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Delayed cardiac tamponade after simultaneous transcatheter atrial septal defect closure and left atrial appendage closure device implantation: a particular case report

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Journal of Geriatric Cardiology 2019年第12期16卷 898-901页

作者： Jian-Ming WANG Qi-Guang WANG Xian-Yang ZHU Department of Congenital Heart Disease General Hospital of Northern Theater Command

Percutaneous left atrial appendage(LAA)occlusion evolved as an alternative treatment to the patients who are contraindicated or cannot tolerate oral anticoagulants with nonvalvular atrial fibrillation(AF)at risk of stroke or systemic embolism.[1]Abnormal hemodynamic changes in elder atrial septal defect(ASD)patients cause remodeling of the left atrium,which eventually leads to right heart failure.[2]As the ASDs elderly are associated with a higher incidence of AF,simultaneous transcatheter ASD and LAA closure has become a new effective therapeutic ***,only a limited number of articles involving cardiac tamponade complications have been published in the ***’s more,previous studies involving early hemodynamically irrelevant pericardial effusion after the procedure attribute to multiple repositioning attempts of LAA occluder or delivery sheath injured the atrial wall.

关键词： Atrial fibrillation Atrial septal defect cardiac catheterization cardiac tamponade Left atrial appendage

Primary gastric signet ring cell carcinoma presenting as cardiac tamponade

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World Journal of Gastrointestinal Oncology 2011年第4期3卷 67-70页

作者： Jun-Yan Huang Hai-Ping Jiang Dan Chen Han-Lin Tang Department of General Surgery The First Affiliated Hospital of Jinan UniversityWest No.613Huangpu RoadGuangzhou 510630Guangdong ProvinceChina Department of General Surgery The First Affiliated Hospital of Guang Dong Pharmaceutical UniversityNo.19 Nonglinxia RoadYuexiu DistrictGuangzhou 510080Guangdong ProvinceChina

Primary gastric signet ring cell carcinoma presenting as cardiac tamponade is difficult to diagnosis early. Patients are generally asymptomatic until the disease is advanced. General practitioners usually focus on the initial symptoms related to pericarditis and pericardial effusion. We report a case of signet-ring cell carcinoma of the stomach presenting as cardiac tamponade with pericarditis and pericardial effusion but without any gastrointestinal symptoms. A 49-year old woman was admitted because of progressive dyspnea and cough. Chest X-ray revealed an increased cardiothoracic ratio and a small amount of bilateral pleural effusion. Two dimensional ultrasonographic echocardiography pericardial effusions with atrial and right ventricular early diastolic collapse were found, establishing the diagnosis of cardiac tamponade. Pericardiocentesis was performed and 420 mL of bloody ?uid was taken. The patient died of respiratory failure and cardiac arrest on October 28, 2009. Post-mortem examination revealed diffuse gastric mucosa erosion and edema with stomach mucosa incrassation in the greater curvature. The primary lesion was histopathologically diagnosed as signet-ring cell carcinoma of the stomach.

关键词： cardiac tamponade Gastric signet-ring cell carcinoma Pericarditis Pericardial effusion

cardiac tamponade: Epidemioclinical, Therapeutic and Evolutionary Aspects at the University Hospital of Brazzaville

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World Journal of Cardiovascular Diseases 2021年第12期11卷 572-582页

作者： Solange Flore Mongo Ngamami Armel Landry Batchi-Bouyou Evariste Pabingui Christian Michel Kouala Landa Bertrand Fikahem Ellenga Mbolla Jean Joseph Ekwa Sima Méo Stéphane Ikama Suzy-Gisèle Kimbally Kaky Department of Cardiology University Hospital of Brazzaville Brazzaville Republic of the Congo Department of Doctoral Studies Faculty of Health Sciences Marien Ngouabi University Brazzaville Republic of the Congo

Objectives: Contribute to improving the management of cardiac tamponade in Congo. Background: cardiac tamponade is an acute or subacute compression of the heart chambers by pericardial effusion responsible for uncerta... 详细信息

Objectives: Contribute to improving the management of cardiac tamponade in Congo. Background: Cardiac tamponade is an acute or subacute compression of the heart chambers by pericardial effusion responsible for uncertain prognosis for patients. The objective of this study is to help improve the management of patients with cardiac tamponade. Patients and Methods: We conducted a retrospective and descriptive study at the University Hospital of Brazzaville, from January 2015 to December 31, 2019. Included were all patients hospitalized for cardiac tamponade. Epidemioclinical, therapeutic and evolutionary data were analyzed. Results: An overall of 14 patients were divided into 9 men (64.2%) and 5 women (35.7%), i.e. a sex ratio of 1.8. The mean age of patients was 34.2 ± 15.1 years old (18 years to 64). The most represented comorbidity was hypertension (n = 2;14.3%). The most frequent clinical sign was dyspnea (n = 14;100%). The ECG showed diffuse and concordant repolarization disturbances (n = 14;100%), sinus tachycardia (n = 13;92.8%), microvoltage (n = 12;85.7%). Cardiomegaly was constant (n = 14;100%). In terms of transthoracic ultrasound, we found: diastolic compression of the right ventricle (RV) (n = 12;85.7%), dilation of the inferior vena cava (IVC) (n = 12;85.7%). Treatment consisted of crystalloid vascular filling in all patients, pericardial punc

关键词： cardiac tamponade Clinical Presentation Treatment Congo

cardiac tamponade as a rare complication after giant coronary fistula percutaneous closure

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World Journal of Cardiovascular Diseases 2013年第2期3卷 215-217页

作者： Pablo Diez Villanueva Fernando Sarnago Cebada Enrique Gutierrez Ibanes Ricardo Sanz-Ruiz Jaime Elizaga-Corrales Francisco Fernandez-Aviles Cardiology Department Hospital General Universitario Gregorio MaranonMadridSpain

We present the case of an unusual complication after percutaneous closure of a giant coronary artery fis-tula. A 76-year-old man with previous admissions due to right heart failure and previous history of atrial fibrillation under acenocumarol, was admitted to our hospital for new onset of symptoms, characterized by progressive dyspnoea and peripheral edema. Physical examination revealed signs of congestive heart failure and a continuous murmur loudest along the lower sternal border. X-Ray showed cardiomegaly due to right chambers dilatation. Transthoracic echocardiography showed right chambers pressure and volume overload, with right ventricular enlargement and dysfunction, tricuspid annulus dilatation and severe tricuspid regurgitation. cardiac catheterization showed significant elevation of right atrial pressure, as well as significant step-up of oxygen saturation in this chamber. Coronary angiography revealed the presence of a large fistula between the circumflex coronary artery (CCA) and coronary sinus (CS), with severe dilation of the CCA (maximum diameter20 mm). An Amplatzer? PDA was implanted in a distal elbow of the fistula with initailly good results. Anticoagulant therapy was then reinitiated, and a few days later, the patient developed clinical worsening of heart failure and dyspnoea. Echocardiogram showed significant pericardial effusion. Pleuropericardial window was then made draining a500 cm3 of bloody pericardial effusion. The postoperative outcome was excellent, with symptomatic relief and no signs of heart failure.

关键词： Giant Coronary Fistula Circumflex Coronary Artery Coronary Sinus Percutaneous Transcatheter Closure Pericardial Effusion cardiac tamponade

Autotransfusion in the management of cardiac tamponade occurring during catheter ablation of atrial fibrillation

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Chinese Medical Journal 2010年第7期123卷 961-963页

作者： GAO Ling-yun TANG Ri-bo DONG Jian-zeng LIU Xing-peng LONG De-yong YU Rong-hui JIANG Chen-xi CHEN Gang SANG Cai-hua ZHANG Xin-yong NING Man MA Chang-sheng Department of Cardiology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China

acute cardiac tamponade occurs in 0.1%-2% of patients undergoing catheter ablation of atrial fibrillation （AF） in experienced centers.1-4 Once it is diagnosed, emergency pericardiocentesis is required.5 With the intervention, sternotomy and open surgical repair can be avoided in the most patients6. Generally, pericardial blood is reinjected directly back into the patient through the femoral venous sheath in order to invert hemodynamic instability promptly.

关键词： atrial fibrillation autotransfusion cardiac tamponade catheter ablation

Case Report of cardiac tamponade Due to Acute Chagas Disease after Misdiagnosis of Visceral Leishmaniasis Based on Serology

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Case Reports in Clinical Medicine 2022年第10期11卷 435-441页

作者： Valéria R. Corrê a Welyda R. Lima Luis. F. D’A. e Castro Heitor F. A. Junior Marina C. Affonso Leonardo P. N. Silva Department of Medicine Hospital Regional de Araguaína Araguaína Brazil Department of Pathology and Protozoology Laboratory FMUSP S&atilde o Paulo Brazil Department of Medicine Faculty of Medicine S&atilde o Caetano do Sul S&atilde o Caetano do Sul Brazil Department of Medicine Centro Universitário Tocantinense Presidente Ant&ocirc nio Carlos Araguaína Brazil

Protozoan diseases such as Visceral Leishmaniasis (VL) have re-emerged in Northern Brazil and cases of Chagas Disease also occur. This VL increase leads to early therapy for the public. Confirmatory parasitological diagnoses in VL are performed by bone marrow or spleen aspiration, but ELISA, IFA or immunochromatographic tests for antibody detection are easily performed and can be used in the presence of clinical signs as confirmatory for specific therapy. This approach is successful in providing therapy and prevention of death in VL, but there is a chance of confusion with the emerging disease, Chagas Disease (CD), due to cross-reacting and similar clinical pictures, as in this case. Both VL and CD presented many asymptomatic or oligosymptomatic cases, complicating the picture. Our case report emphasizes these aspects. Positive serology, with an IIF titer of 1/160, and epidemiological correlation, suggests the diagnosis of VL and imposes antimony therapy. Despite the unfavorable evolution and signs of cardiac involvement, the presence of pericarditis and cardiac tamponade confirmed by the echocardiogram suggests CD. We reassessed the profiles of a suggested CD serology, the diagnosis was corrected and treatment with CD specific benznidazole. The good evolution started with benznidazole corroborates the diagnosis of CD and discards the hypothesis of double infection.

关键词： Heart cardiac tamponade Trypanosomiasis Acute Serology

Hemorrhagic cardiac tamponade after percutaneous laser ablation of a liver metastasis in segment II

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Hepatoma Research 2016年第1期2卷 193-196页

作者： Paola Tombesi Francesca Di Vece Silvia Rinaldi Matteo Bertini Sergio Sartori Section of Interventional Ultrasound Department of Internal MedicineSt.Anna Hospital44100 FerraraItaly Anesthesiology Unit St.Anna Hospital44100 FerraraItaly Cardiology Unit St.Anna Hospital44100 FerraraItaly

Despite percutaneous laser thermal ablation(LTA)of liver tumors being regarded as a safe technique,major complications can *** report the first case of hemorrhagic cardiac tamponade after LTA of a colorectal metastasis in segment II of the *** heat diffusion causing indirect thermal injury to the pericardium with resultant hemorrhagic reaction was hypothesized as the most likely cause of tamponade.A pericardial drain was emergently placed,200 mL of bright red blood were drained,and the patient showed rapid hemodynamic *** lesions located in segment II of the liver and strictly close to the pericardium,a careful risk/benefit analysis should be made by the multidisciplinary team to identify the best treatment option,taking into account both effectiveness and complications of each available technique.

关键词： Laser thermal ablation liver tumors complications cardiac tamponade

Cough induced syncope:A hint to cardiac tamponade diagnosis

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World Journal of Cardiology 2017年第5期9卷 466-469页

作者： Roberto Ramirez Glenmore Lasam Department of Medicine Atlantic Health System-Overlook Medical CenterSummitNJ 07901United States

We report a case of a 75-year-old male with history oflung adenocarcinoma who presented with shortness of breath and frequent episodes of cough-induced syncope. A large pericardial effusion was found on echocardiogram suggestive of cardiac tamponade. Pericardiocentesis was done which improved the dyspnea and eventually resolved the syncope. There are only two other cases reported in the literature with cough-induced syncope in the setting of pericardial effusion or cardiac tamponade. Our clinical vignette also highlights the importance of pulsus paradoxus identification in patients with cough induced syncope to rule out cardiac tamponade since this is the most sensitive physical finding for its diagnosis.

关键词： cardiac tamponade Cough-induced syncope Pericardial effusion

Can post-mortem computed tomography be considered an alternative for autopsy in deaths due to hemopericardium？

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Journal of Geriatric Cardiology 2014年第4期11卷 363-367页

作者： Lorenzo Gitto Serenella Serinelli Francesco P. Busardo Valeria Panebianco Giorgio Bolino Aniello Maiese Department of Anatomy Histology Forenxic Medicine and Orthopaedics Sap ienza University of Rome Viale Regina Elena 336 Rome 00185 Italy Department of Radiological Sciences Oncology and Pathology Sapienza University of Rome Rome 00161 Italy

Hemopericardium is a common finding at autopsy, but it may represent a challenge for the forensic pathologist when the etiopathologi-cal relationship in causing death is requested. Hemopericardium and cardiac tamponade can be evaluated in living people using radiological techniques, in particular computer tomography （CT）. Only a few studies are reported in literature involving post-mortem （PM） cases, where PMCT imaging has been used in order to investigate acute hemopericardium, and they have shown a good accuracy of this technique. Here we report a case involving a 70-year-old white male found dead on the beach, with a medical history of hepatitis C and chronic hypertension with a poor pharmacological response. A PMCT was performed about 3 h after the discovery of the body. The PMCT examination showed an intrapericardial aortic dissection associated to a periaortic hematoma, a sickle-shaped intramural hematoma, a false lumen, and a hemop-ericardium consisting in fluid and clotted blood. In this case, the PMCT was able to identify the cause of death, even though a traditional autopsy was required to confirm the radiological findings. PMCT is a reliable technique, which in chosen cases, can be performed without the need for a traditional autopsy to be carried out.

关键词： Hemopericardium cardiac tamponade Aortic dissection Computer tomography