1.Cardiac Tamponade by Iatrogenic Pneumopericardium.
Sun Hwa LEE ; Won Ho KIM ; Sang Rok LEE ; Kyoung Suk RHEE ; Jei Keon CHAE ; Jae Ki KO
Journal of Cardiovascular Ultrasound 2008;16(1):26-28
Pneumopericardium is defined as the condition of presence of air in the pericardial space. It is associated with various etiologies such as chest trauma, infection or invasive procedures. We herein describe a case of cardiac tamponade associated with pneumopericardium. We diagnosed iatrogenic pneumopericardium by plain chest radiography and two-dimensional echocardiography. The patient was successfully treated by re-pericardiocentesis.
Cardiac Tamponade
;
Echocardiography
;
Humans
;
Pericardiocentesis
;
Pneumopericardium
;
Thorax
2.Some opinions of surgical treatment of pyopericarditis in children
Journal of Vietnamese Medicine 2001;256(2):46-48
We study on 3 children pyopericarditis on July 1996 at the Thoracic and Cardiovascular Surgery Department Cho Ray Hospital. All of patients come from Pediatric Hospital. Diagnostic: pyopericarditis with pus from pericardiocentesis. Operation: largely pericardiectomy. Result: all patients are in good condition when they are discharge.
Myocarditis
;
Pericardiocentesis
;
Pericardiectomy
;
surgery
;
therapeutics
;
child
3.A Case of Primary Right Atrial Angiosarcoma Manifested with Cardiac Tamponade.
Jeong Su KIM ; Sung Gook SONG ; Woo Seog KO ; Yong Hyun PARK ; Jun Hong KIM ; Kook Jin CHUN ; Taek Jong HONG ; Yung Woo SHIN
Journal of the Korean Society of Echocardiography 2004;12(1):36-38
Primary cardiac malignancy is very rare. Angiosarcoma is the most frequent malignant cardiac tumor and associated with a very unfavourable outcome. We report the case of an cardiac angiosarcoma complicated with cardiac tamponade revealed by echocardiography with pericardiocentesis and confirmed histopathologically in a 25 years old man.
Adult
;
Cardiac Tamponade*
;
Echocardiography
;
Heart Neoplasms
;
Hemangiosarcoma*
;
Humans
;
Pericardiocentesis
4.Echocardiographically guided pericardiocentesis with central venous catheter in emergency room.
Sung Oh HWANG ; Young Sik KIM ; Moo Eob AHN ; Kyoung Soo LIM ; Yoon Kyung CHO ; Jung Han YOON ; Keum Soo PARK ; kyung Hoon CHOE
Journal of the Korean Society of Echocardiography 1993;1(1):125-130
No abstract available.
Central Venous Catheters*
;
Emergencies*
;
Emergency Service, Hospital*
;
Pericardiocentesis*
5.Estimating the Volume of Pericardial Effusion by M-Mode and 2-D Echocardiographic Method.
Byung Woo YU ; Ho Soo LEE ; Jin Woo JEON ; Tae Myung CHOI ; Sung Koo KIM ; Young Joo KWON
Korean Circulation Journal 1995;25(6):1170-1174
BACKGROUND: This study was undertaken to test the validity of M-mode and a new cross sectional cehocardiographic quantification of pericardial effusion. METHODS: This study was performed in 12 patients with large pericardial effusion of whom hed M-mode and 2-D echocardiography just before therpeutic drainage of the effusion. The volume of Pericardial fluid removed by pericardiocentesis was compared with te echo-free space estimated by M-mode echocardiography and the volume estimated by new 2-D echocardiographic method. The pericardial sac volume and the cardiac volume were calculated by applying the formula for the volume of a prolate ellipse. RESULTS: 1) There was a good correlation between 2-D echocardiographic estimate and the actual volume removed by pericardiocentesis(r=0.72, p<0.05). 2) The correlation between the echo-free space estimated by M-mode echocardiography at the level of mitral valve and the actual volume was also good(r=0.81,p<0.001). CONCLUSION: The M-mode and 2-D echocardiographic method is successful in helping to estimate large pericardial effusion.
Cardiac Volume
;
Drainage
;
Echocardiography*
;
Humans
;
Mitral Valve
;
Pericardial Effusion*
;
Pericardiocentesis
;
Phosmet
6.Respiratory Variations of Doppler Echocardiographic Parameters in Cardiac Tamponade.
Hyo Gyun JUNG ; Seung Jae JOO ; Dal Su PARK ; Jun Chul PYUN ; Ji Hyun KIM ; Byoung Kun LEE ; Su Yul AHN ; Tae Joon CHA ; Jae Woo LEE
Korean Circulation Journal 1998;28(3):412-424
BACKGROUND: Cardiac tamponade is associated with the expiratory increase and the expira-tory decrease in left ventricular filling flow. With Doppler echocardiography, we analyzed the respiratory variations of mitral and tricuspid inflows, and pulmonary and hepatic venous flows in patients with cardiac tamponade. METHODS: Respiratory hemodynamic changes in mitral and tricuspid inflows and pulmonary and hepatic venous flows were evaluated using Doppler echocardiography in 13 patients (6 men and 7 women; mean age 51+/-13 years) with large pericardial effusion and clinical cardiac tamponade, and compared the results with those of 11 control subjects (3 men and 8 women, mean age 53+/-13 years). Doppler examination was repeated after pericardiocentesis in 6 patients. RESULTS: Peak velocity of early diastolic mitral inflow (E velocity) decreased during inspiration compared with expiratory increase; the mean percentage change was 40%. Peak velocity of late diastolic mitral inflow (A velocity) decreased 13% during inspiration. E/A ratio decreased 31% during inspiration. Deceleration time (DT) and isovolumic relaxation time (IVRT) increased by 26% and 44%, respectively, during inspiration. But respiratory variations of tricuspid inflow were opposite to those of mitral inflow. Tricuspid E velocity increased during inspiration and decre-ased during expiration. The mean percentage change was 123%, which was larger than thte 40% of mitral inflow. The most characteristic findings of pulmonary venous flow during respiration were the expiratory increases of peak diastolic velocity (DV) and diastolic time-velocity integral (D-TVI). The mean percentage changes of peak systolic velocity (SV), DV and D-TVI during respiration were 27%, 45% and 53% respectively. In contrast, the SV and DV of hepatic venous flow increased during inspiration and decreased during expiration. The respiratory variations of peak systolic reverse flow velocity (SR) and peak diastolic reverse flow velocity (DR) were opposite to those of SV and DV. DR notably increased during expiration, and the mean percentage change was 61%. The ratio of RFI (Inspiratory reverse flow integral) to FFI (forward flow integral) of the tamponade group was 270%. The mean percentage changes of each parameters decreased after pericardiocentesis. CONCLUSION: Patients with cardiac tamponade showed inspiratory increases of diastolic tri-cuspid filling flow and hepatic forward flow. Expiratory increases included diastolic mitral filling flow, pulmonary venous systolic and diastolic flow, and hepatic venous reverse flow. Such res-piratory variations decreased after pericardiocentesis.
Cardiac Tamponade*
;
Deceleration
;
Echocardiography*
;
Echocardiography, Doppler
;
Female
;
Hemodynamics
;
Humans
;
Male
;
Pericardial Effusion
;
Pericardiocentesis
;
Relaxation
;
Respiration
7.A "Vanishing", Tuberculous, Pericardial Effusion.
Jacques LIEBENBERG ; Pieter VAN DER BIJL
Korean Circulation Journal 2016;46(6):879-881
We present an iatrogenic, pleuro-pericardial connection resulting from pericardiocentesis of a large, tuberculous, pericardial effusion. Recognition of this situation is paramount when one is unable to aspirate pericardial fluid after a successful, initial puncture. Such knowledge will help prevent myocardial or coronary artery injury with further attempts at aspiration.
Coronary Vessels
;
Echocardiography
;
Pericardial Effusion*
;
Pericardial Fluid
;
Pericardiocentesis
;
Pleural Cavity
;
Punctures
;
Tuberculosis
8.Pneumopericardium as a Complication of Pericardiocentesis.
Woo Hyung CHOI ; You Mi HWANG ; Mi Youn PARK ; Seung Jae LEE ; Hye Yeon LEE ; Sei Won KIM ; Byoung Yeon JUN ; Jin Soo MIN ; Woo Seung SHIN ; Jong Min LEE ; Yoon Seok KOH ; Hui Kyung JEON ; Wook Sung CHUNG ; Ki Bae SEUNG
Korean Circulation Journal 2011;41(5):280-282
Pneumopericardium is a rare complication of pericardiocentesis, occurring either as a result of direct pleuro-pericardial communication or a leaky drainage system. Air-fluid level surrounding the heart shadow within the pericardium on a chest X-ray is an early observation at diagnosis. This clinical measurement and process is variable, depending on the hemodynamic status of the patient. The development of a cardiac tamponade is a serious complication, necessitating prompt recognition and treatment. We recently observed a case of pneumopericardium after a therapeutic pericardiocentesis in a 20-year-old man with tuberculous pericardial effusion.
Cardiac Tamponade
;
Drainage
;
Heart
;
Hemodynamics
;
Humans
;
Pericardial Effusion
;
Pericardiocentesis
;
Pericardium
;
Pneumopericardium
;
Thorax
;
Young Adult
9.Recurrent Cardiac Tamponade Complicated by Coronary Intervention.
Soo Hoon LEE ; Kwang Soo CHA ; Jeong Woon PARK ; Jong Hoon LEE ; Seung Wook PARK ; Jeong Hyun LIM ; Sam Yong JI ; Wook Don YUN ; Moo Hyun KIM ; Young Dae KIM ; Jong Seong KIM
Korean Circulation Journal 1998;28(12):2051-2055
Coronary perforation is a rare, but potentially catastrophic complication of percutaneous coronary intervention. It rarely results in cardiac tamponade with the use of standard anticoagulant regimens. But spontaneous cardiac tamponade was reported recently during balloon angioplasty under the large dose of heparin infusion, and after stent implantation under powerful antiplatelet therapy including platelet IIb/IIIa receptor inhibitor administration. We report a case of delayed cardiac tamponade complicated by guidewire manipulation under powerful anticoagulant and antiplatelet therapy, which recurred early after the first pericardiocentesis.
Angioplasty, Balloon
;
Blood Platelets
;
Cardiac Tamponade*
;
Heparin
;
Percutaneous Coronary Intervention
;
Pericardiocentesis
;
Stents
10.Pericardial effusion in three cases of anorexia nervosa.
Young Kuk CHO ; Su Jin YANG ; Jae Sook MA
Korean Journal of Pediatrics 2008;51(2):209-213
In young adolescent girls, anorexia nervosa is a significant cause of weight loss, and hospital admissions among children and adolescents. Anorexia nervosa is a life-threatening disorder, with about one-third of deaths caused by cardiac complications. A high rate of pericardial effusion has been recently reported in patients with anorexia nervosa, although relatively few cases require pericardiocentesis. Here, we describe three patients with anorexia nervosa who were diagnosed with large pericardial effusions. To prevent cardiac tamponade, pericardiocentesis was performed in two girls.
Adolescent
;
Anorexia
;
Anorexia Nervosa
;
Cardiac Tamponade
;
Child
;
Humans
;
Pericardial Effusion
;
Pericardiocentesis
;
Weight Loss