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, ...