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Atrioesophageal Fistula: A Rare, Life-Threatening Complication of Pulmonary Vein Isolation.
CASE (Phila)
October 2024
Department of Cardiology, Mayo Clinic, Rochester, Minnesota.
Article Synopsis
- - AEF is an uncommon but serious complication that can occur after PVI procedures.
- - The presence of free air in the left atrium or pericardium seen on chest CT helps confirm a diagnosis of AEF following PVI.
- - Standard treatment for AEF is urgent surgical repair, and potential complications can include strokes caused by emboli.
Comparison of Postoperative Outcomes between Leadless and Conventional Transvenous Pacemakers Implantation: An Up-to-Date Meta-analysis.
Rev Cardiovasc Med
October 2024
Department of Cardiology, The Second Affiliated Hospital of Air Force Medical University, 710038 Xi'an, Shaanxi, China.
Background: Leadless cardiac pacemakers (LCPs) are emerging as viable alternatives to conventional transvenous pacemakers (TVPs). This study aimed to systematically compare the postoperative outcomes of LCPs and TVPs based on available published studies.
Methods: We conducted a systematic review and meta-analysis of literature comparing outcomes from LCP and TVP implantations.
Pericardiocentesis During Transport for Cardiac Tamponade Complicating Acute Type A Aortic Dissection.
Air Med J
September 2024
Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI; Survival Flight, University of Michigan Health, Ann Arbor, MI.
Article Synopsis
- Bedside ultrasound imaging is increasingly used in emergency medicine and critical care transport, with a training program for flight nurses starting at the University of Michigan in 2014.
- Nurses have learned essential procedures, such as pericardiocentesis, which allows them to perform lifesaving interventions with online or offline guidance.
- The report discusses two cases of ultrasound-guided pericardiocentesis for patients experiencing tamponade from type A aortic dissection, highlighting the controversial aspects of this procedure.
Strangulated pericardial hernia presenting as a case of STEMI; when the disease misleads the physician: a very rare case report.
Ann Med Surg (Lond)
September 2024
Directorate of Health, Duhok, Kurdistan Region, Iraq.
Introduction And Importance: The pericardial hernia is a rarely encountered clinical condition characterized by the herniation of the abdominal viscera into the pericardial cavity. Trauma precedes the development of these hernias in most cases, yet iatrogenic intervention and congenital defects are other potential causes.
Case Presentation: A male aged 60 years, with no history of previous trauma, presented with epigastric pain and was diagnosed with a case of STEMI.
Bronchopericardial Fistula: A Rare Complication of Necrotizing Pneumonia.
Cureus
July 2024
Department of Pulmonary Medicine, Byramjee Jeejeebhoy (BJ) Government Medical College, Pune, IND.
Article Synopsis
- - Pneumopericardium can occur as a rare complication of bronchopericardial fistula due to necrotizing pneumonia, which can lead to serious conditions like tension pneumopericardium requiring urgent medical intervention.
- - A 41-year-old male with chronic conditions presented with respiratory symptoms and was diagnosed with necrotizing pneumonia that communicated with the pericardial cavity, showing air and fluid accumulation around the heart.
- - The patient was treated with antibiotics and showed improvement, indicating that mild pneumopericardium can be managed conservatively, while early detection is essential to prevent complications and stabilize patient health.
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