Isolated Hemorrhagic Pericardial Effusion After Foreign Body Ingestion

Fashandi, Anna Z.; Boys, Joshua A.; Yount, Kenan W.; Buerlein, Ross C.; Shami, Vanessa M.; Ailawadi, Gorav; Walters, Dustin M.

doi:10.1016/j.athoracsur.2018.02.056

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…In our case, the stomach was unusually penetrated and the perforation mechanism was thought to be initial impact, followed by necrosis due to local inflammation and direct pressure 8 . To the best of our knowledge, there are no reports of pediatric cases of cardiac injury caused by accidental ingestion of metal wires since 2001 and only three adult cases have been reported 9–11 . Incidentally, in all reported adult cases, the symptoms and surgical interventions were the same as the pediatric cases.…”

Section: Discussionmentioning

confidence: 56%

Pediatric cardiac tamponade caused by metallic wire penetration into the heart: A case report and literature review

Yamazaki

Matsubara

Kato

et al. 2022

Journal of Cardiac Surgery

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Thin, metallic wires can easily penetrate the gastrointestinal system if ingested and cause serious cardiac issues in children. We report a pediatric case of such an object that caused cardiac tamponade after lodging in the left ventricle. The wire was extracted without cardiopulmonary bypass and a full recovery was made. Cardiac issues after ingestion of foreign objects are rare but immediate surgery is required for resolution.

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Section: Discussionmentioning

confidence: 56%

Pediatric cardiac tamponade caused by metallic wire penetration into the heart: A case report and literature review

Yamazaki

Matsubara

Kato

et al. 2022

Journal of Cardiac Surgery

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“…There is no doubt that pericardial effusion is harmful. It can reduce cardiac output, reduce the intensity of ventricular wall motion, and even lead to pericardial tamponade, resulting in unplanned secondary surgery or postoperative cardiac arrest, aggravating the suffering of patients, and increasing medical costs [ 29 - 32 ] . In our meta-analysis, the use of PP to control POAF was successfully demonstrated, and this small trauma non-drug approach is worth promoting.…”

Section: Discussionmentioning

confidence: 99%

Can Posterior Pericardial Incision Truly Improve Postoperative Complications After Cardiac Surgery? A Systematic Review and Meta-Analysis

Zhao

Hou

et al. 2023

Braz J Cardiovasc Surg

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Introduction Postoperative atrial fibrillation (POAF) and pericardial effusion are important factors affecting prognosis after cardiac surgery. Recently, it has been reported that posterior pericardiotomy (PP) can effectively prevent the occurrence of POAF and pericardial effusion. To validate these conclusions and guide clinical practice, we conducted a systematic review with meta-analysis. Methods We searched multiple databases for manuscripts published before July 2022 on the use of PP to prevent POAF and pericardial effusion and included only randomized controlled trials. The main outcome was atrial fibrillation after coronary artery bypass grafting, and secondary outcomes were included. Results This meta-analysis included 14 randomized controlled trials with a total of 2275 patients. Meta-analysis showed that the incidence of POAF after cardiac surgery in the PP group was significantly lower than that in the control group (risk ratio=0.48; 95% confidence interval=0.33~0.69; P<0.00001). PP effectively reduced postoperative pericardial effusion (risk ratio=0.34, 95% confidence interval=0.21-0.55; P<0.00001). Conclusion PP has shown good results in preventing POAF, pericardial effusion, and other complications, which indicates that PP is a safe and effective surgical method, but attention still needs to be paid to the potential risk of coagulation dysfunction caused by PP.

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“…In our case, the stomach was unusually penetrated and the perforation mechanism was thought to be initial impact, followed by necrosis due to local inflammation and direct pressure. 8 To the best of our knowledge, there are no reports of pediatric cases of cardiac injury caused by accidental ingestion of metal wires since 2001 and only three adult cases have been reported 9,10,11 . Incidentally, in all reported adult cases, the symptoms and surgical interventions were the same as the pediatric cases.…”

Section: Discussionmentioning

confidence: 99%

Pediatric cardiac tamponade caused by metallic wire penetration into the heart: A case report and literature review

Yamazaki

Matsubara

Kato

et al. 2022

Preprint

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Isolated Hemorrhagic Pericardial Effusion After Foreign Body Ingestion

Cited by 5 publications

References 6 publications

Pediatric cardiac tamponade caused by metallic wire penetration into the heart: A case report and literature review

Pediatric cardiac tamponade caused by metallic wire penetration into the heart: A case report and literature review

Can Posterior Pericardial Incision Truly Improve Postoperative Complications After Cardiac Surgery? A Systematic Review and Meta-Analysis

Pediatric cardiac tamponade caused by metallic wire penetration into the heart: A case report and literature review

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