Low cardiac output complicating pericardiectomy for pericardial tamponade
| Autor: | Lary A. Robinson, Renee Sunday, Voytek Bosek |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
musculoskeletal diseases
Pulmonary and Respiratory Medicine Constrictive pericarditis medicine.medical_specialty Decompression medicine.medical_treatment Cardiac Output Low Fatal Outcome Internal medicine Cardiac tamponade medicine Pericardium Humans Pericardiectomy business.industry Middle Aged medicine.disease Surgery Cardiac Tamponade Radiography medicine.anatomical_structure Effusion Heart failure Cardiology Female Tamponade Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of thoracic surgery. 67(1) |
| ISSN: | 0003-4975 |
| Popis: | Neoplastic involvement of the pericardium resulting in an effusion and subsequent tamponade is an emergency requiring prompt decompression, generally safely accomplished by subxiphoid pericardiectomy. However, the current case report describes a patient with florid pericardial tamponade who underwent surgical decompression with transient hemodynamic improvement, who then rapidly developed progressive, heart failure and death. This paradoxical response to pericardial decompression, similar to that seen occasionally with pericardiectomy in constrictive pericarditis, may be more frequent than currently appreciated. Its cause may relate to the sudden removal of the chronic external ventricular support from the effusion resulting in ventricular dilatation and failure. |
| Databáze: | OpenAIRE |
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