Predictors of Post Pericardiotomy Low Cardiac Output Syndrome in Patients With Pericardial Effusion

Sabzi, Feridoun; Faraji, Reza

doi:10.15171/jcvtr.2014.04

Cited by 14 publications

(19 citation statements)

References 18 publications

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“…We describe a case with a normal LV systolic function at baseline who developed transient biventricular heart failure immediately after the pericardial window drainage. This syndrome was first described by Vandyke et al in 1983 and Angouras et al proposed the use of the term “pericardial decompression syndrome” [1] , [3] to gain wider recognition of this potentially fatal complication. The incidence of this rare complication was reported to be 4.8% (5 of 104 patients with pericardial effusion who underwent surgical subxiphoid pericardiostomy) by Angouras et al [2] , [3] .…”

Section: Discussionmentioning

confidence: 99%

“…Causes underlying the PDS can be identified in very few patients. Pathologies which affects myocardial performance such as malignant myocardial infiltration or chemotherapy induced cardiomyopathy may be considered causative factors [1] , [4] . Yet, in the majority of cases there is no obvious cause for the development of paradoxical ventricular dysfunction after decompression, as observed in our case.…”

Section: Discussionmentioning

confidence: 99%

“…Many literature articles support, post pericardial drainage low cardiac output syndrome can complicate any method of surgical pericardial drainage even in patients with apparently normal myocardium and preoperative hemodynamic status [1] , [7] . Therefore, these patients require close postoperative monitoring for the first 24 h, preferably in the ICU, and aggressive heart failure treatments should be managed if low cardiac output develops.…”

Section: Discussionmentioning

confidence: 99%

“…Pericardial Decompression Syndrome (PDS) is an unexpected clinical scenario with an incidence less than 5% in all surgically or percutaneously managed pericardial tamponade patients [1] , [2] . Pericardial decompression syndrome is defined as paradoxical hemodynamic instability, left ventricular (LV) or bi ventricular systolic dysfunction and pulmonary edema after pericardial fluid drainage [1] , [2] , [3] .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Biventricular transient systolic dysfunction after mitral valve replacement: Pericardial decompression syndrome

Albeyoğlu

Aldağ

Ciloglu

et al. 2016

International Journal of Surgery Case Reports

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HighlightsPericardial Decompression Syndrome is an unexpected clinical scenario with an incidence less than 5% in all surgically or percutaneously managed pericardial tamponade patients.Yet, in the majority of cases there is no obvious cause for the development of paradoxical ventricular dysfunction after decompression.Close postoperative monitoring for the first 24 h, preferably in the ICU, and aggressive heart failure treatments should be managed even if low cardiac output develops.We recommend gradual removal of pericardial effusion under hemodynamic monitoring, especially in patient with postcardiotomy tamponade.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Biventricular transient systolic dysfunction after mitral valve replacement: Pericardial decompression syndrome

Albeyoğlu

Aldağ

Ciloglu

et al. 2016

International Journal of Surgery Case Reports

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“…Surgical drainage procedures with different complexity have a higher efficacy in relieving PE (80%-90%). 92 Perioperative risks, especially if performed under general anesthesia, are a concern. As explained above we never expected to use general anesthesia in TPEA.…”

Section: Ii) Therapeutic Considerationsmentioning

confidence: 99%

A New Endobronchial Ultrasound (EBUS) Application for Benign and Malignant Pericardial Effusion (PE) Aspiration: Transbronchial Pericardial Effusion Aspiration (TPEA) with a Regular EBUS Transbronchial (TBNA) Needle under Apneic Nasal Jet-Catheter Ventilation

Hohenforst-Schmidt¹,

Steinheimer²,

Rupprecht³

et al. 2016

J. Biomed

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Background: Endobronchial Ultrasound (EBUS) is a state of the art diagnostic tool for the pulmonary physicians, especially for the diagnosis and staging of lung cancer. Pericardial effusion (PE) is examined regularly when either hemodynamic impairment occurs or the ventral PE seems to be at least of 2cm distance on echocardiography. Standard approach is the anterior pericardiocentesis. PE of less than 2cm is not approached in general. Objective: We sought to examine minimal invasively PE in an earlier stage with an aspiration through a regular EBUS-TBNA needle. Due to gravitation posterior PEs are earlier detectable than anterior PEs in a patient supine. Method: Although posterior PE is a contradiction for the standard approach used by cardiologists we punctured the PE from the distal left main or proximal lower lobe bronchus. For the first time we describe our algorithm of Transbronchial PE Aspiration (TPEA) by the usage of a regular EBUS-TBNA needle aspiration controlled by C-arm and regular transthoracic ultrasound. Results: We performed TPEA in deep sedation under nasal jet-ventilation in 10 patients without any severe complications even in anterior PE smaller than 20mm for early diagnosis and in some cases even for treatment in regards to hemodynamics. For the post-puncture period of follow-up over 60 days none of these patients had to be punctured again. Conclusion: Although TPEA is an uncommon and possibly more risky approach than the regular anterior pericardiocentesis it may give a chance to interventional pulmonologists to diagnose PE earlier than achieved by anterior transthoracic ultrasound. At the same time TPEA could offer a new window to the heart for several treatment options beside an effusion retrieval. We additionally build the bridge to possible other applications in different areas in future.

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Definitions of The Extent of Pericardiectomy, Echocardiographic Variables, Outcome Variables, Haemodynamic Studies, and Normal Acceptable Values

Chowdhury,

Sankhyan

2023

Surgical Treatment of Chronic Constrictive Pericarditis

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Predictors of Post Pericardiotomy Low Cardiac Output Syndrome in Patients With Pericardial Effusion

Cited by 14 publications

References 18 publications

Biventricular transient systolic dysfunction after mitral valve replacement: Pericardial decompression syndrome

Biventricular transient systolic dysfunction after mitral valve replacement: Pericardial decompression syndrome

A New Endobronchial Ultrasound (EBUS) Application for Benign and Malignant Pericardial Effusion (PE) Aspiration: Transbronchial Pericardial Effusion Aspiration (TPEA) with a Regular EBUS Transbronchial (TBNA) Needle under Apneic Nasal Jet-Catheter Ventilation

Definitions of The Extent of Pericardiectomy, Echocardiographic Variables, Outcome Variables, Haemodynamic Studies, and Normal Acceptable Values

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