Post pericardiocentesis low cardiac output syndrome in a patient with malignant thymoma.
ABSTRACT We describe a case of transient biventricular failure after pericardiocentesis in a patient with malignant thymoma. Within 1 week the cardiac function returned to normal. The epidemiology and pathophysiology of the post pericardiocentesis low cardiac output syndrome is discussed.
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ABSTRACT: Pericardial decompression syndrome (PDS) is a rare and potentially fatal complication of pericardial drainage, either by needle pericardiocentesis or surgical pericardiostomy. It manifests with paradoxical hemodynamic deterioration and/or pulmonary edema, commonly associated with ventricular dysfunction. We sought to elucidate factors associated with mortality in PDS.European heart journal. Acute cardiovascular care. 09/2014;
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ABSTRACT: The authors present a case of a 44-year-old female with unrecognised hypothyroidism consulting for heart failure symptoms. Echocardiogram revealed massive pericardial effusion with tamponade physiology, attributed to primary hypothyroidism from a previous thyroidectomy. Levothyroxine was started at a dose of 0.7 ug/kg/day followed by subxiphoid pericardiostomy. 9 h postpericardiostomy however, hypotension developed and despite hydration and inotropic support, patient succumbed to cardiogenic shock on the 14th hospital day.Case Reports 01/2011; 2011.