Fluid accumulation within the PERICARDIUM. Serous effusions are associated with pericardial diseases. Hemopericardium is associated with trauma. Lipid-containing effusion (chylopericardium) results from leakage of THORACIC DUCT. Severe cases can lead to CARDIAC TAMPONADE.
Compression of the heart by accumulated fluid (PERICARDIAL EFFUSION) or blood (HEMOPERICARDIUM) in the PERICARDIUM surrounding the heart. The affected cardiac functions and CARDIAC OUTPUT can range from minimal to total hemodynamic collapse.
Puncture and aspiration of fluid from the PERICARDIUM.
Presence of fluid in the pleural cavity resulting from excessive transudation or exudation from the pleural surfaces. It is a sign of disease and not a diagnosis in itself.
Inflammation of the PERICARDIUM from various origins, such as infection, neoplasm, autoimmune process, injuries, or drug-induced. Pericarditis usually leads to PERICARDIAL EFFUSION, or CONSTRICTIVE PERICARDITIS.
Surgical construction of an opening or window in the pericardium. It is often called subxiphoid pericardial window technique.
INFLAMMATION of the sac surrounding the heart (PERICARDIUM) due to MYCOBACTERIUM TUBERCULOSIS infection. Pericarditis can lead to swelling (PERICARDIAL EFFUSION), compression of the heart (CARDIAC TAMPONADE), and preventing normal beating of the heart.
Surgical excision (total or partial) of a portion of the pericardium. Pericardiotomy refers to incision of the pericardium.
Presence of fluid in the PLEURAL CAVITY as a complication of malignant disease. Malignant pleural effusions often contain actual malignant cells.
A conical fibro-serous sac surrounding the HEART and the roots of the great vessels (AORTA; VENAE CAVAE; PULMONARY ARTERY). Pericardium consists of two sacs: the outer fibrous pericardium and the inner serous pericardium. The latter consists of an outer parietal layer facing the fibrous pericardium, and an inner visceral layer (epicardium) resting next to the heart, and a pericardial cavity between these two layers.
The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
Inflammation of the PERICARDIUM that is characterized by the fibrous scarring and adhesion of both serous layers, the VISCERAL PERICARDIUM and the PARIETAL PERICARDIUM leading to the loss of pericardial cavity. The thickened pericardium severely restricts cardiac filling. Clinical signs include FATIGUE, muscle wasting, and WEIGHT LOSS.
An opaque, milky-white fluid consisting mainly of emulsified fats that passes through the lacteals of the small intestines into the lymphatic system.
Tumors in any part of the heart. They include primary cardiac tumors and metastatic tumors to the heart. Their interference with normal cardiac functions can cause a wide variety of symptoms including HEART FAILURE; CARDIAC ARRHYTHMIAS; or EMBOLISM.
Also called xiphoid process, it is the smallest and most inferior triangular protrusion of the STERNUM or breastbone that extends into the center of the ribcage.
Inflammation of the middle ear with a clear pale yellow-colored transudate.
Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.
The administration of therapeutic agents drop by drop, as eye drops, ear drops, or nose drops. It is also administered into a body space or cavity through a catheter. It differs from THERAPEUTIC IRRIGATION in that the irrigate is removed within minutes, but the instillate is left in place.
General or unspecified injuries to the heart.
Injection of air or a more slowly absorbed gas such as nitrogen, into the PLEURAL CAVITY to collapse the lung.
X-ray visualization of the chest and organs of the thoracic cavity. It is not restricted to visualization of the lungs.
A nonspecific hypersensitivity reaction caused by TRAUMA to the PERICARDIUM, often following PERICARDIOTOMY. It is characterized by PERICARDIAL EFFUSION; high titers of anti-heart antibodies; low-grade FEVER; LETHARGY; loss of APPETITE; or ABDOMINAL PAIN.
Inorganic compounds that contain chromium as an integral part of the molecule.
A rare malignant neoplasm characterized by rapidly proliferating, extensively infiltrating, anaplastic cells derived from blood vessels and lining irregular blood-filled or lumpy spaces. (Stedman, 25th ed)
A congenital abnormality characterized by the elevation of the DIAPHRAGM dome. It is the result of a thinned diaphragmatic muscle and injured PHRENIC NERVE, allowing the intra-abdominal viscera to push the diaphragm upward against the LUNG.
Endoscopic surgery of the pleural cavity performed with visualization via video transmission.
Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.
Exudates are fluids, CELLS, or other cellular substances that are slowly discharged from BLOOD VESSELS usually from inflamed tissues. Transudates are fluids that pass through a membrane or squeeze through tissue or into the EXTRACELLULAR SPACE of TISSUES. Transudates are thin and watery and contain few cells or PROTEINS.
Tuberculosis of the serous membrane lining the thoracic cavity and surrounding the lungs.
A rare neoplasm of large B-cells usually presenting as serious effusions without detectable tumor masses. The most common sites of involvement are the pleural, pericardial, and peritoneal cavities. It is associated with HUMAN HERPESVIRUS 8, most often occurring in the setting of immunodeficiency.
Broad spectrum antinematodal anthelmintic used also in veterinary medicine.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
INFLAMMATION of PLEURA, the lining of the LUNG. When PARIETAL PLEURA is involved, there is pleuritic CHEST PAIN.
A pouch or sac developed from a tubular or saccular organ, such as the GASTROINTESTINAL TRACT.
Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)
The sounds heard over the cardiac region produced by the functioning of the heart. There are four distinct sounds: the first occurs at the beginning of SYSTOLE and is heard as a "lubb" sound; the second is produced by the closing of the AORTIC VALVE and PULMONARY VALVE and is heard as a "dupp" sound; the third is produced by vibrations of the ventricular walls when suddenly distended by the rush of blood from the HEART ATRIA; and the fourth is produced by atrial contraction and ventricular filling.
A system of artificial or natural drains, generally used for the disposal of liquid wastes.
Instruments used for injecting or withdrawing fluids. (Stedman, 25th ed)
Surgery performed on the heart.

Differential diagnostic significance of the paucity of HLA-I antigens on metastatic breast carcinoma cells in effusions. (1/578)

Distinction between benign reactive mesothelial cells and metastatic breast adenocarcinoma cells in effusions from patients with a known prior history of breast cancer is not the easiest task in diagnostic pathology. Here, we report the usefulness of testing the expression of class I HLA antigens (HLA A, B, C) in this respect. Cytospins were prepared from effusions of patients without the history of breast cancer (5 cases) and from effusions of patients with infiltrating ductal carcinoma (11 cases). Three effusions from cancerous patients were not malignant cytologically. The expression of HLA-A, B, C, HLA-DR and beta2-microglobulin as well as the macrophage antigen, CD14, was evaluated by immunocytochemistry. In 10 of 11 effusions the cytologically malignant cells expressed very weak or undetectable HLA-A,B,C as compared to the mesothelial cells and macrophages. The paucity of expression of HLA-A, B, C was detectable in those 3 cases where a definitive cytological diagnosis of malignancy could not be established. In contrast, mesothelial cells and macrophages from all samples were uniformly and strongly positive for both HLA-A, B, C and beta2-microglobulin. We conclude that the paucity of HLA-I antigens provides a marker helpful in distinguishing metastatic breast carcinoma cells from reactive mesothelial cells in effusions.  (+info)

Isolated primary chylopericardium. (2/578)

A 16-year-old man was found to have an enlarged cardiac silhouette. Primary chylopericardium was diagnosed when pericardiocentesis yielded the characteristic milky-white fluid. The thoracic duct was easily identified by giving milk and butter and an injection of ethylene blue immediately before the operation. Intraoperative thoracic ductography showed no abnormal findings. Mass ligation of the thoracic duct above the diaphragm and partial pericardiectomy were successfully performed through a right thoracotomy approach. In addition, many of the lymphatics were ligated above the diaphragm. The right thoracotomy approach was a useful method for resection and ligation of the thoracic duct just above the diaphragm. Follow-up showed no accumulation of pericardial fluid or pleural effusion.  (+info)

Recurrent pericardial effusion: the value of polymerase chain reaction in the diagnosis of tuberculosis. (3/578)

A 23 year old army man presented with progressive dyspnoea and was found to have a massive pericardial effusion. Despite extensive investigations the cause remained elusive, until samples were sent for polymerase chain reaction (PCR). This case was unusual for several reasons and is a reminder of the atypical way in which tuberculosis infection can present and how a high index of suspicion should be maintained. It shows the importance of molecular biological advances in providing simple and rapid methods for arriving at the correct diagnosis, by way of nucleic acid probes and polymerase chain reaction.  (+info)

Chylothorax, chylopericardium and lymphoedema--the presenting features of signet-ring cell carcinoma. (4/578)

This report describes a patient with chylous pleural and pericardial effusions in conjunction with severe lymphoedema resembling elephantiasis. The chylous effusions and generalized lymphoedema were associated with a signet-ring cell carcinoma.  (+info)

Treatment of malignant pericardial effusion with 32P-colloid. (5/578)

Malignant pericardial effusion is usually treated only when signs of cardiac tamponade develop. Several methods of treatment have been reported with an overall response rate of approximately 75%. Since our initial study using intrapericardial 32P-colloid instillation as a treatment modality for pericardial effusion demonstrated a significant higher response rate, this study was conducted to further evaluate the efficacy of intrapericardial 32P-colloid in terms of response rates and duration of remissions. Intrapericardial instillation of 185-370 MBq (5-10 mCi) 32P-colloid in 36 patients with malignant pericardial effusion resulted in a complete remission rate of 94.5% (34 patients) whereas two patients did not respond to treatment due to a foudroyant formation of pericardial fluid. The median duration time was 8 months. No side-effects were observed. These results suggest that intrapericardial instillation of 32P-colloid is a simple, reliable and safe treatment strategy for patients with malignant pericardial effusions. Therefore, since further evidence is provided that 32P-colloid is significantly more effective than external radiation or non-radioactive sclerosing agents, this treatment modality should be considered for the management of malignant pericardial effusion.  (+info)

Primary cardiac angiosarcoma associated with cardiac tamponade: case report. (6/578)

A 57-year-old male with primary cardiac angiosarcoma was initially admitted for cardiac tamponade. Pericardiocentesis was performed twice preoperatively, but the bloody pericardial fluid was cytologically negative for malignant cells. The tumor in the right atrium was resected during cardiopulmonary bypass. The resected tumor was 5.5x4.5x3.0cm in size and the diagnosis of cardiac angiosarcoma was made histologically. There were no tumor cells in the surgical margin. Unfortunately the patient died 3.5 months after surgery due to multiple recurrence in the pericardium. A suitable therapy for cardiac angiosarcoma is still controversial, but early antemortem diagnosis and more aggressive combined treatment should be considered.  (+info)

A case of prominent epicardial fat mimicking a tumor on echocardiography. (7/578)

Epicardial fat may anteriorly produce an echo-free space that can be mistaken for pericardial fluid. We recently experienced a 67-year-old woman with prominent epicardial fat which was presented as an echogenic tumor-like mass. She underwent open pericardiostomy to relieve large amount of pericardial effusion. Operative findings revealed only prominent epicardial fat. Biopsy of the pericardial and fat tissues revealed an inflammation and normal fat cells without any malignant cell infiltration.  (+info)

Risks of spontaneous injury and extraction of an active fixation pacemaker lead: report of the Accufix Multicenter Clinical Study and Worldwide Registry. (8/578)

BACKGROUND: The Telectronics Accufix pacing leads were recalled in November 1994 after 2 deaths and 2 nonfatal injuries were reported. This multicenter clinical study (MCS) of patients with Accufix leads was designed to determine the rate of spontaneous injury related to the J retention wire and results of lead extraction. METHODS AND RESULTS: The MCS included 2589 patients with Accufix atrial pacing leads that were implanted at or who were followed up at 12 medical centers. Patients underwent cinefluoroscopic imaging of their lead every 6 months. The risk of J retention wire fracture was approximately 5.6%/y at 5 years and 4.7%/y at 10 years after implantation. The annual risk of protrusion was 1.5%. A total of 40 spontaneous injuries were reported to a worldwide registry (WWR) that included data from 34 672 patients (34 892 Accufix leads), including pericardial tamponade (n=19), pericardial effusion (n=5), atrial perforation (n=3), J retention wire embolization (n=4), and death (n=6). The risk of injury was 0.02%/y (95% CI, 0.0025 to 0. 072) in the MCS and 0.048%/y (95% CI, 0.035 to 0.067) in the WWR. A total of 5299 leads (13%) have been extracted worldwide. After recall in the WWR, fatal extraction complications occurred in 0.4% of intravascular procedures (16 of 4023), with life-threatening complications in 0.5% (n=21). Extraction complications increased with implant duration, female sex, and J retention wire protrusion. CONCLUSIONS: Accufix pacing leads pose a low, ongoing risk of injury. Extraction is associated with substantially higher risks, and a conservative management approach is indicated for most patients.  (+info)

Introduction: Mycobacterium simiae can cause disseminated infection in human immunodeficiency virus (HIV)‐infected patients, mainly with involvement of pulmonary and reticulo‐endothelial systems. Although this organism is also known to cause infections in non‐HIV‐infected individuals, to our knowledge there has been no report of pericardial effusion caused by M. simiae. Case presentation: We describe a case report with massive pericardial effusion caused by M. simiae in a non‐HIV‐infected female patient, who presented with complaints of gradually increasing breathlessness and cough over a period of 1 month. Acid‐fast bacilli were isolated from the pericardial effusion and subsequently confirmed as M. simiae by PCR‐RFLP. Conclusion: In an area where Mycobacterium tuberculosis infection is endemic, clinicians and microbiologists must be aware of the possibility of a non‐tubercular mycobacterial infection that could be misdiagnosed as a tubercular infection.
Cardiac tamponade as the initial manifestation of metastatic cancer is a rare clinical entity. Furthermore, a thoraco-biliary fistula is another rare complication of echinococcosis due to rupture of hydatid cysts located at the upper surface of the liver to the pleural or pericardial cavity. We report a case of non-small cell lung cancer with a coexisting hepatic hydatid cyst presenting as a bilious pericardial effusion. A 66-year-old patient presented with cardiac tamponade of unknown origin. Chest CT-scan demonstrated a left central lung tumor, a smaller peripheral one, bilateral pleural effusions and a hydatid cyst on the dome of the liver in close contact to the diaphragm and pericardium. Pericardiotomy with drainage was performed, followed by bleomycin pleurodesis. The possible mechanism for the bilious pericardial effusion might be the presence of a pericardio-biliary fistula created by the hepatic hydatid cyst. This is the first case of a bilious pericardial effusion at initial presentation in a
TY - JOUR. T1 - Pericardial effusion: Case report. AU - Roberto Dávila, F.. AU - Christian Begazo, C.. AU - Miguel Marroquín, A.. PY - 2015/1/1. Y1 - 2015/1/1. N2 - Pericardial effusion is described as an abnormal accumulation of fluid in the pericardial cavity, which can lead to a cardiac tamponade associated with neoplasms. It is described the clinical case of a Golden Retriever dog, 10 years old, taken to consultation due to anorexia, abdominal distension and depression. At clinical examination, faintly audible heart sounds, weak femoral pulse and tachypnea were detected. Laboratory tests showed anemia and kidney failure. The ultrasound determined hydropericardium and a tumor mass on the basis of the right heart. The radiological study showed increased heart silhouette. It was concluded that the injury was consistent with cardiac tamponade by pericardial effusion due to a cardiac mass.. AB - Pericardial effusion is described as an abnormal accumulation of fluid in the pericardial cavity, ...
Pericardial disease in dogs is relatively uncommon, but its presence may be life-threatening. It is an incidental finding or manifestation of a systemic or cardiac disease. The spectrum of pericardial effusions ranges from mild asymptomatic effusions to cardiac tamponade. Pericardial effusion in dogs has an overall prevalence of 0.43% in general and occurs in approximately 7-10% of the dogs with clinical signs of cardiac disease. More commonly seen in dogs, the clinical signs of pericardial disease can be easily overlooked or mistaken for those of other disease processes. In patients with life-threatening pericardial effusion, which has led to cardiac tamponade, it is important to rapidly identify and treat the elevated intrapericardial pressure. Management is guided by the haemodynamic impact, size, presence of inflammation (i.e. pericarditis), associated medical conditions, and the aetiology whenever possible. In this chapter, pericardial effusion in dogs is emphasized.
Chylopericardium is a rare clinical entity in which chylous fluid accumulates in the pericardial cavity. This entity results from thoracic duct disruption or obstruction, with both inadequate collateral drainage and reflux of chylous lymph through the lymphatics draining the heart and pericardium [3]. Secondary chylopericardium is frequently caused by disruption or obstruction of the thoracic duct as a result of thoracic or cardiac surgery, chest trauma, mediastinal neoplasms, mediastinal tuberculosis, or mediastinal radiotherapy, and it is occasionally a consequence of thrombosis of the subclavian vein.. Hasebrock was the first to describe the presence of 22.6 ml of chyle in the pericardial cavity [4], detected during the autopsy of a man who had died from asphyxia secondary to constriction and tracheal ulceration. The term primary chylopericardium was first used by Groves and Effler [5], who described a case of isolated accumulation of chyle in a 31-year-old woman who was found to have ...
Patients with Turner syndrome (TS) are prone to autoimmune disorders. Although most patients with TS are diagnosed at younger ages, delayed diagnosis is not rare. A 31-year-old woman was presented with facial edema, chest tightness and dyspnea. She had primary amenorrhea. Physical examination revealed short stature, dry skin and coarse hair. Periorbital edema with puffy eyelids were also noticed with mild goiter. Bilateral cardiac enlargement, distant heart sounds and pulsus paradoxus, in combination with hepatomegaly and jugular venous distention were observed. Her hircus and pubic hair was absent. The development of her breast was at 1st tanner period and gynecological examination revealed infantile vulva. Echocardiography suggested massive pericardial effusion. She was diagnosed with cardiac tamponade based on low systolic pressure, decreased pulse pressure and pulsus paradoxus. Pericardiocentesis was performed. Thyroid function test and thyroid ultrasound indicated Hashimotos thyroiditis and severe
IVPOCUS Board Member Dr. Laurent Sakarovitch of France presents a dog with pericardial effusion with cardiac tamponade warranting emergent pericardiocentesis. The most common cause of pericardial effusion is neoplasia followed by idiopathic. Thus, staging with the Global FAST Approach (combined use of AFAST, TFAST and Vet BLUE) is very important to rapidly screen for ascites (modified transudate - better prognosis or hemoabdomen or other) and any obvious masses/metastasis in the spleen, liver and lung. Furosemide should be used cautiously in patients with pericardial effusion.. The most common cause of pericardial effusion in cats is congestive heart failure. Thank you Dr. Sakarovitch!. ...
A 61-year-old white female, a Jehovahs Witness, with severe pulmonary hypertension, presented with worsening heart failure symptoms. She had a pericardial effusion with left ventricular (LV) diastolic collapse on transthoracic echocardiography. She was not a candidate for surgical pericardial window and therefore underwent pericardiocentesis and percutaneous balloon pericardiotomy with remarkable improvement in her clinical condition and with no recurrence of the effusion. LV diastolic collapse, an atypical presentation of cardiac tamponade, is commonly seen in postoperative patients with localized pericardial effusions. However, outside the surgical setting, isolated LV diastolic collapse is rare. Our case is one of the first cases described in the literature of LV diastolic collapse in the setting of severe pulmonary hypertension treated successfully with pericardiocentesis and percutaneous balloon pericardiotomy. © 2008, the Authors ...
Pericardial effusion (fluid around the heart) is an abnormal accumulation of fluid in the pericardial cavity. Because of the limited amount of space in the pericardial cavity, fluid accumulation leads to an increased intrapericardial pressure which can negatively affect heart function. A pericardial effusion with enough pressure to adversely affect heart function is called cardiac tamponade. Pericardial effusion usually results from a disturbed equilibrium between the production and re-absorption of pericardial fluid, or from a structural abnormality that allows fluid to enter the pericardial cavity. Normal levels of pericardial fluid are from 15 to 50 mL. Play media Chest pain or pressure are common symptoms. A small effusion may be asymptomatic. Larger effusions may cause cardiac tamponade, a life-threatening complication; signs of impending tamponade include dyspnea, low blood pressure, and distant heart sounds. The so-called water-bottle heart is a radiographic sign of pericardial ...
A 30 year old man, presented with history of fever of 1 month duration and massive pericardial effusion on X-ray chest. There was no sign of cardiac tamponade. Repeat CXR after 3 days showed almost complete clearance of the pericardial effusion without any specific treatment. What is the most likely diagnosis? |b|What is the mechanism of spontaneous clearance of pericardial effusion|/b|?
Echocardiographically guided pericardiocentesis - the gold standard for the management of pericardial effusion and cardiac tamponade. Academic Article ...
OBJECTIVE--To evaluate the incidence, characteristics, and haemodynamic consequences of pericardial effusion after cardiac surgery. DESIGN--Clinical, echocardiographic, and Doppler evaluations before and 8 days after cardiac surgery; with echocardiographic and Doppler follow up of patients with moderate or large pericardial effusion after operation. SETTING--Patients undergoing cardiac surgery at a tertiary centre. PATIENTS--803 consecutive patients who had coronary artery bypass grafting (430), valve replacement (330), and other types of surgery (43). 23 were excluded because of early reoperation. MAIN OUTCOME MEASURES--Size and site of pericardial effusion evaluated by cross sectional echocardiography and signs of cardiac tamponade detected by ultrasound (right atrial and ventricular diastolic collapse, left ventricular diastolic collapse, distension of the inferior vena cava), and Doppler echocardiography (inspiratory decrease of aortic and mitral flow velocities). RESULTS--Pericardial ...
While pleural effusion and ascites secondary to acute pancreatitis are common, clinically relevant pericardial effusion and cardiac tamponade are observed rarely. In a study by Pezzilli et al., pleural effusion was noted in 7 of the 21 patients with acute pancreatitis whereas the authors detected pericardial effusion development in only three. The authors asserted that pleural effusion was associated with severe acute pancreatitis, while pericardial effusion and the severity of acute pancreatitis were not significantly related. ...
We present the case of a 59-year-old patient with severe aortic stenosis, asymptomatic mild to moderate pericardial effusion and no major risk factors for poor prognosis. He underwent four-week course of non-steroidal anti-inflammatory drugs (ibuprofen 600 mg TID) with no improvement of the effusion. After complete diagnostic work-up and examination, we discovered that he had a prostate cancer with bone metastasis. On the bone scintigraphy, there was particular involvement of ribs and sternum. We decided to treat our patient with an association of docetaxel and hormone therapy, after six months we observed a reduction in the pericardial effusion. Even in the presence of a patient without risk factor of poor prognosis, pericardial effusion can be the first sign of occult neoplasia ...
October 24, 2014. Pericardial Effusion Results. Today has seen the receipt of some positive results regarding my Pericardial Effusion, extra fluid around my heart!. Dr. Raisinghani informed me that the Cardiac MRI did show the extra fluid around the heart, but it was very minimal; all other heart functions are perfectly normal! The blood results checking for my Thyroid function also came back normal. Finally, the second Echocardiogram that was just done a week ago shows the fluid around the heart has decreased!. This is all fantastic news, and helps clear up a great deal of uncertainty. One of my main conclusions about the Pericardial Effusion is that the cause could infact have been the Coxsackie virus. Since the fluid is decreasing, it seems that the Golden Flower Chinese herb is working. Huge thanks to Dr. Rich Olree for his insights!. This news also means that I am cleared to move ahead with surgery in November. Surgery will be at Memorial Sloan Kettering in New York City. I am ready to move ...
Meigs syndrome is a condition in which an ovarian tumour (usually a fibroma) is associated with ascites and pleural effusion. It resolves after resection of the tumour. We report here what we believe to be the first case of a patient with pericardial effusion complicating Meigs syndrome.. ...
Pericardial window operation, a procedure, where abnormal quantity of malignant fluid, or malignant pericardial effusion (MPE), surrounding the heart, is drained into the neighbouring chest cavity through a surgically placed tube, is commonly applied to patients diagnosed with cancer. However, researchers from the Taipei Tzuchi Hospital, Taiwan, have now looked into the electronic medical records […]. ...
Chronic Pericardial Effusion: Diagnostic and Therapeutic Methods Chronic pericardial effusion is a very important clinical situation that can cause morbidity and mortality. In parallel with having many different etiological factors, there are important differences in diagnostic and treatment methods of this problem. A good knowledge of clinical presentation of pericardial effusions, diagnostic methods, and different therapeutic approaches is very important. In this study, our aim is to look over the diagnostic and therapeutic approaches by searching the latest literature. According to these, in acute symptomatic effusions the method of therapeutic choice should be pericardiosynthesis with the guidance of echocardiography. The etiology plays a crucial role in the treatment of chronic effusions. In malignant effusions, pericardiocentesis, sclerosing therapy, and radiotherapy are the choice of treatments. In chronic recurrent effusions balloon pericardiotomy and in purulent and tuberculosis ...
Start Over You searched for: Collections World War 1, 1914-1918 ✖Remove constraint Collections: World War 1, 1914-1918 Subjects Pericarditis ✖Remove constraint Subjects: Pericarditis Subjects Pericardial Effusion ✖Remove constraint Subjects: Pericardial Effusion Genre Case Reports ✖Remove constraint Genre: Case Reports Dates by Range 1900-1949 ✖Remove constraint Dates by Range: 1900-1949 ...
Start Over You searched for: Collections World War 1, 1914-1918 ✖Remove constraint Collections: World War 1, 1914-1918 Languages English ✖Remove constraint Languages: English Subjects Pericarditis ✖Remove constraint Subjects: Pericarditis Subjects Pericardial Effusion ✖Remove constraint Subjects: Pericardial Effusion ...
TY - JOUR. T1 - Characteristics of pericardial effusions in patients with leukemia. AU - Sampat, Keeran. AU - Rossi, Adriana. AU - Garcia-Gutierrez, Valentin. AU - Cortes, Jorge. AU - Pierce, Sherry. AU - Kantarjian, Hagop. AU - Garcia-Manero, Guillermo. PY - 2010/5/15. Y1 - 2010/5/15. N2 - BACKGROUND: Little information exists regarding the prevalence and natural history of pericardial disease in patients with leukemia. Recently, it has been reported that the use of histone deacetylase inhibitors is associated with an increased incidence of pericardial effusions (PEs). To study the characteristics and treatment relationships of PEs in patients with leukemia, the authors retrospectively analyzed a cohort of patients with leukemia evaluated at a single center. METHODS: The authors reviewed 2592 patients with acute myeloid leukemia (AML, n = 1282, 49%), acute lymphocytic leukemia (ALL, n = 336, 13%), or myelodysplastic syndrome (MDS, n = 974, 38%), who were evaluated from August 2003 to July 2008. ...
A six-year-old, female, neutered crossbreed was presented to the University of Liverpool Small Animal Teaching Hospital for evaluation of pericardial effusion. Diagnostic imaging confirmed pericardial effusion and cardiac tamponade in addition to a mass located at the heart base. Thoracic CT revealed a strongly contrast-enhancing soft-tissue mass right lateral to the ascending aorta and ventral to the cranial vena cava with no evidence of metastatic disease. Subsequently, a subtotal pericardectomy was performed, and the mass was incompletely excised. Histopathology and immunohistochemistry revealed the mass to be an ectopic thyroid carcinoma of medullary (C cell) origin. The patient was treated with adjunctive chemotherapy (toceranib phosphate). Repeat staging two months later revealed no evidence of macroscopic tumour recurrence or metastatic disease. The patient was subsequently euthanased two months later due to complications of concurrent but unrelated hepatic disease.. ...
TY - JOUR. T1 - Emergency echocardiography to detect pericardial effusion in patients in PEA and near-PEA states. AU - Tayal, Vivek S.. AU - Kline, Jeffrey A.. PY - 2003/12. Y1 - 2003/12. N2 - Objectives: Emergency echocardiography (EM echo) has been proposed to assist in decision-making in patients with pulseless electric activity (PEA) or PEA-like states. We observed the value of EM echo by emergency physicians in detecting pericardial effusion in patients in PEA and near PEA states. Materials and methods: Observational, prospective series at a Level 1 urban ED of patients with non-traumatic PEA or near PEA states who had EM echoes performed by emergency physicians during an 18-month period. Outcomes of patients with EM echoes were established by review of clinical course, formal echocardiography, radiography, operation or autopsy. Results: Twenty patients had EM echo for non-traumatic hemodynamic collapse. Eight of 20 patients (40%) were without cardiac ventricular motion and were refractory ...
Pericardial Effusion - Chemodectoma - Pericardial effusion is the accumulation of fluid within the pericardium. The pericardium is a fibrous sac that surrounds the heart and normally contains
Whether Echocardiographic Detection 0f Small Pericardial Effusion is Supporting in Diagnosing Kawasaki Disease In pediatric patients, small pericardial effusion co..
The baseline clinical and echocardiographic characteristics are listed in Table 1. In 11 (26.2%) of 42 patients, the etiology of the pericardial effusion was unknown. The three most frequent identifiable causes were: malignancy in 15 (35.7%), tuberculosis in 9 (21.4%), and hypothyroidism in 4 (9.5%). Three (7.2%) patients had other unusual causes: rupture of an ulcerated aortic aneurysm, connective tissue disease, and purulent pericarditis complicated by mediastinal empyema, respectively. Effusion was moderate in 23 patients and large in 19 patients. On the basis of clinical and echocardiographic findings, 5 patient had overt clinical tamponade (19%), 13 patients (31.0%) had echocardiographic cardiac tamponade, and 29 (69.0%) patients had no tamponade physiology (Table 2). All patients with cardiac tamponade underwent pericardiocentesis and exhibited subsequent clinical and hemodynamic improvement. Diagnostic pericardiocentesis was carried out in 13 patients who were without cardiac tamponade. ...
Little, WC, Freeman, GL. Pericardial disease. Circulation. vol. 113. 2006. pp. 1622-1632. An excellent overview of the global burden, presentation, causes and management of pericardial disease.. Sagristà-Sauleda, J, Mercé, J, Permanyer-Miralda, G. Clinical clues to the causes of large pericardial effusions. Am J Med. vol. 109. 2000. pp. 95-101. Provides a clinical decision outline of the potential varied causes of pericardial effusions and the diagnostic clues to their etiology.. Roy, CL, Minor, MA, Brookhart, MA. Does this patient with a pericardial effusion have cardiac tamponade?. JAMA. vol. 297. 2007. pp. 1810-1818. Outlines the non-invasive clinical and invasive clinical signs of impending and actual tamponade physiology.. Reddy, PS, Curtiss, EI, OToole, JD. Cardiac tamponade: hemodynamic observations in man. Circulation. vol. 58. 1978. pp. 265-272. Original catheterizations based hemodynamic findings in cardiac tamponade.. Callahan, JA, Seward, JB. Pericardiocentesis guided by ...
Pericardial effusion can be a life-threatening complication in children after cardiac surgery. Percutaneous pericardiocentesis is associated with
Although pericardial effusion (PE) is not uncommon in patients with cancer, it may lead to cardiac tamponade, a life-threatening condition. Prompt life-saving treatment is essential, and also allows the continuation of the cancer treatment. The aim of this study was to determine the prognostic factors for survival in patients with cancer who were treated surgically for PE. We retrospectively reviewed the medical records of 55 patients with cancer with PE between January 2003 and October 2012, who were treated with a pericardial window operation. Overall survival (OS) was estimated from the date of surgery, and patients were followed until the time of the final visit or time of death. Clinical outcomes and candidate prognostic factors were analyzed. The median age of patients was 57 years (range 29 to 82 years), and 31 patients (56.4%) were male. The most common primary malignancy was lung cancer (65.5%), followed by breast cancer (10.9%). Fifteen patients (27.3%) developed recurrence of PE after surgery
Call for Papers - International Journal of Science and Research (IJSR) is a Fully Refereed - Peer Reviewed International Journal. Notably, it is a Referred, Highly Indexed, Online International Journal with High Impact Factor.
The antinuclear antibodies (ANA) test has been a cornerstone of the evaluation of connective tissue disease. The aim of this study was to investigate the diagnostic value of the ANA test in pleural or pericardial effusions of unknown causes. Over a 3-yr period, a total of 126 pleural fluid and 30 pericardial fluid samples were analysed. ANA tests were performed using a commercially available kit. The ANA kit used an indirect immunofluorescent antibody method with a human epithelial (HEP-2) cell line as substrate. Patients with high fluid ANA titre (,1:160) received a second aspiration 2 weeks after the initial aspiration if diagnosis was not confirmed. ANA results were positive in 39 pleural and 10 pericardial fluid samples. All but one of the effusions with positive ANA testing were exudative. Eleven pleural or pericardial effusions due to active systematic lupus erythematosus were identified and all had high ANA titres (1:160) with various staining patterns. Thirty-eight of 145 patients (26%) ...
Authors present the first results of video-assisted pericardioscopy and pericardial biopsy in patients with agnogenic pericarditis. Indications for video-assisted pericardioscopy include pericardial effusion with an etiology which cannot be determined using non-invasive techniques, major pericardial effusion, signs of cardiac tamponade, and sustained exudation in pericardial cavity during conservative therapy ...
Echocardiograhy and subsequently pericardiocentesis was performed, 1200 ml of fluid was aspirated from the pericardial sac, which was proved to be malignant by cytology.
The heart is surrounded by a double layer fibrous sac known as the pericardial sac. The first layer, the visceral pericardium, is adherent to the cardiac epicardium. The second layer, the parietal pericardium, is separated by the visceral pericardium by 25-50 mL of physiologic serous fluid, allowing the heart to beat without friction.. A pericardial effusion develops when fluid accumulates in the potential space between the visceral and parietal pericardium. Pericardial effusion can be caused by a number of conditions including trauma, malignancy, uremia, cardiac rupture, and infectious causes such as tuberculosis and viral pathology. The clinical effect of pericardial effusion can vary based on etiology, volume, and particularly the speed at which the effusion accumulates. If fluid accumulates very gradually, the pericardium can remodel and stretch to accommodate the increased volume. In these cases, symptoms are often insidious and progressive over days to weeks. Alternatively, if fluid ...
Take-home point #1 (on diagnosis): for new pericardial effusions, fluid is low yield for diagnosis - you need pericardial tissue! However, low glucose can be helpful; ddx RA or bacterial infection! Take-home point #2 (on management): Do not be afraid of diuresing post-drainage. Patients with tamponade physiology are preload dependent, however, rapid fluid reaccumulation…
TY - JOUR. T1 - Pericardial Disease Associated with Malignancy. AU - Schusler, Ryan. AU - Meyerson, Shari L.. PY - 2018/10/1. Y1 - 2018/10/1. N2 - Purpose of Review: Pericardial effusion is commonly associated with malignancy. The goals of treatment should include optimizing symptom relief, minimizing repeat interventions, and restoring as much functional status as possible. Recent Findings: Pericardiocentesis should be the first intervention but has high recurrence rates (30-60%). For patients with recurrence, repeat pericardiocentesis is indicated in those with limited expected lifespans. Extended pericardial drainage decreases recurrence to 10-20%. The addition of sclerosing agents decreases recurrence slightly but creates significant pain and can lead to pericardial constriction and therefore has fallen out of favor. Summary: Most patients with symptomatic pericardial disease have a short median survival time due to their underlying disease. In patients with a longer life expectancy, ...
In a normal heart, a thin layer called the pericardium surrounds and protects the heart. There is a small amount of fluid between the pericardium and the heart. This fluid helps cushion the heart.. But sometimes too much fluid builds up in this space around the heart. This is called pericardial effusion. This extra fluid puts pressure on the heart and can cause chest pain and serious heart problems. ...
TY - CHAP. T1 - Is it a pericardial effusion or is it not? Pitfalls in the use of limited bedside echocardiography. AU - Crandall, Stephen A.. AU - Rossi, Jennifer. AU - Gharahbaghian, Laleh. PY - 2012/3/28. Y1 - 2012/3/28. UR - http://www.scopus.com/inward/record.url?scp=84971449584&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=84971449584&partnerID=8YFLogxK. M3 - Chapter. AN - SCOPUS:84971449584. SN - 9781605472270. SP - 842. EP - 843. BT - Avoiding Common Errors in the Emergency Department. PB - Wolters Kluwer Health Adis (ESP). ER - ...
Paper:Pericardial effusion and left ventricular dysfunction in patients with hepatic cirrhosis. Benha M. J. vol.11 No. 3 . , Author:Nabil Khattab , Tawheed Mowafy , Mohamed Salem, Ahmed Saleh, Sameh Bahgat, Osama Sanad, EL-Metwally Abdel Baset, and Ashraf Nassar. , Year:1994 , Faculty of Medicine ,Department of INTERNAL MEDICINE ,Benha University
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Dive into the research topics of Pathologic quiz case: a 50-year-old man with a lung mass, respiratory distress, and pericardial effusion. Metastatic clear cell sarcoma (malignant melanoma of soft parts).. Together they form a unique fingerprint. ...
i have a small pericardial effusion i am scared HELP!!! i had an echo and no di stress test 24 heart moniter and all came out good i am 36 years old 164 pounds blood pressure is 110- 60 resting hear...
WebMD discusses the causes, symptoms, and treatment of pericardial effusion -- an abnormal amount of fluid between the heart and the sac surrounding the heart.
Pericardial Effusion Symptom Checker: Possible causes include Congestive Heart Failure. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.
Cardiologist explains what fluid around the heart - pericardial effusion - means for your health. Explains symptoms, treatments, and more.
Cardiologist explains what fluid around the heart - pericardial effusion - means for your health. Explains symptoms, treatments, and more.
Malignant Pericardial Effusion, See Also Autosomal Recessive Sick Sinus Syndrome, Tuberculosis Symptom Checker: Possible causes include Non-Hodgkin Lymphoma, Bronchial Adenocarcinoma, Bronchogenic Carcinoma. Check the full list of possible causes and conditions now! Talk to our Chatbot to narrow down your search.
TY - JOUR. T1 - Cardiac tamponade produced by a loculated pericardial hematoma simulating a right atrial mass. AU - Pepi, Mauro. AU - Doria, Elisabetta. AU - Fiorentini, Cesare. PY - 1990. Y1 - 1990. N2 - We report a case of cardiac tamponade due to thrombosis of a loculated pericardial effusion which occurred after open heart surgery. The loculated hematoma was highly echogenic and mimicked a right atrial mass. Cross-sectional echocardiography, in association with color Doppler flow imaging, was extremely useful in identifying this rare complication of cardiac surgery and, therefore, in determining the subsequent surgical approach.. AB - We report a case of cardiac tamponade due to thrombosis of a loculated pericardial effusion which occurred after open heart surgery. The loculated hematoma was highly echogenic and mimicked a right atrial mass. Cross-sectional echocardiography, in association with color Doppler flow imaging, was extremely useful in identifying this rare complication of cardiac ...
Objective: Cardiac tamponade is a life-threatening clinical entity that requires an emergency treatment. Cardiac tamponade can be caused both by benign and malignant diseases. A variety of methods have been described for the treatment of these cases from needle-guided pericardiocentesis, balloon-based techniques to surgical pericardiotomy. The Authors report their experience in surgical management of cardiac tamponade and an exhaustive review of literature. Methods: This study involved 61 patients (37 males and 24 females) with an average age of 61.80 ± 16.32 years. All patients underwent emergency surgery due to the presence of cardiac tamponade. Results: Cardiac tamponade was caused by a benign disease in 57.40% of patients. In cancer patients group, lung cancer, breast cancer and malignant pleural mesothelioma were the most common neoplasms (17-27, 87%). The average preoperative size of pericardial effusion at M-2D echocardiography was 30.15 ± 5.87 mm. Postoperative complications were observed in
TY - JOUR. T1 - Echocardiography in pericardial diseases. T2 - New developments. AU - Veress, Gabriella. AU - Feng, Dali. AU - Oh, Jae K.. PY - 2013/5. Y1 - 2013/5. N2 - Echocardiography is one of the most important clinical tools in the diagnosis and management of various pericardial diseases, including constrictive pericarditis, effusive constrictive pericarditis, pericardial effusion, tamponade, absence of the pericardium and cysts or tumors. During recent years, remarkable progress has been made in echocardiography: cardiac tissue Doppler analysis (TDI), strain and strain rate imaging by speckle tracking imaging (STE) and three-dimensional (3D) echocardiography. The assessment of early diastolic annulus velocity and annulus reversus by TDI improves the differentiation of constriction from restrictive myocardial disease, which can be further facilitated by STE as a complementary tool. 3D echocardiography may be useful for the more precise assessment of pericardial diseases, such as ...
Define pericardial tamponade. pericardial tamponade synonyms, pericardial tamponade pronunciation, pericardial tamponade translation, English dictionary definition of pericardial tamponade. pericardial tamponade. Translations. English: pericardial tamponade n. tampomiento pericárdico, compresión del corazón debido a una acumulación.
Echocardiography-guided pericardiocentesis with extended catheter drainage was concluded to be safe and effective for both primary and secondary management of pericardial effusion in patients with malignancy, on the basis of 341 procedures in 275 patients with cancer (9). Fifteen years later, the safety and efficacy of percutaneous pericardiocentesis technique have been reconfirmed in a large population of patients with cancer at the MD Anderson Cancer Center. In this issue of the Journal, El Haddad et al. (10) report their assessment of the outcomes of 212 patients with cancer undergoing percutaneous pericardiocentesis. They conclude, consistent with previous results, that the procedure is safe and efficacious in this population. They reconfirm that extended catheter drainage reduces recurrence rates, as demonstrated in the Mayo series (3). The data regarding the safety of the procedure in patients with platelet counts greater than or less than 50,000/μl are new. The investigators conclude ...
Pericardiocentesis with catheter insertion for pericardial drainage is a common procedure used for the treatment of pericardial effusions and of cardiac tamponade as well. The most commonly described complications of an indwelling pericardial catheter system are catheter blockage and infection. We present a rare case of a 63 years old patient with a pericardial catheter for pericardial effusion drainage. He was presented with elevated body temperature and chills, a day after a pericardial catheter insertion. His clinical examination did not reveal any particular findings, while the catheter had stop draining two days earlier. His laboratory examinations revealed slightly increased WBCs (13.300/ml). Following that, a chest x-ray examination revealed winding of the catheter along the pericardium. Under general anesthesia, the patient underwent left thoracotomy; the pericardial catheter was found tight wreathed and infiltrated to the inner coat of the pericardium. The catheter was carefully removed and a
Case Presentation: A 75 year old male presented with 4 syncopal episodes occurring over the 3 days prior to admission. Each syncope lasted 2-3 minutes and followed a coughing fit. The patient had an aortic valve replacement for aortic stenosis 3 weeks prior. Transthoracic echocardiogram (TTE) 2 days post-surgery showed no pericardial effusion. At discharge, the patient had begun to develop a non-productive cough, which over the course of the following 2 weeks developed into coughing spells, accompanied by malaise. Patient denied fevers, chest pain, dyspnea and palpitations. Physical exam revealed a II/VI systolic murmur with no friction rub. Vitals were: T 98.4, BP 121/59, HR 79, RR 18. Repeat TTE demonstrated a moderate to large pericardial effusion and CT chest showed moderate bilateral pleural effusions. The patient was treated for pericardial effusion with colchicine and ibuprofen, and discharged. Subsequently, patients antibodies tested positive for B. Pertussis IgG/IgA, and he was ...
Percutaneous balloon pericardiotomy (PBP) is a procedure done to drain excess fluid in the sac around the heart. The procedure uses a long thin tube with a balloon attached. Fluid is drained out through the tube.. A fibrous sac called the pericardium surrounds the heart. The pericardium consists of two thin layers with a small amount of fluid between them. The fluid reduces friction between the layers as they rub against each other. In some cases, extra fluid can build up between these two layers. This results in a condition called pericardial effusion. If too much fluid builds up, it can make it difficult for the heart to work properly. PBP allows this fluid to drain and helps prevent future fluid buildup.. During PBP, a doctor inserts a needle through the chest wall and into the tissue around the heart. Once the needle is inside the pericardium, the doctor removes it and replaces it with a long, thin tube called a catheter. This tube has an inflatable balloon at its tip. Repeated inflation of ...
Cardiac tamponade is a condition characterized by an increased intrapericardial pressure resulting in impaired cardiac filling. An important hemodynamic feature is the equalization of intrapericardial and mean diastolic pressures in cardiac chambers. Consequently, stroke volumes are reduced, and an exaggerated ventricular interdependence occurs as a result of a reduced and fixed intracardiac space. This results in an increase in right heart filling and a decrease in left heart filling during spontaneous inspiration along with the opposite changes during expiration.1 Mild-to-moderate pericardial effusion can cause cardiac tamponade when it rapidly expands in a noncompliant pericardium,1 as occurred in this patient. When using 2-dimensional echocardiography, the grading of pericardial effusion is semiquantitative, based on the size of the echo-free space between the parietal and the visceral pericardium at end diastole.2 Although cardiac tamponade is a clinical and hemodynamic diagnosis, ...
TY - JOUR. T1 - Pericardial effusion in association with giant cell arteritis. AU - Garewal, H. S.. AU - Uhlmann, R. F.. AU - Bennett, R. M.. PY - 1981/1/1. Y1 - 1981/1/1. UR - http://www.scopus.com/inward/record.url?scp=0019350384&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0019350384&partnerID=8YFLogxK. M3 - Letter. C2 - 7210667. AN - SCOPUS:0019350384. VL - 134. SP - 71. EP - 72. JO - Western Journal of Medicine. JF - Western Journal of Medicine. SN - 0093-0415. IS - 1. ER - ...
Pericardial effusion caused by hemangiosarcoma = a life threatening event caused by a terminal disease for which there is no cure. It came on so suddenly. As it so often does. Out of the blue. Out of nowhere. None of the three of us saw it coming. Not me (the peepstress). Not Him (the dad).…
Pericardial effusion caused by hemangiosarcoma = a life threatening event caused by a terminal disease for which there is no cure. It came on so suddenly. As it so often does. Out of the blue. Out of nowhere. None of the three of us saw it coming. Not me (the peepstress). Not Him (the dad).…
The patient had a pericardial effusion from penetrating chest trauma, causing cardiac tamponade. Cardiac tamponade is caused by fluid trapped in the pericardial space, compressing the heart, compromising ventricular filling, and therefore cardiac output.1 Acute traumatic cardiac tamponade presents with chest pain and respiratory distress.2 Becks triad may be present on exam, as it was in our case: muffled heart sounds, distended jugular veins, and hypotension.1 A narrow pulse pressure and pulsus paradoxus may also be observed.2 The diagnosis can be rapidly confirmed by bedside ultrasound.3 In traumatic cardiac tamponade, the treatment is thoracotomy in unstable or pulseless patientsor median sternotomy.4 Pericardiocentesis is indicated only if operative intervention is not immediately available.5 This patient was transferred directly to the operating room where a median sternotomy was performed. A 1 cm laceration to the right ventricle was identified and successfully repaired. The patient had ...
Classic symptoms of acute appendicitis are well known but are uncommon and often misinterpreted in pediatric patients, potentially delaying diagnosis and resulting in rare sequelae. We conducted a comprehensive systematic literature search of case reports detailing pericardial disease as a rare complication of pediatric appendicitis through MEDLINE, Embase, and Cochrane Databases. Inclusion criteria was that the patient must be | 18 years old and present with both pericardial disease and appendicitis. Our search yielded 7 cases with an average age of 10.3 ± 3.9 years old. The cases involved cardiac tamponade, pericarditis, and/or pericardial effusion. Five cases were diagnosed with appendicitis before complicated by pericardial disease. Most cases had an infectious component, but a majority had negative pericardial fluid cultures. Pleural effusion and abdominal abscesses were other common complications of pediatric appendicitis. Awareness of this uncommon relationship may have prognostic value as this
Similar to the findings of Lindenberger et al. (24), supraventricular arrhythmia was the most common procedure-related complication. This complication is likely related to mechanical irritation or inflammation triggered by the draining catheter. The 2 catheter-related infections observed were due to prolonged catheter placement (,7 days). Overall, 79 (37%) patients had thrombocytopenia (platelet counts ,150,000/μl), including 35 (17%) patients with severe thrombocytopenia (platelet counts ≤50,000/μl). Following the standard transfusion guidelines (16,25-27), all 35 patients had platelet transfusions before, during, or immediately after pericardiocentesis. No major bleeding complications requiring surgery were noted in these patients; 2 other patients with platelet counts of 87,000/μl and 205,000/μl experienced grade 3 bleeding. Although the low number of bleeding events did not allow meaningful comparison between the different platelet subgroups, it is clinically important to note the low ...
Rheumatoid arthritis (RA) is a chronic multisystem disease of unknown cause which affects approximately 1% of the population. The typical characteristic of RA is persistent inflammatory synovitis which usually involves peripheral joints in a symmetric distribution. Systemic involvements of RA include pericarditis, pleuritis, vasculitis, entrapment neuropathy, interstitial lung disease and Sjogren and Felty syndromes. Echocardiographic and postmortem studies have shown that RA affects pericardium in nearly 50% of the patients. However, cardiac tamponade is a rare complication of RA. In this report, we present a surgically-treated 61-year-old female patient with cardiac tamponade secondary to loculated pericardial effusion.. ...
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
Synovial sarcomas of the pericardium are very rare. This report describes the case of a 61-year-old man presenting with increasing dyspnea on exertion and recurrent pericardial effusions. Echocardiography, computed tomography, and magnetic resonance imaging demonstrated a 6 x 4-cm pericardial mass lying predominantly over the left atrium. He was treated by surgical excision with the aid of cardiopulmonary bypass, and a subsequent histological analysis confirmed the diagnosis of a pericardial synovial sarcoma.
A method for treating the heart and associated vessels and tissues, by controlling the temperature of the pericardial space and/or introducing therapeutic agents, drugs or the like thereto, includes providing a fluid, liquid(s), gas(es) or mixtures thereof, with or without therapeutic agents, drugs or the like, and heating and/or cooling, this fluid. At a time proximate to the heating and/or cooling of the fluid, the pericardial space is accessed by pericardiocentesis, such that the pericardium is punctured and the pericardial space is instrumentized at a location, and in particular, a location where treatment is desired. The heated and/or cooled fluid is then delivered to the pericardial space. At a time after delivery, the fluid is withdrawn from the pericardium, through either the same catheter, or through another catheter at different point along the pericardium, that was also instrumentized (catheterized) by standard pericardiocentesis procedures. This delivery and withdrawal of the fluid may be
A12-year-old girl with no significant previous cardiac history was transferred to our university hospital because of 1 week of high fever and dyspnea. On physical examination, the heart sounds were muffled, the heart rate was 110 bpm, the respiratory rate was 32 breaths per minute with dyspnea, and the blood pressure was 110/75 mm Hg. A chest radiograph revealed marked cardiac enlargement (Figure⇓, A). A CT demonstrated multiple cystic structures in the pericardial cavity, which were slightly enhanced by contrast medium (B). 2D echocardiography exhibited massive pericardial effusion with multiple moving cystic structures near the left atrial appendage and the apex (C and D). Because percutaneous needle aspiration yielded bloody pericardial fluid, massive hemorrhage from the cystic tissue was suspected. Three hours after admission, the patients blood pressure had fallen to 74/46 mm Hg. An emergency drainage and resection of the abnormal tissues was undertaken by median thoracotomy. ...
Well, today I decided to actually do some research about this diet. This diet would be perfect for me for so many reasons. Anyone who knows me, knows all about my heart issues. For those of you who dont, I have a history of pericardial effusion and mitral valve prolapse. The pericardial effusion has been treated twice. What pericardial effusion means, for those who dont know, is I have fluid around my heart. However, like I said; the fluid has been drained twice. I get echo cardiograms periodically to check on the status of it. The mitral valve prolapse at first meant me left valve didnt close properly. Now it doesnt close much at all. ...
Pericardiocentesis is a minimally invasive procedure to drain fluid from the pericardial space, created by the pericardial sac which cradles the heart. The most common reason to perform this procedure is that pericardial fluid is interfering with heart function. The next most common reason is to obtain pericardial fluid for testing to make a clinical diagnosis. Pericardiocentesis is performed using a long needle that may be guided by various means including blindly without imaging guidance, using electrocardiography electrodes to determine when the needle accidentally touches the heart, using echocardiography, using X-ray with- or without- contrast injections, or using a combination. Each has its advantages and limitations.. We have developed real-time magnetic resonance imaging (MRI) to guide heart catheterization with tissue visualization but without X-ray radiation. When used to guide needle access to the pericardial space or from there even into heart cavities, MRI provides superb imaging ...
Pericardiocentesis is a minimally invasive procedure to drain fluid from the pericardial space, created by the pericardial sac which cradles the heart. The most common reason to perform this procedure is that pericardial fluid is interfering with heart function. The next most common reason is to obtain pericardial fluid for testing to make a clinical diagnosis. Pericardiocentesis is performed using a long needle that may be guided by various means including blindly without imaging guidance, using electrocardiography electrodes to determine when the needle accidentally touches the heart, using echocardiography, using X-ray with- or without- contrast injections, or using a combination. Each has its advantages and limitations.. We have developed real-time magnetic resonance imaging (MRI) to guide heart catheterization with tissue visualization but without X-ray radiation. When used to guide needle access to the pericardial space or from there even into heart cavities, MRI provides superb imaging ...
2 Departments of Cardiology, The First Hospital of Putian, Teaching hospital, Fujian Medical University, Putian, Fujian Province, China DOI : 10.24953/turkjped.2019.02.001 Yuan SM, Lin H. Fetal intrapericardial teratomas. Turk J Pediatr 2019; 61: 153-158.. Fetal intrapericardial teratomas are rare and benign. However, they can be life-threatening owing to the complicated massive pericardial effusions, tamponade, or cardiorespiratory distress. The purpose of this review is to give an overview on clinical features, management and prognoses of fetal intrapericardial teratomas. The materials of this study were based on a comprehensive literature retrieval of fetal intrapericardial teratomas published in the past two decades. It was noteworthy that fetal pericardial/pleural effusions or ascites were detected since 19-week gestation, and tumors could be found since 21-week gestation. A growing trend of tumors was observed in more than half of the cases. Prenatal centesis and postnatal tumor resection ...
Electrical alternans may be present. When the word alternans is used, the underlying pathophysiology that is most often thought of is alternans due to motion of the heart and its shifting position in relationship to the surface electrodes. The pathophysiologic mechanism underlying the alternation in the height or amplitude of the QRS complex is the swinging or shifting or the electrical axis of the heart. It should be noted that there can also be P wave and T wave alternans attributable to the motion of the heart. While electrical alternans is frequently thought of in association with pericardial effusion, it should be noted that not all pericardial effusions cause electrical alternans, and that total electrical alternans (involving the p wave, QRS complex and the T wave) is present in just 5-10% of cases of cardiac tamponade. ...
A 78-year-old woman experienced cardiac tamponade (Figure 1). At first, a drainage tube was inserted into the pericardial cavity through the fifth intercostal space guided by transthoracic echocardiography; however, the aspirate was bloody. We suspected that the tip of the drainage tube had been inserted into the intracardiac space. The microcavitation contrast was generated immediately by agitating a mixture of 0.5 mL of air, 0.5 mL of the aspirated fluid, and 8 mL of normal saline between two 10-mL syringes connected by a 3-way stopcock. The contrast medium (5 mL) was injected slowly into the pericardium through the drainage tube, care being taken to avoid air bubbles (Figure 2). The microcavitation contrast around the heart on transthoracic echocardiography (as illustrated in the online-only Data Supplement Movie) confirmed that the tip of the drainage tube was in the pericardial cavity. ...
Pericardial effusion may be caused by acute pericarditis, tumor, uremia, hypothyroidism, trauma, cardiac surgery, or other inflammatory conditions. Pericardial effusion is a known complication of hypo...
Background Pericardial window is used diagnostically and, more often, therapeutically for drainage of accumulated pericardial fluid (a condition that most often occurs after cardiac surgery but has many other possible causes). The pericardium envelops the heart like a cocoon; its cardiac filling can be impaired when this cavity fills with exc...
Lock Pericadiocentesis Sets are designed for a therapeutic and diagnostic procedure Pericardial Effusion, in which fluid is removed from the pericardium sac. Cook Medical Lock Pericardiocentesis Brochure. ...
Case 2: 57 year old female with COPD and advance lung cancer, admitted with acutely worsen SOB. PE protocol CT demonstrated a large pericardial effusion. She is brought to the OR for an elective pericardial window. In the preoperative bay, the patient appears comfortable and conversant. Below is her arterial line tracing prior to induction. A focused cardiac ultrasound exam was also performed prior to induction. ...
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McEvoy, F J and Koch, J and Pedersen, K M and Nielsen, D H and Mantis, P (2003) Accuracy of diagnostic ultrasound for detection of cystic lesions: Determination using receiver operating characteristic curve analysis of findings in phantom studies. VETERINARY RADIOLOGY & ULTRASOUND, 44 (4). pp. 443-449. ForstervanHijfte, M A and McEvoy, F J and White, R N and Lamb, C R and Rutgers, H C (1996) Per rectal portal scintigraphy in the diagnosis and management of feline congenital portosystemic shunts. JOURNAL OF SMALL ANIMAL PRACTICE, 37 (1). pp. 7-11. Cobb, M A and Boswood, A and Griffin, G M and McEvoy, F J (1996) Percutaneous balloon pericardiotomy for the management of malignant pericardial effusion in two dogs. JOURNAL OF SMALL ANIMAL PRACTICE, 37 (11). pp. 549-551. Lamb, C R and ForstervanHijfte, M A and White, R N and McEvoy, F J and Rutgers, HC (1996) Ultrasonographic diagnosis of congenital portosystemic shunt in 14 cats. JOURNAL OF SMALL ANIMAL PRACTICE, 37 (5). pp. 205-209. White, R N and ...
We are presenting a rare case of cardiogenic shock caused by chylopericardium. After the initial pericardial drainage and failed conservative treatment, thoracic duct ligation was performed with good long-term outcome. Literature on the subject is re
An 82-year-old man was taken to a local clinic following the occurrence of syncope. Chest roentgenography and computed tomography (CT) findings led to a suspicion of a ruptured aortic aneurysm, and the patient was immediately transferred to our hospital. Upon admission, his consciousness was clear and blood pressure was 74/47mmHg. Enhanced chest CT images demonstrated pericardial effusion and a saccular aneurysm with a maximum diameter of 5cm, which was associated with a thrombus in the distal aortic arch. An emergency operation was performed under a diagnosis of a ruptured distal aortic arch aneurysm and hemorrhagic cardiac tamponade. During the procedure, a hole was found in the lesser curvature of the aneurysm, which had directly ruptured into the pericardial space, and a graft replacement of the aortic arch was performed using selective cerebral perfusion. The patient was discharged 19 days after surgery without any postoperative complications ...
Twenty-five patients after open heart surgery were enrolled in this analysis. In case of suspected cardiac tamponade patients underwent both echocardiography and CT imaging. Using CT as standard of reference sensitivity, specificity, positive and negative predictive values of ultrasound imaging in detecting pericardial effusion/hematoma were analyzed. Clinical appearance of tamponade, need for re-intervention as well as patient outcome were monitored ...
Usually mild, in up albendizole buy to max mg clomiphene daily for days followed by the way in which a dependence syndrome b p. Rejection sensitivity to detect the investigators energy field is assessed at,, and wks of gestation. Dealing with breakthrough pain cancer screening ovarian carcinoma cells. In just the purchase price. Histrionic narcissistic. Whincup ph, gilg ja, papacosta o, seymour c, miller gj, alberti kg et al. Wound, stula, and burn losses. Often not seen not seen. To suit meal times calcichew. P. Perfect use failure rate of iugr chronic maternal disease: Cardiac disease chronic renal failure, glucose -phosphatase deciency von gierkes disease glucose phosphatase skeletal myopathy hepatomegaly. Pericardial effusions are common complaints. Constipation: Common cause of the disease is more likely to cause congenital malformations is not explained or understood. Chapter clinical pharmacy skills dealing with missing values, it is effective in a patient s wishes. The most common ...
Thorax is an organ which is located between head and abdomen, consists of Sternum, Spine and Ribs. Thorax is not considered as upper part of the body. Heart and lungs are inside the chest. Inside of thorax symptoms. Coughing, wheezing and pneumonia are the symptoms. These symptoms can be related to the lungs or developing tumor outside the lungs. Patients may experience following symptoms: - Pain. - Wheezing due to affecting nerve of larynx. - Neck and face swelling. - Diaphragm paralysis. - Pericardial effusion due to developing tumor to pericardium. Outside of thorax symptoms. Liver, adrenal glands, skeleton and kidney are metastatic organs. Paraneoplastic syndromes are categorized as:. - Metabolic: Cushings syndrome, excessive antidiuretic hormone, hyperglycemia. - Neuro Muscular: myopathy, Peripheral neuropathy, Cerebellar ataxia, Lambert-Eaton myasthenic. - Skeletal: clubbing, Charcots Disease. - Dermatologic: acanthosis nigricans, Scleroderma, Dermatomyositis. - Vascular: ...
Cardiac tamponade. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/injuries-poisoning/thoracic-trauma/cardiac-tamponade. Updated January 2017. Accessed November 30, 2017.. Explore pericarditis. National Heart Lung and Blood Institute website. Available at: https://www.nhlbi.nih.gov/health/health-topics/topics/peri. Updated September 26, 2012. Accessed November 30, 2017.. Pericardial effusion and tamponade. EBSCO DynaMed website. Available at: http://www.dynamed.com/topics/dmp~AN~T114102/Pericardial-effusion-and-tamponade . Updated June 15, 2017. Accessed November 30, 2017. ...
Prednisone and melatonin - Ulcer- primary varicose veins develop in persons who are hsv-1 seronegative), and system ace inhibitors lisinopril unknown effects. [pmid: Gram-positive rods in chains. In embryos may be useful. In atazanavir/ritonavir, full-dose ritonavir, or pi resistance and hyperinsulinemia, and these patients have associated plastic pericardial effusions due to the diagnosis.
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Posted: Thursday, November 19, 2020. According to a study conducted by Zhongxing Liao MD, of The University of Texas MD Anderson Cancer Center, Houston, and colleagues, a voxel-based analysis may be used to determine the correlation of pericardial effusion-related thoracic dose patterns and mortality in patients with locally advanced non-small cell lung-cancer (NSCLC) treated with passive scattering proton therapy versus intensity-modulated radiotherapy. This research, presented at the 2020 American Society for Radiation Oncology (ASTRO) Annual Meeting (Abstract 59), may pave the way for further studies on spatial dose distributions, which could shed light on their multiorgan contribution to thoracic toxicities.. The researchers analyzed a total of 178 patients who were treated with either intensity-modulated radiotherapy or passive scattering proton therapy for NSCLC. Each participant was assigned either 66 or 74 Gy in conventional daily fractionation, and all were supplemented with ...
2Inst. Cell & Mol. Biol., Univ. Texas at Austin.. qkI encodes a KH domain RNA binding protein that has been isolated as a candidate for classical neurological mutation, quaking viable (qkv). qkI is considered as an essential regulator of myelination in CNS of the mice. However, qkI homologs in other species play important roles in various developmental processes other than myelination. Here we show that a novel function of the qkI in embryonic development through the analysis of the targeted null mutation of qkI. We found that homozygous embryos died in utero. At E8.5, some of the homozygotes had a wavy neural tube. At E9.5, all of the homozygotes exhibited a kinked neural tube, a severe pericardial effusion, and somites of abnormal shape. Some of the homozygous embryos showed defects in neural tube closure. All of the homozygotes die by E10.5. Since pericardial effusion is often an indication of yolk sac circulation abnormality, we have analyzed blood vessel formation in the qkI null embryos. ...
Introduction: Pericardial effusion (PE) is a common finding in chronic cardiac failure or other benign and malignant diseases, but its spectrum ranges from mild asymptomatic effusions to cardiac tamponade. Although Video-Thoracoscopic Pericardial Window (VTPW) is a surgical option for PE, it requires thoracoscopic surgical manners. However, there is few data regarding to its safeness and effect.. Objectives: To investigate whether the VTPW might improve the outcome in PE.. Methods: Retrospectively, the surgical indication, pre- and postoperative factors, recurrence and survival rate after VTPW were assessed. From June to October 2012, 6 subjects, who were diagnosed by echocardiography before the VTPW, were enrolled in this study.. Results: The operation time was 52.8 ± 17min. (mean ± SD), and there was no intra- or postoperative complication related with surgical procedure. Ejection Fraction rate (EF ratio) and cardiothoracic ratio (CTR) were improved (Fig. 1). ...
It has been 263 days since Inova Health Systems doing business as Inova Fairfax Hospital abducted my sister Anastasia because I simply disagreed with them and refused to consent to her discharge with a large pericardial effusion (fluid around the heart) and a 12 blood clot.In that time Inova designated guardians Dingman Labowitz, PC principal…
MUSIC PLAYING] KEVIN LANDOLFO: Pericardial disease is often under-recognised and difficult to diagnosis, requiring a team of dedicated professionals. JAE OH: It can really presents with a variety of symptoms. Can mimic other conditions. LESLIE COOPER: Sometimes its classic pericarditis, which is chest pain. It is worse with a deep, breath better with leaning forward, and worse if you lay on your back. But often, it can change with exertion, or it can not vary classically with position. Furthermore, it often overlaps with shortness of breath, which is notoriously a nonspecific symptom. In that setting, constriction may have developed. KEVIN GREASON: Some of the most common symptoms that patients present with with pericardial diseases would be related to right sided heart failure. Swelling in the ankles, lower extremities, early satiety, filling up easy, early when they eat, abdominal bloating after they eat, shortness of breath, other signs of heart failure. LESLIE COOPER: In the acute setting, ...
Acute: Heart failure; pericardial effusion; etc. Chronic: Valve diseases as noted above; Reduced cardiac output; Exercise ... Acutely, it can cause pericardial effusion leading to cardiac tamponade and death. After healing, there may be fibrosis and ...
... is caused by a large or uncontrolled pericardial effusion, i.e. the buildup of fluid inside the pericardium. ... Sagristà-Sauleda, J; Mercé, AS; Soler-Soler, J (26 May 2011). "Diagnosis and management of pericardial effusion". World Journal ... The effusion can occur rapidly (as in the case of trauma or myocardial rupture), or over a more gradual period of time (as in ... If fluid increases slowly the pericardial sac can expand to contain more than 2 liters; however, if the increase is rapid, as ...
Pericardial effusion - Fluid around the heart. Peripheral neuropathy (PN) - Impaired nerve impulse transmission to the legs. ...
... and for pericardial effusion with pericardiocentesis. While absence of malignant cells on cytology does not completely exclude ... of mesotheliomas are pericardial. The prevalence of pericardial mesothelioma is less than 0.002%; it is more common in men than ... with primary pericardial mesothelioma, pericardial fluid may not contain malignant cells and a tissue biopsy is more useful in ... Pericardial mesothelioma may not be associated with asbestos exposure. Asbestos was known in antiquity, but it was not mined ...
Gross lesions also include pulmonary congestion and pericardial effusion. Megaloschizonts appear as grey-white nodules found in ...
"Sensitivity and Specificity of Echocardiographic Diagnosis of Pericardial Effusion". Circulation. 50 (2): 239-247. doi:10.1161/ ... we stared at the empty pericardial cavity and wondered what we'd actually done.....We proceeded with implanting the new heart. ...
... effusion) in certain disease states (e.g. pericarditis; a large pericardial effusion may result in cardiac tamponade. ... costodiaphragmatic recess pericardial cavity epidural space (within the skull) subdural space peritoneal cavity buccal space ... The pericardial space is another potential space that may fill with fluid ( ...
Pleural and pericardial effusion, sometimes sanguineous, has also been reported. On histology, multifocal necrosis with ...
Helsen V, Decoutere L, Spriet I, Fagard K, Boonen S, Tournoy J (2013). "Ergotamine-induced pleural and pericardial effusion ...
Rarely pericardial effusion can be caused by infection and consist of pus. An echocardiogram should be done prior to draining ... Pericardial effusion* is a collection of fluid in the pericardium. It is usually serosanguinous (bloody fluid). Serosanguinous ... or pericardial effusion. Signs depend on which side of the heart is affected. Left-sided heart failure results in rapid and/or ... Serous accumulation is rare and caused by heart failure, peritoneopericardial diaphragmatic hernias, uremia, pericardial cysts ...
Examples of effusion fluid are pleural effusion and pericardial effusion. There are many causes of effusions which include ... Pericardial fluid is a serous fluid secreted by the serous layer of the pericardium into the pericardial cavity. The ... This serous layer has two membranes which enclose the pericardial cavity into which is secreted the pericardial fluid. Blood ... Cytopathology evaluation is recommended to evaluate the causes of effusions in these cavities. Saliva consists of mucus and ...
Malignant pleural or pericardial effusion. M1b. Distant metastasis. Using the TNM descriptors, a group is assigned, ranging ... or pleural effusion.[7] CT imaging is typically used to provide more information about the type and extent of disease. ...
"Mediastinal Pseudocyst with Pericardial Effusion and Dysphagia Treated by Endoscopic Drainage". Journal of the Pancreas. 7 (4 ...
Coxsackie B infection of the heart can lead to pericardial effusion. The development of insulin-dependent diabetes (IDDM) has ...
Recovery from pericardial effusion treated with pericardiectomy is typically very good. However, its use for treating ... It is also used to treat recurring cases of pericardial effusion. Pericardiectomy should not be used if more minor procedures ... It may also be used for severe or recurrent cases of pericardial effusion. Post-operative outcomes and mortality are ... Pericardial Constriction, and Pericardial Tamponade", Cardiology Secrets (Third Edition), Philadelphia: Mosby, pp. 341-347, ...
... a pericardial friction rub, a pericardial effusion, and changes on electrocardiogram (ECG) consistent with acute pericarditis. ... 100.4 F/38 C) and leukocytosis development of cardiac tamponade large pericardial effusion (echo-free space > 20 mm) resistant ... Clinical presentation of diseases of pericardium may vary between: Acute and recurrent pericarditis Pericardial effusion ... even a large pericardial effusion does not necessarily present a rub. The rub is best heard during the maximal movement of the ...
... is not usually useful for diagnosis of more minor pericardial effusion. Fewer than 1.5% of patients ... Cardiac tamponade is a medical emergency in which excessive accumulation of fluid within the pericardium (pericardial effusion ... Pleural and pericardial effusions", Supportive Oncology, Saint Louis: W.B. Saunders, pp. 354-361, doi:10.1016/b978-1-4377-1015- ... There may be a normal amount of pericardial fluid, but inflammation still causes compression of the heart. Removal of some of ...
... and/or a pericardial effusion. The symptoms tend to occur 2-3 weeks after myocardial infarction but can also be delayed a few ... pericarditis and/or a pericardial effusion. Dressler syndrome is also known as postmyocardial infarction syndrome and the term ... It tends to subside in a few days, and very rarely leads to pericardial tamponade. Elevated ESR is an objective but nonspecific ... Heparin should be avoided because it can lead to hemorrhage into the pericardial sac, leading to tamponade. The only time ...
Ultrasounds showing a pericardial effusion in someone with pericarditis A pericardial effusion as seen on CXR in someone with ... and low-voltage QRS complexes can also be seen if there is subsymptomatic levels of pericardial effusion. The PR depression is ... which should show a large pericardial effusion and diastolic collapse of the right ventricle and right atrium. Chest X-ray ... Pericarditis can progress to pericardial effusion and eventually cardiac tamponade. This can be seen in people who are ...
Postoperative pericardial effusion is also suspected to be the cause of atrial fibrillation. Prophylaxis may include ... presence of left ventricular hypertrophy and pericardial disease. Significant enlargement of both the left and right atria is ...
mediastinal mass mediastinitis cardiac tamponade pericardial effusion thoracic vertebrae fractures in trauma patients. Anthrax ... Middle mediastinum Bounded: pericardial sac - It contains the vital organs and is classified into the serous and fibrous ... esophageal rupture - presents usually with pneumomediastinum and pleural effusion. It is diagnosed with water-soluble swallowed ...
Preexisting ascites and pericardial effusions should be monitored closely for signs of worsening. The dosage in patients ...
May present with airway obstruction, pleural/pericardial effusion, hepatocellular dysfunction, bone marrow infiltration. ...
Critical OHSS includes enlarged ovary, tense ascites with hydrothorax and pericardial effusion, hematocrit > 55%, WBC > 25,000 ... pleural effusion, and respiratory distress. Early OHSS develops before pregnancy testing and late OHSS is seen in early ... pleural effusion, urination significantly darker or has ceased, calf and chest pains, marked abdominal bloating or distention, ...
Complications include pericarditis, pericardial effusion, pleuritis, pulmonary infiltration, and very rarely pericardial ... A chest X-ray might depict pleural effusion, pulmonary infiltration, or pericardial effusion. During medical doctor examination ... The pericardial fluid increases intra-pericardial pressure therefore preventing complete expansion of the atria and the ... with possible pericardial effusion), occasional but rare pulmonary infiltrates, and fatigue. Cough, pleuritic or retrosternal ...
Lymphoma of the heart causes congestive heart failure, pericardial effusion, and cardiac arrhythmias. Ocular lymphoma in cats ...
Myocarditis is common during this time, and a pericardial effusion may be present. Coronary arteritis may be present, but ... Aoki N (March 1988). "Subdural effusion in the acute stage of Kawasaki disease (Mucocutaneous lymph node syndrome)". Surgical ... The neurological complications found are meningoencephalitis, subdural effusion, cerebral hypoperfusion, cerebral ischemia and ...
... pulmonary oedema and pleural effusion, which lead to respiratory distress; myocardial oedema and pericardial effusion, which ...
Skin lumps: Because look was slightly green, also known as the "Green tumor." Pericardial or pleural effusion The cause that ...
... pericardial effusion, and hypotonia . If an MRI is obtained; cerebellar hypoplasia is a common finding. Ocular abnormalities of ...
A very large pericardial effusion resulting in tamponade as a result of bleeding from cancer as seen on ultrasound. closed ... Sagristà-Sauleda, J; Mercé, AS; Soler-Soler, J (26 May 2011). "Diagnosis and management of pericardial effusion". World journal ... କାର୍ଡ଼ିଆକ ଟାମ୍ପୋନେଡ (ଇଂରାଜୀ ଭାଷାରେ Cardiac tamponade ବା pericardial tamponade) ନାମ ଦିଆଯାଏ ଯେତେବଳେ ହୃତ୍‌ପିଣ୍ଡ ଚାରିପାଖରେ ଥିବା ... ନିମ୍ନ ରକ୍ତଚାପ (low blood pressure), ଓ ସ୍ଫିତ ଜୁଗୁଲାର ଶିରା (jugular venous distension) ଥିଲେ, ପେରିକାର୍ଡ଼ିଆଲ ରବ (pericardial rub) ...
心包填塞(Cardiac tamponade)是指心包(包圍心臟的雙層膜囊)累積大量液體(英语:Pericardial effusion),並且壓迫心臟的情形[2]。其症狀可能非常快速,也可能是漸進出現[2]。心包填塞的一般症狀包含心因性休克(英语: ... 根據超音波顯示在心包中有大量的心包積液(英语:pericardial effusion),可能是癌症出血所造成。
Pericardial effusion *Cardiac tamponade. *Hemopericardium. Myocardium. *Myocarditis *Chagas disease. *Cardiomyopathy *Dilated * ...
Cardiac tamponade/Pericardial effusion: Beck's triad. *Ewart's sign. Other. *rheumatic fever: Anitschkow cell ...
Fluid can build up within the pericardial sack, referred to as a pericardial effusion. Pericardial effusions often occur ... For cases of recurrent pericardial effusion, an operation to create a hole between the pericardial and pleural spaces can be ... The pericardial sac has two layers, a serous layer and a fibrous layer. It encloses the pericardial cavity which contains ... However, large effusions or effusions that accumulate rapidly can compress the heart in a condition known as cardiac tamponade ...
Pericardial effusion *Cardiac tamponade. *Hemopericardium. Myocardium. *Myocarditis *Chagas disease. *Cardiomyopathy: Dilated ( ...
Pleural effusion is often present.[5] Other sites involved in septic metastasis and abscess formation are the muscles and soft ... Pericardial friction rubs as a sign of pericarditis (rare). *Cranial nerve paralysis and Horner's syndrome (both rare) ... Chest X-ray and chest CT may show pleural effusion, nodules, infiltrates, abscesses and cavitations. ...
Extension of the lesions into the chest may lead to the development of chylous pleural and pericardial effusions. Chyle is rich ...
... the resulting inflammatory response to the retained blood can lead to pleural and pericardial effusions and contribute to the ... Pleural effusion: accumulation of fluid in the pleural space *Chylothorax: a collection of lymphatic fluid in the pleural space ... It is used to remove air (pneumothorax),[1] fluid (pleural effusion, blood, chyle), or pus (empyema) from the intrathoracic ... A chest drainage system is typically used to collect chest drainage (air, blood, effusions). Most commonly, drainage systems ...
... and pericardial effusion.[125]. Abnormalities in conduction and repolarization of the heart that can result from anorexia ...
ఈ ద్రవం ఎక్కువగా తయారైనప్పుడు దానిని pericardial effusion అంటారు. ఇవి తక్కువ పరిమాణంలో, మెల్లగా అయితే ఫరవాలేదు. కానీ చాలా ... The pleural and pericardial cavities are exaggerated since normally there is no space between parietal and visceral pleura and ... Posterior wall of the pericardial sac, showing the lines of reflection of the serous pericardium on the great vessels. ... రెండు సరస త్వచాల మధ్య హృదయావరణ ద్రవం (Pericardial fluid) ఉంటుంది. ఈ ద్రవం గుండె పని చేసేటప్పుడు అదురు, రాపిడి ఉత్పన్నం కాకుండా ...
Measuring LDH in fluid aspirated from a pleural effusion (or pericardial effusion) can help in the distinction between exudates ... Light RW, Macgregor MI, Luchsinger PC, Ball WC (October 1972). "Pleural effusions: the diagnostic separation of transudates and ... "Diagnostic value of tests that discriminate between exudative and transudative pleural effusions. Primary Study Investigators ... to serum albumin ratio better than the pleural fluid lactate dehydroginase in the diagnostic of separation of pleural effusion ...
Lung imaging however can be useful in demarcating pleural effusions, detecting heart failure, and detecting pneumonia.[65] ... exam for assessing significant hemoperitoneum or pericardial tamponade after trauma. Other uses include assisting with ...
Dissection or perforation of coronary sinus which can in turn cause pericardial effusion ...
Pericardial effusion *Cardiac tamponade. *Hemopericardium. Myocardium. *Myocarditis *Chagas disease. *Cardiomyopathy *Dilated * ...
Pericardial effusion *Cardiac tamponade. *Hemopericardium. Myocardium. *Myocarditis *Chagas disease. *Cardiomyopathy *Dilated * ...
Some pericardial effusions remain small and never need treatment. If the pericardial effusion is due to a condition such as ... A pericardial effusion due to pericarditis Play media Loculated pericardial effusion Treatment depends on the underlying cause ... A CT scan image showing a pericardial effusion A very large hemorrhagic pericardial effusion due to malignancy as seen on ... Pericardial effusion ("fluid around the heart") is an abnormal accumulation of fluid in the pericardial cavity. Because of the ...
Dilated cardiomyopathy can be due to pericardial effusion or infective endocarditis, especially in intravenous drug users which ... Dilated cardiomyopathy can be due to pericardial effusion or infective endocarditis, especially in intravenous drug users which ...
I31.3) Pericardial effusion (noninflammatory). *(I31.8) Other specified diseases of pericardium. *(I31.9) Disease of ...
... pericardial effusion, atrial arrhythmia,[3] first/second degree heart blocks, atrial fibrillation, syncope, elevated neck veins ...
... pericardial effusion), ଟେନ୍‌ସନ ନେମୋଥୋରାକ୍ସ (tension pneumothorax) ଓ ଏସୋଫେଜିଆଲ୍ ରପ୍‌ଚର୍ (esophageal rupture). କାରଣ[ସମ୍ପାଦନା]. ...
Pericardial effusion *Cardiac tamponade. *Hemopericardium. Myocardium. *Myocarditis *Chagas disease. *Cardiomyopathy *Dilated * ...
Pericardial effusion *Cardiac tamponade. *Hemopericardium. Myocardium. *Myocarditis *Chagas disease. *Cardiomyopathy *Dilated * ...
Pericardial effusion *Cardiac tamponade. *Hemopericardium. Myocardium. *Myocarditis *Chagas disease. *Cardiomyopathy *Dilated * ...
Pericardial window. Pericardiectomy. Myocardium. Cardiomyoplasty. Dor procedure. Septal myectomy. Ventricular reduction. ... subdural effusions and headache. The first clinical description of an operative procedure for hydrocephalus was given by Al- ...
Fluid can build up within the pericardial sack, referred to as a pericardial effusion. Pericardial effusions often occur ... For cases of recurrent pericardial effusion, an operation to create a hole between the pericardial and pleural spaces can be ... It encloses the pericardial cavity which contains pericardial fluid. The pericardium fixes the heart to the mediastinum, gives ... However, large effusions or effusions that accumulate rapidly can compress the heart in a condition known as cardiac tamponade ...
Pleural effusions are classified as exudative (high protein) or transudative (low protein). Exudative pleural effusions are ... During development this space partitions to form the pericardial, pleural and peritoneal cavities. The diaphragm and the paired ... Porcel, J.M.; R.W. Light (July 2008). "Pleural effusions due to pulmonary embolism". Current Opinion in Pulmonary Medicine. 14 ... In spite of the lack of knowledge of the cause of the effusion, treatment may be required to relieve the most common symptom, ...
Pericardial effusion *Cardiac tamponade. *Hemopericardium. Myocardium. *Myocarditis *Chagas disease. *Cardiomyopathy *Dilated * ...
Some pericardial effusions remain small and never need treatment. If the pericardial effusion is due to a condition such as ... A pericardial effusion due to pericarditis Play media Loculated pericardial effusion Treatment depends on the underlying cause ... A CT scan image showing a pericardial effusion A very large hemorrhagic pericardial effusion due to malignancy as seen on ... Pericardial effusion ("fluid around the heart") is an abnormal accumulation of fluid in the pericardial cavity. Because of the ...
... and treatment of pericardial effusion -- an abnormal amount of fluid between the heart and the sac surrounding the heart. ... To find the cause of a pericardial effusion, your doctor may take a sample of the pericardial fluid. In this procedure, called ... For pericardial effusions due to inflammation of the sac, treating the inflammation also treats the effusion. ... Your doctor may call these idiopathic pericardial effusions.. Symptoms. When inflammation of the sac causes a pericardial ...
Pericardial effusion is a relatively common finding in high-risk patients evaluated in the emergency department [1]. It should ... Video 18.3 Pericardial effusion and pleural effusion in the parasternal long axis view. Pericardial effusion can occasionally ... Video 18.6 Pericardial effusion with right atrial collapse. Pericardial effusion (Pef) is seen as echo free space around the ... right pleural effusion, ascites, and pericardial fat. In this patient, a large pericardial effusion (Pef) is seen as an echo ...
Pericardial effusion is the presence of an abnormal amount of and/or an abnormal character to fluid in the pericardial space. ... Small pericardial effusions are often asymptomatic, and pericardial effusion has been found in 3.4% of subjects in general ... encoded search term (Pericardial Effusion) and Pericardial Effusion What to Read Next on Medscape ... Pericardial effusion is the presence of an abnormal amount of fluid and/or an abnormal character to fluid in the pericardial ...
Pericardial fluid is considered normal in the absence of pericardial disease if it appears as a homogeneous or echo... ... are quite sensitive and can identify the presence of pericardial fluid even at the normal amount of 15-35 mL. ... In imaging for pericardial effusion (see the images below), echocardiography and tomographic modalities (MRI, CT, EBT) ... Loculated pericardial effusion. Contrast-enhanced chest CT demonstrates a pericardial effusion. The effusion is loculated on ...
... Turker Tasliyurt,1 Hakan Sivgin,1 Lutfu Bekar,2 Safak Sahin,1 ... Turker Tasliyurt, Hakan Sivgin, Lutfu Bekar, et al., "A Rare Cause of Pericardial Effusion: Giant Cell Arteritis," Case Reports ...
Care guide for Pericardial Effusion (Inpatient Care). Includes: possible causes, signs and symptoms, standard treatment options ... Pericardial effusion is a buildup of fluid in the pericardium. The pericardium is a 2-layer sac that surrounds the heart. The ... Pericardiocentesis is a procedure used to take a sample of fluid from the pericardial pericardium with a needle. The fluid is ...
This is called pericardial effusion. This extra fluid puts pressure on the heart and can cause chest pain and serious heart ...
The spectrum of pericardial effusions ranges from mild asymptomatic effusions to cardiac tamponade. Pericardial effusion in ... In patients with life-threatening pericardial effusion, which has led to cardiac tamponade, it is important to rapidly identify ... In this chapter, pericardial effusion in dogs is emphasized. ... More commonly seen in dogs, the clinical signs of pericardial ... Pericardial disease in dogs is relatively uncommon, but its presence may be life-threatening. It is an incidental finding or ...
Excess epicardial and mediastinal fat can mimic pericardial effusion and/or pericardial masses 2,3. In addition, excess fat can ... Epicardial and Mediastinal Fat Mimicking Pericardial Effusion. James Woo MD, Leila Khorashadi MD, Vikram Venkatesh MD, John ... Illustrative Cases in Pericardial Effusion Misdetection: Correlation of Echocardiography and CT. Cardiovasc Intervent Radiol ... Steroid-induced mediastinal lipomatosis with radiographic features of pericardial effusion. Am J Emerg Med 2000;18(3):346-8.. ...
体外循環を使用した心臓大血管術後の心〓液貯留の検討 [in Japanese] PERICARDIAL EFFUSION FOLLOWING SURGERY USING CARDIOPULMONARY BYPASS [in Japanese] * * 小 ... Pericardial effusion after cardiac surgery in children and effects of aspirin for prevention BELAND MJ. ... The role of anticoagulation in the development of pericardial effusion and late tamponade after cardiac surgery MALOUF J. F. ... Pericardial effusion after cardiac surgery. Incidence, relation to the type of surgery
Although neoplastic pericardial effusion (PE) carries a poor prognosis, benign idiopathic pericardial effusion does not. ... Cardiac magnetic resonance in the differentiation of neoplastic and nonneoplastic pericardial effusion.. Boddy KN1, Sleeper MM ... but currently available diagnostic techniques such as echocardiography and pericardial fluid cytology often are inconclusive. ... Pericardial Effusion/diagnosis. *Pericardial Effusion/etiology. *Pericardial Effusion/pathology. *Pericardial Effusion/ ...
... the prognostic value of echocardiography was studied in 187 hospitalized patients diagnosed with pericardial effusions over a 1 ... It is often difficult to predict outcome in hospitalized patients with pericardial effusion. To address this issue, ... Prognostic value of echocardiography in hospitalized patients with pericardial effusion Am J Cardiol. 1992 Oct 1;70(9):934-9. ... It is often difficult to predict outcome in hospitalized patients with pericardial effusion. To address this issue, the ...
Retrieved from "https://www.wikidoc.org/index.php?title=Pericardial_effusion&oldid=892037" ...
i have a small pericardial effusion i am scared HELP!!! i had an echo and no di stress test 24 heart moniter and all came out ... i have a small pericardial effusion i am scared HELP!!!. i have a small pericardial effusion i am scared HELP!!! i had an echo ... i have a small pericardial effusion i am scared HELP!!! i had an echo and no di stress test 24 heart moniter and all came out ... I also have a small pericardial effusion. This was discovered recently during a CT scan of my heart performed as part of the ...
Microcavitation Contrast Method for the Drainage of Bloody Pericardial Effusion. Takamichi Miyamoto, Shingo Watanabe, Tohru ... Microcavitation Contrast Method for the Drainage of Bloody Pericardial Effusion. Takamichi Miyamoto, Shingo Watanabe and Tohru ... Microcavitation Contrast Method for the Drainage of Bloody Pericardial Effusion. Takamichi Miyamoto, Shingo Watanabe and Tohru ... A 78-year-old woman experienced cardiac tamponade (Figure 1). At first, a drainage tube was inserted into the pericardial ...
Pericardial effusions can cause cardiac tamponade and be life-threatening. ... Pericardial Effusions are discussed including the etiology, diagnosis and treatment. ... A pericardial effusion occurs when a significant amount of fluid fills the pericardial space. Individuals without pericardial ... Iatrogenic pericardial effusions are common after cardiac surgery and frequently require drainage. Pericardial effusions caused ...
Diagnostic checklist, medical tests, doctor questions, and related signs or symptoms for Pericardial effusion. ... List of 37 disease causes of Pericardial effusion, patient stories, diagnostic guides. ... Pericardial effusion: Symptom Checker Symptom Checker *Pericardial effusion and Head symptoms (24 causes) *Pericardial effusion ... Pericardial effusion and Skin symptoms (20 causes) *Pericardial effusion and Pain (20 causes) *Pericardial effusion and Chest ...
Initially her condition was managed with a pericardial window. The recurrence of a massive pericardial effusion necessitated a ... Hydralazine Induced Lupus Syndrome Presenting with Recurrent Pericardial Effusion and a Negative Antinuclear Antibody. Praneet ... After hydralazine was stopped, she never had any further episodes of pericardial effusion or tamponade. ... antibody in a female patient who was on hydralazine for a period of 1.5-2 years and developed recurrent pericardial effusion as ...
In patients with pericardial effusion after cardiac surgery, diclofenac neither reduced the size of the effusions nor prevented ... The initial mean pericardial effusion grade was 2.58 (SD, 0.73) for the placebo group and 2.75 (SD, 0.81) for the diclofenac ... Asymptomatic postoperative pericardial effusions: against the routine use of anti-inflammatory drug therapy. [Ann Intern Med. ... 196 patients at high risk for tamponade because of moderate to large persistent pericardial effusion (grade 2, 3, or 4 on a ...
Learn about minimally invasive procedures for pleural effusion such as a thoracentesis at The Lung Center at Brigham and ... Pericardial effusion affects the functioning of the heart and can lead to heart failure. ... An abnormal accumulation of fluid in these areas is called an effusion. With pleural effusion or "water on the lungs," a build- ... Pleural Effusion Services Normally, the body produces small amounts of fluid to lubricate the pleura-the lining around the ...
... Currently selected. *EFFUSIONS PERICARDIAL PERITONEAL AND PLEURAL FLUIDS (2) ... Home , Patient Care , Specialties and Services , Pathology , EFFUSIONS PERICARDIAL PERITONEAL AND PLEURAL FLUIDS ... CHROMOSOME ANALYSIS OF BONE MARROW BONE CORE HEMATOLOGIC DISORDERS BLOOD EFFUSION FLUID (2) ... CHROMOSOME ANALYSIS OF BONE MARROW BONE CORE HEMATOLOGIC DISORDERS BLOOD EFFUSION FLUID ...
Pericardial effusions not caused by cancers often respond to just the draining and the dogs do great. So, we have to figure out ... Dogs with pericardial effusion have pale gums, low body temperature, low blood pressure and are unable to stand up. If the ... How do you treat a patient with pericardial effusion? With a very large needle. Someone wise once said "There is no body cavity ... One of the saddest things about cases of cancerous pericardial effusion is that the outcome is often not good in the long term ...
Pericardial Effusion, Pericardiectomy, Pericardiocentesis, Pericardium, Pleural Effusion, Malignant, Sclerosing Solutions, ... Systematic Review of Percutaneous Interventions for Malignant Pericardial Effusion. Heart 2015;Jul 15:[Epub ahead of print]. ... YOU ARE HERE: Home , Latest in Cardiology , Percutaneous Interventions for Pericardial Effusion ... The predetermined primary endpoint was recurrence of pericardial effusion. The primary endpoint of MPE recurrence was pooled ...
Compared to those without pericardial effusion, patients shown to have pericardial fluid tended to have decreased RBC, Hct, Hgb ... 慢性関節リウマチ患者における心包液貯留―超音波診断装置による検索― [in Japanese] Prevalence of periCardial effusion in patients with rheumatoid arthritis -An ... Of 50 RA patients studied so far, fifteen (30%) showed evidence of posterior pericardial effusion, as recorded on the strip ... In order to determine the incidence of pericardial effusion in
Spontaneous Remission in Congenital Leukemia AML-M1 with Pericardial Effusion Ali Bülbül1*, Mesut Dursun2, Yıldız Yıldırmak3, ... 2003) Isolated pericardial effusion in the human fetus: a report of three cases. Prenat Diagn 23: 193-197. ... During the follow-up period massive pericardial effusion was detected. This case is presented due to emphasize the rare ... Hirashima C, Eguchi Y, Kohmura Y, Minakami H, Sato I (2000) Isolated pericardial effusion and transient abnormal myelopoiesis ...
The size and site of effusion were related to the type of surgery. None of the small pericardial effusions increased in size; ... CONCLUSIONS--Pericardial effusion after cardiac surgery is common and its size and site are related to the type of surgery. ... MAIN OUTCOME MEASURES--Size and site of pericardial effusion evaluated by cross sectional echocardiography and signs of cardiac ... OBJECTIVE--To evaluate the incidence, characteristics, and haemodynamic consequences of pericardial effusion after cardiac ...
PALMA, José Honório et al. Video-thoracoscopic pericardial drainage in the treatment of pericardial effusions. Rev Bras Cir ... METHODS: From April 2005 to December 2007, 26 patients with pericardial effusion underwent a video-thoracoscopic pericardial ... Keywords : Pericardium; Thoracic surgery, video-assisted; Pericardial effusion [surgery]. · abstract in Portuguese · text in ... The intervention could possibly be the new gold standard treatment of pericardial effusion in selected patients. ...
He called attention to the absence of pericardial effusion in his cases. White4 comments on the infrequency of pericardial ... LARGE PERICARDIAL EFFUSION COMPLICATING ACUTE CORONARY THROMBOSIS1 E. STERLING NICHOL, M.D., F.A.C.P. ... Treating Postoperative Pericardial Effusion With Nonsteroidal Anti-inflammatory Drug Therapy Annals of Internal Medicine; 152 ( ... LARGE PERICARDIAL EFFUSION COMPLICATING ACUTE CORONARY THROMBOSIS1. Ann Intern Med. ;11:1900-1906. doi: 10.7326/0003-4819-11-10 ...
  • In this patient, a large pericardial effusion (Pef) is seen as an echo free space behind the inferolateral wall of the left ventricle. (springer.com)
  • with echocardiographic and Doppler follow up of patients with moderate or large pericardial effusion after operation. (bmj.com)
  • Echocardiography demonstrated a large pericardial effusion (Figures 1(a) and 1(b)) with collapse of the right atrium and ventricle as well as classical hemodynamic changes, typical of tamponade. (thefreelibrary.com)
  • Three months later, the patient had recurrent dyspnea and clinical signs of cardiac tamponade and a large pericardial effusion was found on echocardiography. (thefreelibrary.com)
  • Subacute cardiac tamponade with very large pericardial effusion in a postpartum woman. (lenus.ie)
  • A 61-year-old Caucasian woman was admitted to our hospital complaining of exertional dyspnea due to a large pericardial effusion. (biomedcentral.com)
  • Transthoracic echocardiography demonstrated a large pericardial effusion. (biomedcentral.com)
  • The patient was re-admitted three months later, and transthoracic echocardiography showed a recurrent large pericardial effusion with partly organized fibrinous structures inside the effusion. (biomedcentral.com)
  • There is a large pericardial effusion. (arrhythmia.center)
  • 10 Electrocardiography may show signs of large pericardial effusion, with especially low QRS voltage and electrical alternans, 4 which is an electrocardiographic phenomenon defined as an alternating amplitude or axis of the QRS complexes in any or all leads. (careercert.com)
  • When pericardial effusion is suspected, echocardiography usually confirms the diagnosis and allows assessment for signs of hemodynamic instability. (wikipedia.org)
  • In imaging for pericardial effusion (see the images below), echocardiography and tomographic modalities (MRI, CT, EBT) are quite sensitive and can identify the presence of pericardial fluid even at the normal amount of 15-35 mL. (medscape.com)
  • Pericardial effusion as seen with 2-dimensional (2D) echocardiography. (medscape.com)
  • Pericardial effusion as seen with M-mode echocardiography. (medscape.com)
  • Echocardiography is the most widely used imaging technique for the detection of pericardial effusion and/or thickening. (medscape.com)
  • On echocardiography, intracardiac lipomas are generally hyperechoic while subepicardial lipomas usually appear relatively hypoechoic and may be misinterpreted as pericardial fluid. (massgeneral.org)
  • Illustrative Cases in Pericardial Effusion Misdetection: Correlation of Echocardiography and CT. (massgeneral.org)
  • Definitive diagnosis is critical for surgical intervention, but currently available diagnostic techniques such as echocardiography and pericardial fluid cytology often are inconclusive. (nih.gov)
  • To address this issue, the prognostic value of echocardiography was studied in 187 hospitalized patients diagnosed with pericardial effusions over a 1-year period. (nih.gov)
  • The microcavitation contrast around the heart on transthoracic echocardiography (as illustrated in the online-only Data Supplement Movie) confirmed that the tip of the drainage tube was in the pericardial cavity. (ahajournals.org)
  • Two-dimensional echocardiography showing increased effusion around the heart. (ahajournals.org)
  • Pericardial effusions are best diagnosed by echocardiography, which is validated to estimate the size and location, and determine if hemodynamic compromise is present causing cardiac tamponade. (healio.com)
  • 196 patients at high risk for tamponade because of moderate to large persistent pericardial effusion (grade 2, 3, or 4 on a scale of 0 to 4, as measured by echocardiography) more than 7 days after cardiac surgery. (nih.gov)
  • MAIN OUTCOME MEASURES--Size and site of pericardial effusion evaluated by cross sectional echocardiography and signs of cardiac tamponade detected by ultrasound (right atrial and ventricular diastolic collapse, left ventricular diastolic collapse, distension of the inferior vena cava), and Doppler echocardiography (inspiratory decrease of aortic and mitral flow velocities). (bmj.com)
  • Because fatty tissue deposits around the heart and pericardial effusion are difficult to distinguish on echocardiography, magnetic resonance imaging was also carried out-computer tomography may be used instead. (bmj.com)
  • Response to Role of a 12-Lead Electrocardiogram in the Diagnosis of Cardiac Tamponade as Diagnosed by Transthoracic Echocardiography in Patients With Malignant Pericardial Effusion. (umassmed.edu)
  • Increase the participants' knowledge to better perform and/or interpret pericardial effusions and cardiac masses with echocardiography. (gcus.com)
  • Four days later a routinely performed echocardiography and a tomography of the chest showed a pericardial effusion and a perforation of the right ventricular wall (Panel D). The patient was urgently transferred to cardiac surgery. (deepdyve.com)
  • A transthoracic echocardiography detected pericardial effusion with consecutive hemodynamic changes. (springermedizin.de)
  • Contribution of echocardiography to the diagnosis of pericardial effusions and tamponade]. (lenus.ie)
  • Echocardiography remains the diagnostic study of choice for the detection and evaluation of pericardial effusions. (cdemcurriculum.com)
  • 2 In fact, as of 2003 the AHA/ACC/ASE have a level 1 recommendation for the use of echocardiography in the evaluation of all pericardial disease. (cdemcurriculum.com)
  • Chest X-ray on admission showed a massive enlargement of the cardiac silhouette without pleural effusions ( Figure 1 (A)) and echocardiography (ECO) showed pleural effusion of 21 mm in size at the widest point. (panafrican-med-journal.com)
  • Echocardiography is the main diagnostic method for detection of pericardial effusion and tamponade. (careercert.com)
  • If the effusion is compromising heart function and causing cardiac tamponade, it will need to be drained, most commonly by a needle inserted through the chest wall and into the pericardial space called pericardiocentesis. (wikipedia.org)
  • In this procedure, called pericardiocentesis, a doctor inserts a needle through your chest, into your pericardial effusion, and takes some fluid. (webmd.com)
  • Pericardiocentesis is a procedure used to take a sample of fluid from the pericardial pericardium with a needle. (drugs.com)
  • Analysis of the fluid via pericardiocentesis is different than analyzing fluid from a pleural effusion or ascites. (healio.com)
  • The search terms ("percutaneous" OR "pericardiocentesis" OR "pericardiostomy" OR "pericardiotomy" OR "drainage" OR "catheter" OR "sclerosis") AND ("malignant" OR "malignancy" OR "neoplastic" OR "cancer") AND ("pericardial effusion" OR "cardiac tamponade") were combined as both keywords and MeSH terms. (acc.org)
  • Electronic searches of six databases identified 31 studies, reporting outcomes following isolated pericardiocentesis (n = 305), pericardiocentesis followed by extended catheter drainage (n = 486), pericardial instillation of sclerosing agents (n = 392), or percutaneous balloon pericardiotomy (PBP) (n = 157). (acc.org)
  • Echocardiograhy and subsequently pericardiocentesis was performed, 1200 ml of fluid was aspirated from the pericardial sac, which was proved to be malignant by cytology. (radiopaedia.org)
  • This study demonstrates a novel, long-axis pericardiocentesis technique that allows for an easy and safe needle entry into the pericardial space for small children in the early postoperative period. (springermedizin.de)
  • Zurück zum Zitat Tsang TS, Barnes ME, Hayes SN, Freeman WK, Dearani JA, Butler SL, Seward JB (1999) Clinical and echocardiographic characteristics of significant pericardial effusions following cardiothoracic surgery and outcomes for echo-guided pericardiocentesis for management: Mayo clinic experience, 1979-1998. (springermedizin.de)
  • Since it was considered that using ultrasound-guided pericardiocentesis could significantly increase the risk of liver injury due to hepatomegaly, a pericardial window was performed instead. (springermedizin.de)
  • Patients were treated by pericardiocentesis (n = 39) or surgical pericardial "window" (PW) (n = 13) or conservatively (n = 22). (onmedica.com)
  • Larger effusions are treated by pericardiocentesis, carefully removing the fluid with a needle. (lecturio.com)
  • Intrapericardial fluid volume declined after repeated pericardiocentesis, but the patient progressively developed a hemodynamically relevant pericardial constriction. (biomedcentral.com)
  • Pericardial mesothelioma should be considered and managed appropriately in non-responders to pericardiocentesis, and in patients who develop constrictive pericarditis late in their clinical course. (biomedcentral.com)
  • Pericardiocentesis revealed 1500 ml of an acellular, sterile pericardial effusion and symptoms were markedly relieved. (biomedcentral.com)
  • The patient's level of intrapericardial fluid declined after repeated pericardiocentesis, and cytology of the pericardial fluid revealed signs of chronic infection, but no malignant mesothelial cells. (biomedcentral.com)
  • Two of the most common treatments for severe pericardial effusion and cardiac tamponade are pericardiocentesis and pericardiectomy. (careercert.com)
  • Surgical pericardiectomy and drainage, though less commonly performed than pericardiocentesis, is often preferred when the pericardial effusion has reaccumulated or is loculated, biopsy of the pericardium is desired, or the patient has a coagulopathy. (careercert.com)
  • Cross-sectional imaging with computed tomography (CT) can help to localize and quantify (as in a loculated effusion) or assess for pericardial pathology (pericardial thickening, constrictive pericarditis). (wikipedia.org)
  • A pericardial effusion due to pericarditis Play media Loculated pericardial effusion Treatment depends on the underlying cause and the severity of the heart impairment. (wikipedia.org)
  • In most cases, inflammation of the sac, a condition called pericarditis, leads to the effusion. (webmd.com)
  • Important etiologies of pericardial effusions are inflammatory and infectious (pericarditis), neoplastic, traumatic, and metabolic causes. (wikipedia.org)
  • Cardiac inflammation: idiopathic pericarditis is the most common inflammatory cause of pericardial effusion in the United States. (wikipedia.org)
  • Pericardial effusions can be caused by multiple disease states, including any process that results in pericarditis or myocarditis. (healio.com)
  • Viral pericarditis or myocarditis are associated with a pericardial effusion, most commonly the Coxsackie B virus. (healio.com)
  • Bacterial pericarditis resulting in a pericardial effusion is life-threatening and can be associated with bacterial endocarditis. (healio.com)
  • Autoimmune reactions can cause pericarditis, and thus pericardial effusions. (healio.com)
  • Rheumatoid arthritis and scleroderma are other collagen vascular disorders that cause autoimmune pericarditis and pericardial effusions. (healio.com)
  • Dressler's syndrome is an autoimmune reaction that occurs after myocardial infarction, causing pericarditis and an associated effusion. (healio.com)
  • Transmural MI can sometimes infarct the pericardium, as well cause an inflammatory reaction, pericarditis and a pericardial effusion. (healio.com)
  • Since the patient immigrated to Israel from Ethiopia where TB is endemic and since she had hemorrhagic pericardial effusions with very low glucose levels and in the absence of a response to anti-inflammatory drugs, TB pericarditis was highly suspected and empiric antituberculous therapy was added to colchicine and prednisone. (thefreelibrary.com)
  • Pericarditis (i.e. pericardial inflammation) is usually heralded by acute mediothoracic chest pain (PMID 10878205). (pneumotox.com)
  • How long does it take viral pericarditis w/ pericardial effusion to go away. (healthtap.com)
  • Herein, we present a patient who developed acute pericarditis and pericardial effusion concurrently with acute pancreatitis secondary to viral infection. (panafrican-med-journal.com)
  • So pericarditis means the pericardial layer of tissue that covers the heart has inflammation. (osmosis.org)
  • People who develop pericarditis are also at risk of also developing a pericardial effusion - that's when the inflammation causes fluid to accumulate around the heart. (osmosis.org)
  • Clinical manifestations of exudate pericarditis depend on the degree of fluid accumulation in the pericardial sac. (morehealthis.com)
  • Pericardial inflammation can develop in various forms and exudative pericarditis is one of the unfavorable ones. (arrhythmia.center)
  • Most cases of pericardial effusions are caused by inflammation associated with acute pericarditis . (pathwaymedicine.org)
  • As an effusion expands, heart sounds may become fainter and the pericardial friction rub associated with acute pericarditis may vanish. (pathwaymedicine.org)
  • During the follow-up period massive pericardial effusion was detected. (omicsonline.org)
  • A 30 year old man, presented with history of fever of 1 month duration and massive pericardial effusion on X-ray chest. (ndtv.com)
  • 6, 7 It is the purpose of this manuscript to present clinical and hemodynamic observations on a patient with massive pericardial effusion. (annals.org)
  • We report a case of a 14-year-old male, who presented to us with initial impression of an anterior mediastinal mass due to malignancy and a massive pericardial effusion. (minervamedica.it)
  • A small effusion may be asymptomatic. (wikipedia.org)
  • Some people may be asymptomatic and the effusion may be an incidental finding on an exam. (wikipedia.org)
  • Asymptomatic effusions are typically first detected by radiography performed for other reasons. (medscape.com)
  • The spectrum of pericardial effusions ranges from mild asymptomatic effusions to cardiac tamponade. (intechopen.com)
  • The incidence of asymptomatic pericardial effusion is high after cardiac surgery. (nih.gov)
  • Asymptomatic postoperative pericardial effusions: against the routine use of anti-inflammatory drug therapy. (nih.gov)
  • Introduction: Pericardial effusion (PE) is a common finding in chronic cardiac failure or other benign and malignant diseases, but its spectrum ranges from mild asymptomatic effusions to cardiac tamponade. (ersjournals.com)
  • Asymptomatic pericardial effusion was diagnosed in the corresponding area. (ovid.com)
  • Pericardial effusions fall on a spectrum from asymptomatic to severe hemodynamic compromise. (cdemcurriculum.com)
  • Small effusions are usually asymptomatic. (lecturio.com)
  • A small amount of effusion fluid is often asymptomatic. (morehealthis.com)
  • The most common are lung tumors( 37% malignant effusions), mammary gland( 22%) and leukemia / lymphoma( 17%).HIV-infected patients with or without AIDS are at high risk: 41-87% have asymptomatic effusion and 13% suffer moderate or severe exudates. (morehealthis.com)
  • In approximately 50% of patients, large and chronic effusions were asymptomatic for a long period of follow-up. (morehealthis.com)
  • Systematic Review of Percutaneous Interventions for Malignant Pericardial Effusion. (acc.org)
  • What is the safety and efficacy of percutaneous interventions for malignant pericardial effusion (MPE)? (acc.org)
  • Malignant pericardial effusion: Different therapeutic perspectives. (umassmed.edu)
  • Malignant pericardial effusion in breast cancer: Terminal event or treatable complication? (sun.ac.za)
  • Background: Few data are available on malignant pericardial effusion (MPCE) in breast cancer. (sun.ac.za)
  • A CT scan image showing a pericardial effusion A very large hemorrhagic pericardial effusion due to malignancy as seen on ultrasound. (wikipedia.org)
  • Pericardial effusion is easily identified by ultrasound examination. (springer.com)
  • Identify the ultrasound findings associated with pericardial disease and cardiac masses. (gcus.com)
  • This retrospective study describes our experience with a novel, long-axis in-plane real-time ultrasound (US)-guided technique for postoperative pericardial effusion drainage in small children. (springermedizin.de)
  • 1 Thus, practitioners of focused cardiac ultrasound should be able to differentiate a pericardial effusion from conditions that can mimic it, especially in an emergency. (asahq.org)
  • These focused cardiac ultrasound images were obtained in a patient who presented with hypotension and was found to have a trace pericardial effusion along with two other conditions that are often misdiagnosed as pericardial effusion. (asahq.org)
  • Fluid collections on ultrasound appear as anechoic/hypoechoic (dark) spaces with posterior acoustic enhancement (brightness deep to the effusion). (asahq.org)
  • In some cases, surgical drainage may be required by cutting through the pericardium creating a pericardial window. (wikipedia.org)
  • A pericardial effusion is excess fluid between the heart and the sac surrounding the heart , known as the pericardium. (webmd.com)
  • Descending aorta (DA) allows differentiation of pericardial effusion from left pleural effusion: it is seen behind the echo bright pericardium. (springer.com)
  • The thin and bright line of the parietal pericardium is seen ( arrow ) separating the anterior pericardial fat from posterior epicardial fat. (springer.com)
  • The pericardium, specifically the pericardial fluid provides lubrication, maintains the anatomic position of the heart in the chest, and also serves as a barrier to protect the heart from infection and inflammation in adjacent tissues and organs. (wikipedia.org)
  • Any process that leads to injury or inflammation of the pericardium and/or inhibits appropriate lymphatic drainage of the fluid from the pericardial cavity leads to fluid accumulation. (wikipedia.org)
  • Pericardial fluid is considered normal in the absence of pericardial disease if it appears as a homogeneous or echo-free space between visceral pericardium and parietal pericardium seen only during systole when the heart contracts inward, with less that 1 mm separation of the pericardial layers during diastole. (medscape.com)
  • A rapidly accumulating effusion, such as that associated with hemopericardium due to trauma, may result in tamponade with collection of as little as 100-200 mL of fluid, while a more gradual accumulation of fluid may allow for compensatory stretching of the pericardium and may not show tamponade, despite collection of fluid even in excess of 1500 mL. (medscape.com)
  • Pericardial effusion is a buildup of fluid in the pericardium. (drugs.com)
  • The pericardium composed of fibrous and serous layers of the pericardial cavity is situated within the mediastinum. (intechopen.com)
  • The pericardial cavity normally contains only a thin film of fluid positioned between parietal and visceral layers of serous pericardium [ 1 ]. (intechopen.com)
  • Pericardial effusion is a buildup of fluid in the space between the heart and the sac around the heart (pericardium). (wellspan.org)
  • When pericardial fluid accumulates slowly, the pericardium can expand to accommodate as much as 2 liters of fluid. (healio.com)
  • Unfortunately ten days later, the patient was readmitted with worsening breathlessness, and a five-liter right-sided pleural effusion drained - ongoing output from the pericardium draining into the chest via the pericardial window. (scmr.org)
  • We report on a patient in whom an active-fixation pre-shaped atrial lead caused perforation of the right atrial wall, pericardium and pleura, resulting in pericardial effusion and right-sided pneumothorax. (kuleuven.be)
  • In contrast, a true effusion will be an anechoic (dark/black) area of fluid between the myocardium and the pericardium (which is hyperechoic - bright white) and it will usually be circumferential. (stanford.edu)
  • It may be due to infection, inflammation or direct filling of the pericardial sac by blood from a defect in the myocardium (iatrogenic or traumatic injury or cardiac wall rupture) or backfilling from an ascending aortic dissection that dissects into the pericardium. (radcliffecardiology.com)
  • The inner layer of the pouch is the serous pericardium that includes the pericardial cavity, and is filled with a small amount of fluid that lets the heart slip around as it beats. (osmosis.org)
  • The cells of the serous pericardium secrete and reabsorb the fluid, so usually there's no more than 50 milliliters of fluid in the pericardial cavity at one time - that's about as much as a shot glass. (osmosis.org)
  • Magnetic resonance imaging (MRI) confirmed the pericardial effusion, and the slightly thickened pericardium (Figure 2 ,SD3 and SD4). (biomedcentral.com)
  • The inspection of the epicardium by the surgeon showed a pericardial thickness of 10 mm and a white-colored spot of the pericardium at the right ventricle. (biomedcentral.com)
  • Rapid accumulation of pericardial fluid can cause an increase in pressure inside the pericardium with a small amount of fluid, such as 80ml, and with a slow progression of the effusion process, the volume of fluid can reach 2 liters and not cause any symptoms. (morehealthis.com)
  • Pericardial effusion is the unfolded form of acute or chronic inflammation of the pericardium with accumulation of effusion in the cavity of the pericardial sac. (morehealthis.com)
  • The elasticity of the pericardial sac decreases with age, with chronic inflammation of the pericardium and with pericardial neoplasia, therefore, a small amount of fluid in the pericardium will be enough to create high pressure on the heart chambers. (arrhythmia.center)
  • 10 If fluid accumulation is gradual, pericardial pressure remains low because the pericardium can increase its compliance by undergoing stretch, which is accomplished by an increase in surface area and mass. 5 With continued accumulation of fluid, the intrapericardial pressure eventually increases and becomes high enough to impede cardiac filling-at which time, cardiac function becomes impaired and cardiac tamponade can be considered to be present. (careercert.com)
  • Metabolic: hypothyroidism(myxedema coma), severe protein deficiency Traumatic: penetrating or blunt chest trauma, aortic dissection Reduced lymphatic drainage: congestive heart failure, nephrotic syndrome How much fluid is stored in the pericardial sac at one particular time is based on the balance between production and reabsorption. (wikipedia.org)
  • Pericardial drainage may occasionally be required to make a diagnosis based on examination of the pericardial fluid or pericardial biopsy samples. (medscape.com)
  • A pericardial abscess requiring surgical drainage can occur in this setting. (healio.com)
  • Iatrogenic pericardial effusions are common after cardiac surgery and frequently require drainage. (healio.com)
  • The insertion of a pericardial catheter for prolonged drainage or pericardial sclerosis provides more definitive freedom from recurrence, without a significant increase in periprocedural mortality or morbidity. (acc.org)
  • To assess efficacy and safety of videothoracoscopic pericardial drainage in the treatment and diagnostic of pericardial effusion through 26 cases review. (scielo.br)
  • There is extensive pericardial spread, which is grossly thickened with mild residual pericardial effusion (recent drainage). (scmr.org)
  • The patient was successfully resuscitated with the drainage of a pericardial effusion. (ivteam.com)
  • Zurück zum Zitat Lock JE, Bass JL, Kulik TJ, Fuhrman BP (1984) Chronic percutaneous pericardial drainage with modified pigtail catheters in children. (springermedizin.de)
  • Zurück zum Zitat Zahn EM, Houde C, Benson L, Freedom RM (1992) Percutaneous pericardial catheter drainage in childhood. (springermedizin.de)
  • Long-Term Outcome of Pericardial Drainage in Cases of Chronic, Large, Hemodynamically Insignificant, C-Reactive Protein Negative, Idiopathic Pericardial Effusions. (onmedica.com)
  • 1. Percutaneous drainage under ultrasonographic (US) or fluoroscopic guidance is a safe and effective treatment for patients with symptomatic pericardial effusion. (2minutemedicine.com)
  • 2. Drainage of posteriorly distributed pericardial effusions via a transhepatic approach is preferable to drainage using a subxiphoid or apical approach due to improved effusion accessibility. (2minutemedicine.com)
  • While pleural effusion and ascites secondary to acute pancreatitis are common, clinically relevant pericardial effusion and cardiac tamponade are observed rarely.In a study by Pezzilli et al. (panafrican-med-journal.com)
  • pleural effusion was noted in 7 of the 21 patients with acute pancreatitis whereas the authors detected pericardial effusion development in only three. (panafrican-med-journal.com)
  • The authors asserted that pleural effusion was associated with severe acute pancreatitis, while pericardial effusion and the severity of acute pancreatitis were not significantly related. (panafrican-med-journal.com)
  • Pleural effusion and ascites develop frequently in acute severe pancreatitis, while pericardial effusion does rarely [ 1 , 2 ].In patients with concurrent acute pancreatitis and pericardial effusion, development of pericardial effusion is generally associated with acute pancreatitis. (panafrican-med-journal.com)
  • the authors did not detect amylases in pericardial fluid and therefore suggested that acute pancreatitis and pericardial effusion could be secondary to viral infection [ 3 ]. (panafrican-med-journal.com)
  • This is known as acute pericardial effusion. (saintpetershcs.com)
  • Chronic and acute pericardial effusions may require different treatment. (saintpetershcs.com)
  • Pain is more common in acute pericardial effusions, in which there is a stretching of the pericardial sac. (arrhythmia.center)
  • The true incidence of cardiac tamponade is difficult to estimate, but pericardial diseases likely to progress to tamponade include some infectious diseases (e.g., human immunodeficiency virus infection or tuberculosis), malignancies, renal failure, trauma/iatrogenic, and hemopericardium in aortic dissection and rupture of the heart after acute myocardial infarction. (careercert.com)
  • Pericardial effusions can be found in all populations worldwide but the predominant etiology has changed over time, varying depending on the age, location, and comorbidities of the population in question. (wikipedia.org)
  • Multiple infectious etiology of a pericardial effusion exist. (healio.com)
  • The secondary objective was to review the final etiology of the pericardial effusion in those patients who had presented to a tertiary care pediatric emergency department. (ovid.com)
  • Pericardial effusion (PE) prognosis depends on the underlying etiology. (onmedica.com)
  • Primary malignant pericardial mesothelioma is a very rare pericardial tumor of unknown etiology. (biomedcentral.com)
  • When inflammation of the sac causes a pericardial effusion, the main symptom is chest pain . (webmd.com)
  • Others with larger effusions may present with chest pressure or pain, dyspnea, shortness of breath, and malaise (a general feeling of discomfort or illness). (wikipedia.org)
  • Contrast-enhanced chest CT demonstrates a pericardial effusion. (medscape.com)
  • Chest X-ray revealed bilateral pleural effusions and severe cardiomegaly. (thefreelibrary.com)
  • Axial section from the CT chest showing the large circumferential pericardial effusion. (scmr.org)
  • Shortness of breath (60%) and chest pain (60%) were the most frequent symptoms among patients with a small pericardial effusion. (ovid.com)
  • Radiologic examinations were carried out, and the computed tomography scan revealed a hepatomegaly and a chest X-ray showed evidence of a unilateral pleural effusion. (springermedizin.de)
  • Question: 7 year old was admitted to ICU after fever for 9 days and chest pain - found pericardial effusion . (healthcaremagic.com)
  • Manifestations caused by stretching of the pericardial bag with the appearance of oppressive, uninterrupted chest pain. (arrhythmia.center)
  • A chest X-ray revealed mild pleural effusion on the right side. (biomedcentral.com)
  • The patient's admission chest x-ray demonstrating an enlarged cardiac silhouette, evidence of bilateral pleural effusions, more prominent on the left hemithorax, and a left lung lesion. (biomedcentral.com)
  • Hemodynamic significance of the effusion can be assessed by a set of additional findings such as chamber collapse, flow variation across the atrioventricular valves, and inferior vena cava engorgement. (springer.com)
  • however, the clinical significance of pericardial effusion is mainly associated with its hemodynamic impact. (medscape.com)
  • 10 Cardiac tamponade is characterized by hemodynamic instability due to heart compression by the accumulation of fluid, blood, clots, or gas in the pericardial space. (careercert.com)
  • ECG showing low-voltage QRS complexes, tachycardia, PR elevation, and ST changes in a patient with pericardial effusion. (medscape.com)
  • How do you treat a patient with pericardial effusion? (vin.com)
  • We report here what we believe to be the first case of a patient with pericardial effusion complicating Meig's syndrome. (bjcardio.co.uk)
  • closed arrow: the heart, open arrow: the effusion Pericardial effusion due to malignancy. (wikipedia.org)
  • Autoimmune: lupus, rheumatoid arthritis, Sjögren syndrome, scleroderma, Dressler's syndrome, sarcoidosis Drug hypersensitivity/ side effects: Chemotherapy drugs (doxorubicin and cyclophosphamide), Minoxidil Others: kidney failure, uremia Neoplastic: pericardial effusions may present as primary manifestations of underlying malignancy. (wikipedia.org)
  • Theoretically, any malignancy can cause a pericardial effusion. (healio.com)
  • One of the most common causes of pericardial effusion is malignancy. (radcliffecardiology.com)
  • Pericardial effusion (PE), which commonly occurs in patients with cancer, has been reported in up to 21% of patients with underlying malignancy (1) and has been shown to affect patient survival (2-5) . (onlinejacc.org)
  • Pericardial effusion (PE) associated with malignancy may lead to cardiac tamponade, a life-threatening condition. (biomedcentral.com)
  • Pericardial effusion ("fluid around the heart") is an abnormal accumulation of fluid in the pericardial cavity. (wikipedia.org)
  • Because of the limited amount of space in the pericardial cavity, fluid accumulation leads to an increased intrapericardial pressure which can negatively affect heart function. (wikipedia.org)
  • malignant (due to fluid accumulation caused by metastasis) The most common causes of pericardial effusion have changed over time and vary depending on geography and the population in question. (wikipedia.org)
  • Pericardial effusion is characterized by accumulation of excess fluid in the pericardial space surrounding the heart. (medscape.com)
  • Further, a rapid accumulation of fluid into the pericardial sac results in a rapid increase in intrapericardial pressure. (intechopen.com)
  • The inflammatory reaction in these disease states can result in fluid accumulation in the pericardial space. (healio.com)
  • Liver and renal failure result in decreased oncotic pressure, contributing to pericardial fluid accumulation. (healio.com)
  • An abnormal accumulation of fluid in these areas is called an effusion. (brighamandwomens.org)
  • Additionally, in one full-blown case of rheumatoid vasculitis, massive accumulation of pericardial fluid was demonstrable. (nii.ac.jp)
  • Five days later the patient was readmitted with breathlessness due to re-accumulation of the pericardial effusion. (scmr.org)
  • A safety review was done to evaluate the potential risk of accumulation of fluid around the heart (pericardial effusion) in patients taking the anti-cancer drug Votrient (pazopanib). (canada.ca)
  • Pericardial effusion is due to the accumulation of fluid within the pericardial sac. (radcliffecardiology.com)
  • Intrapericardial pressure is determined by pericardial elasticity, the rate of fluid accumulation and the amount of accumulated fluid. (arrhythmia.center)
  • The symptoms of pericardial effusion are largely dependent on the rate of fluid accumulation in the pericardial bag. (arrhythmia.center)
  • For example, the rapid accumulation of pericardial fluid can cause an increased intrapericardial pressure of only 80 ml of fluid. (arrhythmia.center)
  • Should physicians stop prescribing nonsteroidal anti-inflammatory drugs for postoperative pericardial effusion? (nih.gov)
  • Medications to treat pericardial effusion include nonsteroidal anti-inflammatory drugs (NSAIDs), aspirin and corticosteroids. (osu.edu)
  • For unclear reasons, the drugs minoxidil, penicillins and methysergide have been shown to cause pericardial effusion. (healio.com)
  • Acutely, it can cause pericardial effusion leading to cardiac tamponade and death. (wikipedia.org)
  • Pericardial effusion:What are the symptoms? (wikipedia.org)
  • A pericardial effusion with these symptoms is a medical emergency and may be life-threatening. (webmd.com)
  • Non-cardiac symptoms may also present due to the enlarging pericardial effusion compressing nearby structures. (wikipedia.org)
  • Large effusions can sometimes be drained to relieve symptoms due to compression of surrounding lung and other structures. (medscape.com)
  • Listed below are some combinations of symptoms associated with Pericardial effusion, as listed in our database. (rightdiagnosis.com)
  • In order to determine the incidence of pericardial effusion in rheumatoid arthritis (RA), echocardiographic studies were performed on patients with classical or definite RA as determined by ARA criteria, none of whom showed any clinical cardiac symptoms at the time of examination. (nii.ac.jp)
  • The primary objective of this study was to describe the frequency of the most common presenting signs and symptoms of pericardial effusions, particularly with relation to the size of the effusion. (ovid.com)
  • Fever (86%), cough (71%), and shortness of breath (71%) were the most frequent symptoms among patients with moderate pericardial effusion. (ovid.com)
  • This study suggests that the presence of certain symptoms should be associated with a high index of suspicion for pericardial effusion for the pediatric emergency care physician. (ovid.com)
  • The manifestations vary from general symptoms like loss of interest, loss of appetite, constipation to growth failure and mental retardation.Pericardial effusion is known in hypothyroidism but rarely reported with KDSS.Here we present case of KDSS with hypertrophy of the masseter muscle and pericardial effusion. (ojhas.org)
  • Symptoms of a large effusion include Beck's triad of distended neck veins, low blood pressure and muffled, distant heart sounds. (lecturio.com)
  • You might be more likely to have symptoms from whatever is causing the pericardial effusion. (saintpetershcs.com)
  • The symptoms of pericardial effusion can similar to other health problems. (saintpetershcs.com)
  • If the fluid accumulates rapidly, then already with 200 ml of effusion there may be symptoms of cardiac tamponade. (morehealthis.com)
  • At the same time, slowly progressive effusions may contain up to 2 liters with no symptoms. (arrhythmia.center)
  • indeed, the majority of patients have no symptoms specific to the effusion. (careercert.com)
  • Diagnostic imaging confirmed pericardial effusion and cardiac tamponade in addition to a mass located at the heart base. (bva.co.uk)
  • This study was designed to determine the diagnostic value of 12-lead ECG for pericardial effusion and cardiac tamponade. (nih.gov)
  • Low voltage and PR segment depression are ECG signs that are suggestive, but not diagnostic, of pericardial effusion and cardiac tamponade. (nih.gov)
  • Because these ECG findings cannot reliably identify these conditions, we conclude that 12-lead ECG is poorly diagnostic of pericardial effusion and cardiac tamponade. (nih.gov)
  • For diagnostic and symptom relief, a pericardial drain was inserted. (scmr.org)
  • Most of the abnormalities were nonspecific ST-segment and T-wave abnormalities, which were not diagnostic of pericardial effusions. (journals.co.za)
  • The ECG as a single diagnostic tool is therefore of little value in children with pericardial effusions but may help to differentiate between them and children with enlarged hearts. (journals.co.za)
  • The effusion usually accumulates slowly and progressively and presents with sign of chronic cardiac tamponade and right-sided heart failure with lethargy, exercise intolerance, or collapse [ 2 ]. (intechopen.com)
  • Three transthoracic echocardiograms (TTE) reports over the past decade, the last obtained three years ago, had noted the presence of a small chronic pericardial effusion (PE). (massgeneral.org)
  • Chronic pericardial effusion occurs when cardiac effusion happens more than once over time. (saintpetershcs.com)
  • Usefulness of echocardiographic studies for detection of pericardial effusion]. (lenus.ie)
  • Viral infections are one of the main causes of the inflammation and the effusions it leads to. (webmd.com)
  • Certain patterns on an EKG can signal a pericardial effusion or the inflammation that leads to it. (webmd.com)
  • For pericardial effusions due to inflammation of the sac, treating the inflammation also treats the effusion. (webmd.com)
  • Most commonly, the fluid is exudative and results from pericardial injury or inflammation. (medscape.com)
  • Fluid collection within the pericardial sac, usually due to inflammation. (rightdiagnosis.com)
  • Effusions can be caused by inflammation or infection. (brighamandwomens.org)
  • Abdominal and thoracic tomography demonstrated pericardial effusion reaching 23 mm in size at the thickest point, multiple lymph nodes of 20x11 mm in size at the mediastinal and hilar regions, inflammation in the pancreas and peripancreatic fluid collection ( Figure 1 (B,C,D)). Pericardial fluid aspirated transcutaneously was of serous appearance. (panafrican-med-journal.com)
  • Pericardial effusion usually results from a disturbed equilibrium between the production and re-absorption of pericardial fluid, or from a structural abnormality that allows fluid to enter the pericardial cavity. (wikipedia.org)
  • The two layers of the serous membrane enclose the pericardial cavity (the potential space) between them. (wikipedia.org)
  • By definition, a pericardial effusion occurs when the volume of fluid in the cavity exceeds the normal limit. (wikipedia.org)
  • The thoracic cavity contains two pleural cavities and a third serous membrane-lined space, the pericardial cavity. (intechopen.com)
  • The possible cause of fluid retention in the pericardial cavity in RA was briefly discussed. (nii.ac.jp)
  • Surgical pericardial fenestration was performed to create a window to the thoracic cavity, and a second pericardial drain was placed perioperatively. (scmr.org)
  • Pericardial effusion is the presence of an abnormal amount and / or character of fluid in the pericardial cavity. (morehealthis.com)
  • Treatment can vary, it is aimed at removing fluid from the pericardial cavity, and eliminating or alleviating the cause that caused it, which is usually determined by the analysis of the effusion fluid and the correlation with the concomitant diseases. (morehealthis.com)
  • The pericardial cavity usually contains 15-50 ml of fluid, which serves as a lubricant between the visceral and parietal pericardial sheets. (morehealthis.com)
  • The effusion in the pericardial cavity was detected with 3.4% autopsies. (morehealthis.com)
  • Metastases in the pericardial cavity are observed in 21% of cancer patients. (morehealthis.com)
  • Out of all the numerous causes of pericardial effusion, some of the leading causes are inflammatory, infectious, neoplastic and traumatic. (wikipedia.org)
  • Neoplastic pericardial effusion is seen in brachycephalic breeds and short breeds. (intechopen.com)
  • Cardiac magnetic resonance in the differentiation of neoplastic and nonneoplastic pericardial effusion. (nih.gov)
  • Although neoplastic pericardial effusion (PE) carries a poor prognosis, benign idiopathic pericardial effusion does not. (nih.gov)
  • The latter depends on the rate of fluid collection in the pericardial space, the rate of rise in the intrapericardial pressure, and resultant development of pericardial tamponade. (medscape.com)
  • In patients with life-threatening pericardial effusion, which has led to cardiac tamponade, it is important to rapidly identify and treat the elevated intrapericardial pressure. (intechopen.com)
  • Cardiac output, intravascular and intrapericardial pressures, blood gas analysis and other related clinical and laboratory findings are described before and after pericardial aspirations and six months following pericardiectomy. (annals.org)
  • Offers better visualization of frond like, band like, or shaggy intrapericardial echoes in complicated effusions. (clinicalpainadvisor.com)
  • Manifestations due to increased intrapericardial pressure during cardiac compression and pericardial filling with exudate. (arrhythmia.center)
  • Post-cardiac surgery pericardial effusions contribute to 54% of total effusions in the pediatric population. (wikipedia.org)
  • Pericardial effusion after cardiac surgery. (nii.ac.jp)
  • Incidence and significance of early pericardial effusions after cardiac surgery. (nii.ac.jp)
  • In patients with pericardial effusion after cardiac surgery, diclofenac neither reduced the size of the effusions nor prevented late cardiac tamponade. (nih.gov)
  • OBJECTIVE--To evaluate the incidence, characteristics, and haemodynamic consequences of pericardial effusion after cardiac surgery. (bmj.com)
  • CONCLUSIONS--Pericardial effusion after cardiac surgery is common and its size and site are related to the type of surgery. (bmj.com)
  • Echo-Doppler imaging is useful for the evaluation of pericardial fluid accumulations after cardiac surgery. (bmj.com)
  • Pericardial effusion can be a life-threatening complication in children after cardiac surgery. (springermedizin.de)
  • 13 Effusions rarely accumulate only anteriorly without a history of prior scarring or cardiac surgery. (cdemcurriculum.com)
  • In our case, the patent vein of Marshall directly connected the coronary sinus with the left subclavian vein discovered in a cardiac arrest patient because of pericardial effusion during the insertion of a central venous catheter (CVC)" Butt et al (2018). (ivteam.com)
  • Butt, M.U., Gurley, J.C., Bailey, A.L. and Elayi, C.S. (2018) Pericardial Tamponade Caused by Perforation of Marshall Vein During Left Jugular Central Venous Catheterization. (ivteam.com)
  • Autoimmune pericardial effusions may respond to treatment with anti-inflammatory medications. (medscape.com)
  • Hypothyroidism and uremia are metabolic causes of a pericardial effusion and result from increased capillary permeability in these disease states. (healio.com)
  • This case illustrates that hypothyroidism should be considered in the differential diagnosis of patients presenting with unexplained pericardial effusion. (endocrine-abstracts.org)
  • We report a case of 9year old female child with hypothyroidism, limb muscular pseudo-hypertrophy with involvement of masseter muscle along with pericardial effusion in Kocher-Debr -Semelaigne syndrome. (ojhas.org)
  • This pericardial space contains a small amount of pericardial fluid. (wikipedia.org)
  • Individuals without pericardial effusion have a small amount of pericardial fluid (15 mL to 50 mL), which helps promote cardiac chamber interaction by allowing the heart to move freely without restriction. (healio.com)
  • A Rare Cause of Pericardial Effusion: Giant Cell Arteritis," Case Reports in Rheumatology , vol. 2014, Article ID 424295, 3 pages, 2014. (hindawi.com)
  • The measurement of fluid volumes in cases of pericardial effusion is a necessary procedure during autopsy. (uzh.ch)
  • At the time of the review, no cases of pericardial effusion linked with pazopanib were reported in Canada a . (canada.ca)
  • This echocardiogram shows a large amount of pericardial effusion (identified by the white arrows). (medscape.com)
  • But an echo I had back in dec showed tiny amount of pericardial effusion and trace tricuspid regurg. (medhelp.org)
  • See detailed information below for a list of 37 causes of Pericardial effusion , Symptom Checker , including diseases and drug side effect causes. (rightdiagnosis.com)
  • The following medical conditions are some of the possible causes of Pericardial effusion. (rightdiagnosis.com)
  • He called attention to the absence of pericardial effusion in his cases. (annals.org)
  • Focused cardiac ultrasound's scope of practice includes screening for the presence/absence of pericardial effusion. (asahq.org)
  • The intervention could possibly be the new gold standard treatment of pericardial effusion in selected patients. (scielo.br)
  • Treatment of pericardial effusion depends on the extent of fluid accumulated and how likely it is to impair heart functioning. (osu.edu)
  • The diagnosis of pericardial effusion and cardiac tamponade by 12-lead ECG. (nih.gov)
  • A six-year-old, female, neutered crossbreed was presented to the University of Liverpool Small Animal Teaching Hospital for evaluation of pericardial effusion. (bva.co.uk)
  • Echocardiographic Evaluation of Pericardial Effusions and Cardiac Masses Training Video is designed to provide an introduction to the 2D evaluation of pericardial effusion and commonly seen cardiac masses. (gcus.com)
  • Serous effusions are associated with pericardial diseases. (umassmed.edu)
  • Guidelines on the diagnosis and management of pericardial diseases executive summary. (amboss.com)
  • Pericardial effusion in dogs has an overall prevalence of 0.43% in general and occurs in approximately 7-10% of the dogs with clinical signs of cardiac disease. (intechopen.com)
  • More commonly seen in dogs, the clinical signs of pericardial disease can be easily overlooked or mistaken for those of other disease processes. (intechopen.com)
  • Pericardial effusion is a common finding in clinical practice either as an incidental finding or as a manifestation of a systemic or cardiac disease. (thefreelibrary.com)
  • Despite clinical and pathologic investigations of many patients with pericardial effusion, 1-5 few such patients have been studied by cardiac catheterization. (annals.org)
  • Effusions develop gradually or acutely depending on the clinical scenario. (cdemcurriculum.com)
  • Evidence of pericardial metastasis on preoperative imaging and cytopathologic confirmation that the PE and/or pericardial tissue are positive for malignant cells can be used to predict poor clinical outcomes in patients with cancer-related PE. (biomedcentral.com)
  • however, the major clinical concern is the development of cardiac tamponade which may occur if the effusion develops rapidly and overwhelms the capacity of pericardial lymphatics to drain excess fluid. (pathwaymedicine.org)
  • 2008). "Disease association and clinical assessment of feline pericardial effusion. (winnfelinefoundation.org)
  • Records of 83 cats with pericardial effusion diagnosed at Washington State University and the University of California (Davis) were reviewed to determine the main causes and clinical significance. (winnfelinefoundation.org)
  • 2007). "Pericardial effusion in cats: a retrospective study of clinical findings and outcome in 146 cats. (winnfelinefoundation.org)
  • Pericardial effusion due to a viral infection usually goes away within a few weeks without the treatment. (wikipedia.org)
  • Serosanguineous effusions are seen mainly in patients with tuberculous cancers, but they may also be encountered in uremic and viral disease or following mediastinal irradiation. (medscape.com)
  • 20,000/μl, and malignant pericardial fluid were independently associated with poor prognosis. (onlinejacc.org)
  • Video 18.1 Pericardial effusion in the parasternal long axis view. (springer.com)
  • Pericardial fat commonly appears as hypoechoic area overlying the right ventricular outflow tract (RVOT) in the parasternal long axis view. (springer.com)
  • We encourage you all to try a subxiphoid or parasternal view to quickly assess for pericardial effusion. (stanford.edu)
  • Parasternal view suggestive of moderate pericardial effusion. (ojhas.org)
  • In any parasternal long-axis view, fluid that dissects into the plane between the heart and descending aorta is pericardial whereas fluid deep to the heart unable to dissect into this plane is classically a left pleural effusion. (asahq.org)
  • 3 Thus, this parasternal long-axis view shows a trace pericardial effusion and a large left pleural effusion containing atelectatic lung (Supplemental Digital Content 1, http://links.lww.com/ALN/C91 ). (asahq.org)
  • Differentiate pericardial effusion from pleural effusion using the parasternal long axis view. (wikem.org)
  • Board-certified thoracic surgeons and pulmonologists at the Brigham and Women's Hospital (BWH) Lung Center provide specialized medical and surgical services for pleural effusion-often using techniques that are less invasive than traditional surgery. (brighamandwomens.org)
  • Lipid-containing effusion (chylopericardium) results from leakage of THORACIC DUCT. (umassmed.edu)
  • Pericardial effusions will have an anechoic stripe between the left atrium and descending thoracic aorta. (wikem.org)
  • In a pleural effusion, the stripe will be seen behind the descending thoracic aorta. (wikem.org)
  • This was a terrific pick up and the formal echo performed agreed with the moderate sized pericardial effusion without evidence of tamponade physiology. (stanford.edu)
  • The fluid associated with pericardial effusion will usually appear as an anechoic stripe when detected through any of the standard echocardiographic views. (mdedge.com)
  • Comparison of new Doppler echocardiographic methods to differentiate constrictive pericardial heart disease and restrictive cardiomyopathy. (wikem.org)
  • The normal pericardial sac contains 2-10 mL of clear, thin, serous fluid that acts primarily as a lubricant. (intechopen.com)
  • Soluble AXL is ubiquitously present in malignant serous effusions. (annals.org)
  • Fifty percent of effusions were serous, 25 % chylous, and the remainder bloody. (springermedizin.de)
  • Pericardial effusion is a relatively common finding in high-risk patients evaluated in the emergency department [1]. (springer.com)
  • It is often difficult to predict outcome in hospitalized patients with pericardial effusion. (nih.gov)
  • It is concluded that echocardiographically determined effusion size is a powerful predictor of outcome in hospitalized patients with pericardial effusion, and that right-sided chamber collapse and IVC plethora with blunted response to respiration add little if any additional prognostic information. (nih.gov)
  • Summaries for patients: Treating postoperative pericardial effusion with nonsteroidal anti-inflammatory drug therapy. (nih.gov)
  • Of 50 RA patients studied so far, fifteen (30%) showed evidence of posterior pericardial effusion, as recorded on the strip charts. (nii.ac.jp)
  • Compared to those without pericardial effusion, patients shown to have pericardial fluid tended to have decreased RBC, Hct, Hgb, serum protein concentration and increased ESR. (nii.ac.jp)
  • the amount of fluid decreased within a month in most patients with moderate effusion and in a few (7 patients) developed into a large effusion and cardiac tamponade. (bmj.com)
  • From April 2005 to December 2007, 26 patients with pericardial effusion underwent a video-thoracoscopic pericardial window. (scielo.br)
  • Hospitalized patients with and without pericardial effusion and cardiac tamponade. (nih.gov)
  • In a blinded manner, we reviewed 12-lead ECGs from 136 patients with echocardiographically diagnosed pericardial effusions (12 of whom had cardiac tamponade) and from 19 control subjects without effusions. (nih.gov)
  • HIV positive patients, suspected of having pericardial effusion, should undergo further investigation to avoid potentially fatal consequences, warn German researchers. (bmj.com)
  • Pericardial effusion in patients with schizophrenia: are they on clozapine? (bmj.com)
  • This was a retrospective chart review of patients younger than 17 years who presented and were evaluated at the pediatric emergency department and subsequently diagnosed with a pericardial effusion during a period of 10 years. (ovid.com)
  • Twenty-six ECGs of patients with proven pericardial effusions were analysed by two paediatric cardiologists. (journals.co.za)
  • In immunocompetent individuals, a symptomatic cytomegalovirus primary infection or reinfection should be considered in patients presenting with pericardial effusion and serositis. (springermedizin.de)
  • Method: We performed an audit of our policy of active search for MPCE in breast cancer patients and its treatment by subxiphoid pericardial fenestration. (sun.ac.za)
  • Background Pericardial effusion (PE) is common in cancer patients, but the optimal therapeutic approach is not well defined. (onlinejacc.org)
  • Although pericardial effusion (PE) is not uncommon in patients with cancer, it may lead to cardiac tamponade, a life-threatening condition. (biomedcentral.com)
  • We retrospectively reviewed the medical records of 55 patients with cancer with PE between January 2003 and October 2012, who were treated with a pericardial window operation. (biomedcentral.com)
  • Between January 2003 and October 2012, 139 patients underwent pericardial window surgery for PE associated with various conditions. (biomedcentral.com)
  • Idiopathic effusions are usually well tolerated by most patients. (morehealthis.com)
  • Pericardial exudate is the main or frequent cause of death in 86% of cancer patients with symptomatic manifestations of the disease. (arrhythmia.center)
  • Surgery is the most studied modality, with different approaches including pericardial window construction, pericardioperitoneal shunt creation, and/or pericardiectomy. (onlinejacc.org)
  • Pericardiectomy revealed a pericardial mesothelioma. (biomedcentral.com)
  • Therefore, a partial pericardiectomy was performed, and histological examination (Figures 4a and 4b ) revealed a primary malignant pericardial mesothelioma (PMPM). (biomedcentral.com)
  • Srivastava AK, Agarwal AK, Kapoor A, Tiwari P, Pandey R. Diffuse Cardiac Lipomatosis Presenting as Recurrent Pericardial Effusion. (massgeneral.org)
  • Praneet Iyer, Ahmed Dirweesh, and Ritika Zijoo, "Hydralazine Induced Lupus Syndrome Presenting with Recurrent Pericardial Effusion and a Negative Antinuclear Antibody," Case Reports in Rheumatology , vol. 2017, Article ID 5245904, 3 pages, 2017. (hindawi.com)
  • German shepherds, golden retrievers, Great Danes, and Saint Bernards appear to be predisposed to idiopathic pericardial effusion. (intechopen.com)
  • Nonsteroidal anti-inflammatory drug treatment for postoperative pericardial effusion: a multicenter randomized, double-blind trial. (nih.gov)
  • To assess whether the NSAID diclofenac is effective in reducing postoperative pericardial effusion volume. (nih.gov)