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http://dx.doi.org/10.5847/wjem.j.1920-8642.2024.039 | DOI Listing |
Eur Heart J Case Rep
December 2024
Department of Cardiology, First Affiliated Hospital of Nanjing Medical University, 210008 Nanjing, China.
Background: Patients with recurrent massive pericardial effusion are at risk of recurrent cardiac tamponade. The current standard of care includes repeat pericardiocentesis or pericardial window when recurrent effusions cause haemodynamic compromise. Here, we report a case of a patient in whom an infusion port was used for drainage of recurrent pericardial effusion.
View Article and Find Full Text PDFCatheter Cardiovasc Interv
October 2024
Division of Cardiology, University of Washington, Seattle, Washington, USA.
Coronary perforation (CP) poses a significant risk of morbidity and mortality, particularly, in patients with a history of cardiac surgery. The occurrence of loculated pericardial effusion presents distinctive challenges in these postcardiac surgical patients. This study delves into the complexities arising from the formation of loculated pericardial effusions subsequent to CP, with a specific focus on the loculated effusion in the posterior wall leading to left atrial compression syndrome.
View Article and Find Full Text PDFCureus
June 2024
Cardiology, NewYork City Health+Hospitals/Elmhurst, Mount Sinai School of Medicine, Queens, USA.
Pericardial effusion, commonly associated with malignancies such as lung, breast, and esophageal cancers through local extension, or leukemia, lymphoma, and melanoma via metastatic dissemination, is rarely observed in renal cell carcinoma (RCC). This report presents a rare case of a large loculated pericardial effusion in a 68-year-old male, potentially linked to RCC, who concurrently presented with an inferior wall ST-elevation myocardial infarction (STEMI). The patient, with a history of hypertension, hyperlipidemia, end-stage renal disease, coronary artery disease, and former smoking, exhibited symptoms including chest pain, diaphoresis, and shortness of breath, but no fever, chills, or night sweats.
View Article and Find Full Text PDFWorld J Emerg Med
January 2024
Emergency Department, Hospital Santa Lucia, Cartagena 30202, Spain.
Int J Emerg Med
February 2024
Emergency Department and Intensive Care Unit, Al Zamalh Hospital, Mawia Street, Taiz City, Yemen.
Introduction: Emergency pericardiocentesis is a life-saving procedure that is performed to aspirate fluid from the pericardial space in patients who have severe pericardial effusion that is causing hemodynamic compromise. The current gold standard for pericardial fluid aspiration is ultrasound-guided pericardiocentesis. Echocardiography with a low-frequency transducer has generally been used in pericardiocentesis, but this method lacks real-time visualization of the needle trajectory, leading to complications.
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