-
An Indonesian pregnant woman with systemic lupus erythematosus and cardiac tamponade: A case report.International Journal of Surgery Case... May 2022Systemic lupus erythematosus (SLE) during pregnancy with cardiac tamponade is a rare case.
BACKGROUND
Systemic lupus erythematosus (SLE) during pregnancy with cardiac tamponade is a rare case.
CASE PRESENTATION
A 33-year-old pregnant woman complained of worsening shortness of breath, hair loss, and joint pain. Laboratory investigation revealed the poor condition of the patient so therapeutic abortion was recommended. Transthoracic echocardiography confirmed cardiac tamponade and pericardiocentesis was performed. The ANA test showed a flare SLE and she was given immunosuppressant therapy. Repeat echocardiography demonstrated minimal pericardial effusion. The patient refused cyclophosphamide. Follow-up echocardiography evaluation at fifth-month revealed minimal pericardial effusion. However, patient refused to be hospitalized.
DISCUSSION
A combination of pericardiocentesis and immunosuppressant therapy is an effective strategy to treat cardiac tamponade in pregnancy with SLE.
CONCLUSION
Immunosuppressants and pericardiocentesis followed by cyclophosphamide are the cornerstones of management of SLE and cardiac tamponade in pregnant patients.
PubMed: 35658313
DOI: 10.1016/j.ijscr.2022.107159 -
BMJ Case Reports Jun 2018A 41-year-old woman was visiting Oxford, where she had a sudden cardiac arrest. Cardiopulmonary resuscitation was started by a bystander until the paramedics arrived,...
A 41-year-old woman was visiting Oxford, where she had a sudden cardiac arrest. Cardiopulmonary resuscitation was started by a bystander until the paramedics arrived, who found her in ventricular fibrillation, and delivered three shocks. After 28 min she had return of spontaneous circulation. Emergency coronary angiography revealed normal coronary arteries. Echocardiography followed by a cardiac MRI showed non-dilated left ventricles with no evidence of late gadolinium enhancement. She had a single-chamber implantable-cardioverter defibrillator (ICD). A chest CT showed sternal fracture and subsegmental pulmonary embolism, for which she was anticoagulated and was discharged.Several days later, the patient presented to another hospital with atypical chest pain and dizziness. She had haemodynamic instability and echocardiography showed the ICD lead perforating through the right ventricle, with a large pericardial effusion and tamponade, for which pericardiocentesis was done. Afterwards, the patient had repositioning of the ICD lead safely.
Topics: Adult; Cardiac Tamponade; Cardiopulmonary Resuscitation; Coronary Angiography; Death, Sudden, Cardiac; Defibrillators, Implantable; Female; Heart Ventricles; Humans; Pericardial Effusion; Pericardiocentesis; Treatment Outcome; Ventricular Fibrillation
PubMed: 29880624
DOI: 10.1136/bcr-2018-224521 -
International Journal of Infectious... Jan 2006
Topics: Amphotericin B; Animals; Antiprotozoal Agents; Child; Coccidia; Coccidiosis; Female; Humans; Injections, Intravenous; Pericardiocentesis; Pericarditis; Sputum
PubMed: 16260168
DOI: 10.1016/j.ijid.2005.03.004 -
Heart (British Cardiac Society) Oct 2000
Review
Topics: Acute Disease; Cardiac Tamponade; Cardiomyopathies; Colchicine; Electrocardiography; Female; Humans; Male; Myocarditis; Pericardiocentesis; Pericarditis; Pericarditis, Constrictive; Pregnancy; Pregnancy Complications
PubMed: 10995424
DOI: 10.1136/heart.84.4.449 -
JACC. Case Reports Aug 2019This report presents the case of pneumopericardium with trapped air in the pericardial sac occurring after a pericardiocentesis, probably caused by air leakage secondary...
This report presents the case of pneumopericardium with trapped air in the pericardial sac occurring after a pericardiocentesis, probably caused by air leakage secondary to a defect in the drainage system and/or accidental removal of the pericardial tube. This condition is very rare and should be considered in case of hemodynamic worsening despite complete evacuation of the pericardial effusion, since immediate recognition and treatment are crucial. ().
PubMed: 34316799
DOI: 10.1016/j.jaccas.2019.06.024 -
JACC. Cardiovascular Interventions Jul 2021
Topics: Cardiac Tamponade; Coronary Artery Disease; Coronary Vessels; Humans; Pericardiocentesis; Rupture; Rupture, Spontaneous; Treatment Outcome
PubMed: 34147383
DOI: 10.1016/j.jcin.2021.04.005 -
Cleveland Clinic Journal of Medicine Dec 2000Pericardial diseases are common, have multiple causes, and are often misdiagnosed. Physicians need to recognize the characteristic and distinguishing features of the... (Review)
Review
Pericardial diseases are common, have multiple causes, and are often misdiagnosed. Physicians need to recognize the characteristic and distinguishing features of the three most important pericardial conditions: acute pericarditis, cardiac tamponade, and constrictive pericarditis. In these conditions, proper diagnosis and appropriate management can significantly reduce morbidity and mortality.
Topics: Acute Disease; Cardiac Tamponade; Diagnosis, Differential; Diuretics; Echocardiography, Doppler; Electrocardiography; Hemodynamics; Humans; Pericardiectomy; Pericardiocentesis; Pericarditis; Pericarditis, Constrictive; Tomography, X-Ray Computed
PubMed: 11127986
DOI: 10.3949/ccjm.67.12.903 -
Cureus May 2021Every year, Influenza infection contributes to significant morbidity and mortality carrying a huge economic burden. Extra-pulmonary manifestations are increasingly being...
Every year, Influenza infection contributes to significant morbidity and mortality carrying a huge economic burden. Extra-pulmonary manifestations are increasingly being recognized. We present a 29-year-old woman with acute pericarditis and cardiac tamponade requiring emergent pericardiocentesis secondary to Influenza B infection. Although very rare in relation to Influenza B infection, the pericardial disease can occur during the acute infection or as a post-viral syndrome. Considering pericardial disease in patients with chest pain and any viral infection may facilitate timely diagnosis and prevent unnecessary life-threatening complications.
PubMed: 34109077
DOI: 10.7759/cureus.14888 -
Journal of the American Veterinary... Mar 2016
Topics: Animals; Cardiac Tamponade; Dog Diseases; Dogs; Electrocardiography; Female; Myocardial Ischemia; Pericardial Effusion; Pericardiocentesis
PubMed: 26885591
DOI: 10.2460/javma.248.5.497 -
World Journal of Gastroenterology Feb 2010To evaluate the role and outcome of pericardiocentesis with intrapericardial cisplatin instillation for malignant pericardial effusion resulting from esophageal cancer.
AIM
To evaluate the role and outcome of pericardiocentesis with intrapericardial cisplatin instillation for malignant pericardial effusion resulting from esophageal cancer.
METHODS
We retrospectively studied 7 patients who underwent pericardiocentesis with intrapericardial cisplatin instillation for malignant pericardial effusion resulting from esophageal cancer. After pericardiocentesis, we performed catheterization of the pericardial space under ultrasonogram guidance. Malignant etiology of the pericardial fluid was confirmed by cytological examination. Subsequently, cisplatin (10 mg in 20 mL normal saline) was instilled into the pericardial space.
RESULTS
The mean total volume of the aspirated effusion fluid was 782 +/- 264 mL (range, 400-1200 mL). The drainage catheter was successfully removed in all patients, and the mean duration of pericardial drainage was 7.7 +/- 2.7 d (range, 5-13 d). No fluid reaccumulation was observed. Mean survival time was 120 +/- 71 d (range, 68-268 d).
CONCLUSION
Pericardiocentesis along with catheter drainage appears to be a safe and effective for pericardial malignant effusion and tamponade, and cisplatin instillation prevents recurrence.
Topics: Aged; Antineoplastic Agents; Cardiac Tamponade; Cisplatin; Esophageal Neoplasms; Humans; Male; Middle Aged; Pericardial Effusion; Pericardiocentesis; Retrospective Studies; Secondary Prevention; Treatment Outcome
PubMed: 20135723
DOI: 10.3748/wjg.v16.i6.740