Beyond Beck's Triad: A Rare Cause of Cardiac Tamponade and Hemoptysis

Pacha, Homam Moussa; Soud, Mohamad; Alraies, M. Chadi

doi:10.31486/toj.17.0081

Cited by 5 publications

(5 citation statements)

References 10 publications

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“…Pericardial effusion, dyspnea, chest pain, palpitations, and myalgia are common presenting complaints. Angiosarcoma can also be a rare etiology for cardiac tamponade [4,5].…”

Section: Discussionmentioning

confidence: 99%

An Innovative Approach to the Diagnosis of Cardiac Angiosarcoma

Kennedy¹,

Dimza²,

Jones³

et al. 2022

Cureus

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We present a case of a 32-year-old female presenting with shortness of breath and increasing oxygen requirements. Further imaging discovered a large mass extending circumferentially into the pericardium, cardiac wall, and chambers, involving the anterior and middle mediastinum. Direct tissue biopsy of the mass for a diagnosis was unsafe. Therefore, advanced flow cytometric analysis for tumor marker expression of the malignant effusion was used to differentiate the mass as a vascular sarcoma, consistent with cardiac angiosarcoma. Additionally, cytometric analysis for programmed cell death protein 1 (PD1), programmed death-ligand 1 (PDL1), and cytotoxic T-lymphocyte-associated antigen 4 (CTLA4) was also performed; a study seldom investigated for angiosarcomas but may have advantages over immunohistochemical analysis.

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“…Pericardial effusion, dyspnea, chest pain, palpitations, and myalgia are common presenting complaints. Angiosarcoma can also be a rare etiology for cardiac tamponade [4,5].…”

Section: Discussionmentioning

confidence: 99%

An Innovative Approach to the Diagnosis of Cardiac Angiosarcoma

Kennedy¹,

Dimza²,

Jones³

et al. 2022

Cureus

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“…PPC therefore requires a close monitoring of oxygen saturation, heart rate, blood pressure and radiographical changes. (12)(13)(14) Should signs of cardiac tamponade (Beck's triad) and cardiovascular collapse occur, patient should be immediately treated, usually by needle aspiration. Subxiphoid window is a recommended location and the procedure should be followed by antibiotics to prevent infection.…”

Section: Discussionmentioning

confidence: 99%

“…In our case needle aspiration was not needed but since inadequate chest drain position took part in occurrence of PPC, it is very important to highlight this and for doctors to take into consideration in their future practice. (13,15,16) It is believed that a''Nitrogen washout technique'', also known as oxygen therapy, could be a potentially beneficial treatment. Nevertheless, its use is limited because if it's used in premature infants born earlier than 32 weeks of gestation, there is a likelihood of it being associated with hyperoxia induced retinopathy of prematurity.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Pneumopericardium in a Male Full-Term Newborn with Spontaneous Pneumothorax

Jevtić

Prodanovic

Savić

et al. 2022

Serbian Journal of Experimental and Clinical Research

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Neonatal pneumopericardium, a collection of air in the pericardial sac, is less common form of air leak syndrome, but unfortunately with high mortality rate. We report a rare case of male fullterm newborn who soon after birth presented with respiratory distress. Chest radiograph showed spontaneous bilateral pneumothorax after which a chest drain was placed between anterior and midaxillary line in the 5 th right intercostal space. The infant soon presented with tachypnea, dyspnea, muffled heart sounds, acidosis indicating cardiorespiratory worsening. On chest radiograph ''Halo'' sign appeared indicating pneumopericardium. We believe that spontaneous reposition of a chest drain damaged the pericardial sac which combined with ventilation mechanism (''Macklin effect'') most likely led to pneumopericardium. After partial chest drain extraction the infant showed signs of improvement, but had to be closely monitored due to risk of tension pneumopericardium. Careful thoracal drain placement and fixation is crucial to prevent iatrogenic pneumopericardium, which can lead to deadly tension pneumopericardium.

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“…There is a chronic compression triad similar to Beck's triad, and it is accompanied by high venous pressure, abdominal ascites, and muffled heart sounds [6].…”

Section: Discussionmentioning

confidence: 99%