Cardiac Tamponade Secondary to Pleural Effusion in Hepatopulmonary Syndrome

Martínez, José María Gámez; Forteza, J.

doi:10.1016/s1885-5857(09)60068-2

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…Right ventricular failure was present in only one reported case of tamponade due to left-sided pleural effusion, in a patient with sepsis and end-stage renal disease [Kopterides 2006]. In other cases, patients had different reasons for systemic congestion and ascites, such as massive pulmonary embolism [Gamez 2008] or Budd-Chiari syndrome [Venkatesh 1995].…”

Section: Discussionmentioning

confidence: 99%

Heart Failure due to Tension Hydrothorax after Left Pneumonectomy

Maguire¹,

Leung²,

Kodali³

et al. 2013

HSF

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Tension hydrothorax is a rare complication of pneumonectomy for pleural mesothelioma and an exceptionally rare cause of heart failure. We describe a patient who had undergone extrapleural pneumonectomy, chemotherapy, and radiation for pleural mesothelioma and who developed heart failure symptoms within months of the completion of treatment. Investigation showed a massive left pleural effusion resulting in tension hydrothorax, mediastinal shift, and evidence of right heart failure with constrictive physiology and low cardiac output. Therapeutic thoracentesis resulted in increase in cardiac output and symptomatic improvement.

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Section: Discussionmentioning

confidence: 99%

Heart Failure due to Tension Hydrothorax after Left Pneumonectomy

Maguire¹,

Leung²,

Kodali³

et al. 2013

HSF

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“…112 Examples of pleural effusion causing hemodynamic compromise with a clinical and echocardiographic picture of tamponade have been reported. [107][108][109]113 In these examples, hemodynamic stability was reestablished by large volume (>1000 mL) thoracenteses. The hemodynamic impact increases with the size of the pleural effusion 114 and this effect seems independent of the sidedness of effusion.…”

Section: Pleur Al Effus I Onmentioning

confidence: 98%

“…Examples of pleural effusion causing hemodynamic compromise with a clinical and echocardiographic picture of tamponade have been reported . In these examples, hemodynamic stability was reestablished by large volume (>1000 mL) thoracenteses.…”

Section: Pleural Effusionmentioning

confidence: 99%

“…The degree of chamber compression and the resulting hemodynamic impact of pleural effusion depends on the transmural pressure gradient. Pleural effusion may itself compress the cavities of the heart, but this effect may be accelerated with concomitant diseases that reduce intracavity pressure, including Budd‐Chiari's syndrome or hepatopulmonary syndrome, by reducing venous return or pulmonary artery resistance, respectively.…”

Section: Pleural Effusionmentioning

confidence: 99%

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When appearances deceive: Echocardiographic changes due to common chest pathology

et al. 2018

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Most indications for performing echocardiography focus on the evaluation of properties intrinsic to the heart. However, numerous extra‐cardiac conditions indirectly convey changes to the echocardiographic appearance through alterations in the governing physiology. Pulmonary embolism increases pulmonary arterial pressure if a sufficient cross‐sectional area of the pulmonary vascular bed is occluded. This may result in dilatation of the right ventricle and, in severe cases, concomitant early diastolic septal collapse into the left ventricle. Acute respiratory failure has been shown to yield a similar echocardiographic appearance in experimental conditions due to the resultant pulmonary vasoconstriction. Echocardiography in the presence of pulmonary disease can reveal underlying cardiac pathologies such as pulmonary hypertension that contribute to the clinical severity of respiratory distress. Positive pressure ventilation affects preload, afterload, and compliance of both ventricles. The echocardiographic net result cannot be uniformly anticipated, but provides information on the deciding physiology or pathophysiology. Mediastinal pathology including tumors, herniation of abdominal content, and pleural effusion can often be visualized directly with echocardiography. Mediastinal pathologies adjacent to the heart may compress the myocardium directly, thus facilitating echocardiographic and clinical signs of tamponade in the absence of pericardial effusion. In conclusion, many pathologies of extra‐cardiac origin influence the echocardiographic appearance of the heart. These changes do not reflect properties of the myocardium but may well be mistaken for it. Hence, these conditions are essential knowledge to all physicians performing echocardiography across the spectrum from advanced cardiological diagnostics to rapid point‐of‐care focused cardiac ultrasonography.

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“…Large pleural effusions increase the intrapleural and pericardial pressure and produce a cardiac tamponade like situation . Ultimately, it reduces right or left ventricular diastolic filling and stroke volume.…”

Section: Large Pleural Effusionmentioning

confidence: 99%

Pulsus paradoxus

Sarkar¹,

Bhardwaj²,

Madabhavi

et al. 2018

Clinical Respiratory J

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Objectives: Reviewed the etiologies, pathophysiologic mechanisms, detection and clinical significance of pulsus paradoxus in various conditions. Data source: We searched PubMed, EMBASE, and the CINAHL from inception to June 2017. We used the following search terms: Pulsus paradoxus, pericardial effusion, acute asthma, ventricular interdependence and so forth. All types of study were chosen. Results and conclusion:

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Cardiac Tamponade Secondary to Pleural Effusion in Hepatopulmonary Syndrome

Cited by 4 publications

References 10 publications

Heart Failure due to Tension Hydrothorax after Left Pneumonectomy

Heart Failure due to Tension Hydrothorax after Left Pneumonectomy

When appearances deceive: Echocardiographic changes due to common chest pathology

Pulsus paradoxus

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