Prevalencia de derrame pericárdico en enfermedades sistémicas

Orihuela-Rodríguez, Oscar; Carmona-Ruiz, Héctor A

doi:10.24875/gmm.19004444

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…The causes were as follows: 59.7% had uremia, 15.8% had lymphatic drainage disorders, such as heart failure and cirrhosis, 7.9% had autoimmune disease, 6.8% had neoplastic disease, and 5% had infectious disease. [4] In this case, electrocardiography, blood tests, or imaging studies did not confirm the diagnosis. Pericardial effusions progressed while renal and cardiac function recovered.…”

Section: Discussionmentioning

confidence: 82%

Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report

et al. 2023

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Rationale: Cardiac tamponade, a condition in which the heart is compressed by pericardial fluid retention, is easy to diagnose; however, identifying the cause may be challenging since it can be caused by a variety of conditions, including trauma and pericardial disease. Patient concerns: A 22-year-old man was admitted to the intensive care unit with respiratory failure. He had previously received allogeneic hematopoietic stem cell transplantation for acute myeloid leukemia and developed chronic graft-versus-host disease (cGvHD) that was treated with a corticosteroid. At this time, he developed bilateral femur head necrosis and underwent surgery after discontinuation of the corticosteroid but developed respiratory failure postoperatively. The initial diagnosis was cardiac failure, which temporarily improved with treatment; however, eosinophilia and pericardial effusions became prominent. Diagnoses: Pericardial effusion gradually progressed, resulting in cardiac tamponade. Interventions: Pericardiocentesis was performed. Eosinophilia could be the cause of cardiac tamponade; thus, corticosteroid was administered. Outcomes: Pericardial effusion improved remarkably after corticosteroid administration. The corticosteroid dose was gradually tapered, and the patient was discharged. Lessons: This case presented with cardiac tamponade associated with eosinophilia, probably owing to graft-versus-host disease. This is an unusual condition associated with a history of hematologic neoplasms; although evaluation is challenging, appropriate assessment could help save the patient’s life.

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Section: Discussionmentioning

confidence: 82%

Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report

et al. 2023

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“…The presence of pericardial effusion and its treatment have been the object of many studies [ 1 , 2 ] . The presence of mild pericardial effusion after cardiac surgery often results from post-pericardiotomy inflammatory syndrome and presents adequate regression with clinical drug treatment.…”

Section: Discussionmentioning

confidence: 99%

Pericardial-Peritoneal Window as an Alternative Treatment for Large and Recurrent Pericardial Effusion Post-Pericardiotomy

Dallan¹,

Dallan²,

Mejía³

et al. 2021

Braz J Cardiovasc Surg

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Introduction The presence of mild to moderate pericardial effusion after cardiac surgery is common and oral medical therapy is usually able to treat it. Larger effusions are less frequent and surgical intervention is usually necessary. However, there are some rare cases of large effusions that are recurrent even after intervention and become challenging to treat. Methods We describe the case of a patient submitted to coronary artery bypass grafting (CABG) without any intraoperative complications, who was regularly discharged from the hospital. She was referred to our emergency department twice after surgery with large pericardial effusion that was drained. Even after those two interventions and with adequate oral medication, the large effusion recurred. Results During follow-up, the patient had her symptoms resolved, with no need for further hospital admission. Her echocardiograms after the last intervention showed no pericardial effusion. The present surgical technique demonstrated to be easy to perform, thus it should be considered as a treatment option for these rare cases of large and repetitive effusions, which do not respond to the traditional methods. Conclusions In challenging cases of recurrent and large pericardial effusions, the pericardial-peritoneal window is an alternative surgical technique that brings clinical improvement and diminishes the risk of cardiac tamponade.

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Prevalencia de derrame pericárdico en enfermedades sistémicas

Abstract: Introduction:The presence of 50 mL of fluid or more in the pericardial sac is known as pericardial effusion. Objective: To determine the prevalence of pericardial effusion in patients with systemic diseases. Method: Echocardiographic studies performed at

Cited by 2 publications

References 18 publications

Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report

Cardiac tamponade due to eosinophilia treated with intravenous corticosteroid: A case report

Pericardial-Peritoneal Window as an Alternative Treatment for Large and Recurrent Pericardial Effusion Post-Pericardiotomy

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