Pericardial window procedures: Implications on left ventricular function
Autor: | George E. Philippakis, Antonios Marinakis, Nikolaos Manoloudakis |
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Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Myocardial stunning Ventricular function Pericardial window business.industry medicine.medical_treatment Left ventricular failure Pericardial fluid medicine.disease Left anterior thoracotomy Article Surgery Internal medicine Cardiac tamponade medicine Cardiology Acute left ventricular failure Hemodynamic stability business Left Ventricular Failure |
Zdroj: | International Journal of Surgery Case Reports. 4(4):403-405 |
ISSN: | 2210-2612 |
DOI: | 10.1016/j.ijscr.2013.02.002 |
Popis: | INTRODUCTIONPericardial window procedures are generally designed to relieve pericardial fluid pressure on the heart, in cases of cardiac tamponade, and to restore the hemodynamic stability of the patient. Rarely, however, may acute left ventricular failure develop after creation of a pericardial window.PRESENTATION OF CASEWe describe a patient in whom that complication developed. We are trying to give an insight to the pathophysiology, existence of potential predisposing factors, as well as to propose therapeutic measures.DISCUSSIONAcute heart failure, developing after pericardiocentesis or surgical creation of a pericardial window is an unusual complication, with several theories developed to explain that paradox.CONCLUSIONTreatment is supportive, but that complication of pericardial window procedures may carry a high mortality rate. |
Databáze: | OpenAIRE |
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