodríguez Acu?a,María I.; Pizzi,Nazarena; Robles,Federico; Escarain,Carolina; Salvatori,Carolina; Boughen,Roberto P.; Favaloro,Roberto R.;
Revista argentina de cardiolog?-a , 2007,
Abstract: objective to assess the frequency, clinical presentation, diagnostic methods, treatment, outcome and long-term prognosis of patients with severe chronic idiopathic pericardial effusion. material and methods all patients in whom severe pericardial effusion was suspected were assessed prospectively from june 1992 to april 2005, using our institution's protocol for the evaluation of pericardial disease. of a total of 152 patients, 54 had severe chronic pericardial effusion; in 28 of them (52%) the effusion was categorized as idiopathic and they were hence included in this study. results mean age was 67 ± 11 years and 82% were men; 25 (89.3%) were symptomatic due to dyspnea, 4 (16%) had cardiac tamponade and 10 (35.7%) had incipient echocardiographic signs of cardiac tamponade. mean follow-up was 60 months (3- 128 months). the three asymptomatic patients were not drained and had a favorable outcome (mean follow-up, 42 months). the 25 symptomatic patients were treated with pericardial drainage and 23 were followed (2 patients were lost to follow-up). in 14 patients (60.8%) there was no evidence of recurrent effusion, 3 (13%) had mild effusion, 2 (8.6%) had moderate effusion and 4 (17.2 %) had severe effusion. of these 4 latter patients, 3 had dyspnea fc iii-iv, and thus required pericardiectomy, with a good subsequent outcome. the other patient remained asymptomatic. conclusions patients with severe chronic idiopathic pericardial effusion may remain asymptomatic for long periods of time. in most patients who develop severe symptoms, pericardial drainage is effective. in symptomatic patients with recurrence of severe effusion after drainage, pericardiectomy offers an effective solution.
Derrame pericárdico grave: Ventana pericárdica percutánea con balón
Oxilia Estigarribia,María A.; Miano,Jorge; Scattini,Gabriel; Ramírez,Félix; Pe?aloza,Norberto; Bruno,Carlos A.; Medrano,Juan;
Revista argentina de cardiolog?-a , 2008,
Abstract: most patients with chronic pericardial effusion are women aged 50 years or older. this presentation describes a 63- year old female patient with severe chronic pericardial effusion; she had received radiotherapy for cancer of the left breast, had a history an unconfirmed presumptive diagnosis of pulmonary tuberculosis and was under treatment for hypothyroidism. a pericardiocentesis was performed; nevertheless the patient presented recurrence of the pericardial effusion and was treated with nsaids. as this therapy failed, she underwent a percutaneous pericardial window with no adverse outcomes. the patient started treatment with colchicine. the potential causes of the pericardial effusion were tuberculosis, malignant neoplasms, hypothyroidism or radiotherapy. the latter etiology was considered as the most probable once the others had been excluded. an echocardiogram performed one month after the procedure showed no signs of pericardial effusion.
Derrame pericárdico masivo y taponamiento cardíaco como forma de presentación de hipotiroidismo: Report of one case
Martí C,Vicens; Guarinos O,Jordi; Domínguez de Rozas,José M;
Revista médica de Chile , 2001, DOI: 10.4067/S0034-98872001001000013
Abstract: we report a 43 years old female, admitted due to fatigability, asthenia and diffuse adbominal pain. on admission, obesity, slowness of thinking, bradicardia, distention of jugular veins and ascites were observed on physical examination. laboratory showed undetectable thyroid hormone levels, a chest x ray showed bilateral pleural effusion and an enlarged heart. an echocardiography showed a massive pericardial effusion with collapse of the right atrium and dilatation of both caval veins. a pericardial tap was performed, draining 350 ml. thyroid hormone substitution was started and after 12 months of follow up, the heart size decreased and a control echocardiogram showed a minimal pericardial effusion (rev méd chile 2001; 129: 1191-94)
Derrame pericárdico masivo y taponamiento cardíaco como forma de presentación de hipotiroidismo: Report of one case Massive pericardial effusion and cardiac tamponade as the presentation form of hypothyroidism
Vicens Martí C,Jordi Guarinos O,José M Domínguez de Rozas
Revista médica de Chile , 2001,
Abstract: We report a 43 years old female, admitted due to fatigability, asthenia and diffuse adbominal pain. On admission, obesity, slowness of thinking, bradicardia, distention of jugular veins and ascites were observed on physical examination. Laboratory showed undetectable thyroid hormone levels, a chest X ray showed bilateral pleural effusion and an enlarged heart. An echocardiography showed a massive pericardial effusion with collapse of the right atrium and dilatation of both caval veins. A pericardial tap was performed, draining 350 ml. Thyroid hormone substitution was started and after 12 months of follow up, the heart size decreased and a control echocardiogram showed a minimal pericardial effusion (Rev Méd Chile 2001; 129: 1191-94)
Right ventricular tear mimicking myocardial infarction following pericardiocentesis  [PDF]
Salah A. M. Said, Herman T. Droste, Erik Eijken
Open Journal of Internal Medicine (OJIM) , 2011, DOI: 10.4236/ojim.2011.12008
Abstract: A 72-year-old female was admitted to the CCU with a recent onset of progressive breathlessness for bedside pericardial drainage for chronic pericardial effusion. After an uncomplicated drainage procedure, initially a serous straw coloured fluid was aspired with subsequent hemorrhagic aspiration with haemoglobin value similar to the peripheral blood. The patient showed initially transient improvement followed by rapid deterioration into severe shock and death. Signs of infero-posterior myocardial infarction (MI) were seen on the ECG. Before death, further interventions were refused by her and her family but a permission was given for autopsy. At autopsy, right ventricular rupture was seen with a 0.6 cm tear with a large amount of 800 cc bloody fluid with clots. The result of histopathologic study of the tear was resembling three-days old MI. The drain was found to be properly localized in the pericardial space, was not blocked and caused no harm to the myocardium. Furthermore, histopathologic examination revealed pulmonary adenocarcinoma of the left upper lobe, pleuritis and lymphangitis carcinomatosa and enlarged mediastinal lymph nodes. A case of fatal complication is reported following bedside pericardial drainage. Postmortal, right ventricular tear mimicked myocardial infarction.
Cardiac tamponade as the initial manifestation of severe hypothyroidism: A case report  [PDF]
Ronny Cohen, Pablo Loarte, Simona Opris, Brooks Mirrer
World Journal of Cardiovascular Diseases (WJCD) , 2012, DOI: 10.4236/wjcd.2012.24051
Abstract: Background: Hypothyroidism is a commonly seen condition. The presence of pericardial effusion with cardiac tamponade as initial manifestation of this endocrinological condition is very unusual. Objectives: In hypothyroidism pericardial fluid accu-mulates slowly, allowing adaptation and stretching of the pericardial sac, sometimes accommodating a large volume. Case Report: A 39 year-old female presented with chest pain, dyspnea and lower extremity edema for 1 day. Bradycardia, muffled heart sounds and severe hypertension were noticed. Chest radiograph showed an enlarged cardiac silhouette. A bedside echocardiogram revealed a cardiac tamponade, later she developed sudden hypotension and bradycardia that resolved after pericardiocentesis of 1 liter of pericardial fluid. The further laboratory evaluation revealed a TSH value of 69.3 miU/L and low T3 and free T4. The patient later developed reaccumulation of pericardial fluid with the need for creation of pericardial window. Conclusion: When the classic Beck’s triad is not present and bradycardia accompanies a cardiac tamponade, hypothyroidism should be strongly suspected. The requirement for thyroid hormone supplement is critical and is well reported. There is a chance of recurrence even after starting levothyroxine supplementation; and the associated hypertension usually requires treatment with more than one drug.
Endomyocardial Fibrosis: Echocardiographic Profile  [PDF]
Ramachandran Muthiah
Case Reports in Clinical Medicine (CRCM) , 2016, DOI: 10.4236/crcm.2016.55034
Abstract: Evolution of two-dimensional and color Doppler echocardiography identified the typical features of Endomyocardial Fibrosis (EMF) such as dense ventricular apical fibrosis, dysfunction of atrioventricular valve and sub-valvular apparatus and cavity dimensions. This is the tool used most for the diagnosis of EMF in areas where the disease is endemic in Africa. Today echocardiography is used as a screening tool to identify cases of EMF at the community level and it could be confirmed at the bed side. Background of these cases highlighted the echocardiographic features of EMF in different age groups and the oldest one reported at the age of 85 years in a female in advanced stage at this coastal district of Thoothukudi in India.
Deriva??o pericardioperitoneal no tratamento de derrames pericárdicos em doentes neoplásicos
Cortes?o,Nuno; Figueiredo,Ana; Barata,Fernando; Matos,António Correia de; Janelas,Carlos;
Revista Portuguesa de Pneumologia , 2007,
Abstract: neoplasia-related pericardial effusions are a frequent finding and pose diagnostic and therapeutic challenges. although they appear in the context of an underlying neoplastic disease, 50% of these effusions have a benign etiology; they are indirectly caused by the tumor. the remaining cases (neoplastic pericardial effusions - npe) derive from extension of tumoral disease to the epi and/or pericardium and have, therefore, a worst prognosis. despite several treatment options, the lack of apropriate guidelines difficults the evaluation of their efficacy and safety. pericardioperitoneal shunt (pps) is a surgical pericardial drainage method, which has demonstrated its use-fulness in the management of npe. at the chc, this procedure is performed under videoassisted toracoscopic guidance (vats). during the last 8 years, 18 patients have been submitted to this therapeutic option, which proved to be safe, efficacious and with low morbimortality rates.
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