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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Fozing, Thierry Zouri, Nayef Adam, Oliver Oezbek, Cem |
| Description | Author Affiliation: Fozing T ( Herz-Zentrum-Saar, Voelklingen, Germany.); Zouri N ( Department of Cardiology, Herz-Zentrum-Saar, Voelklingen, Germany.); Adam O ( Department of Cardiology, Herz-Zentrum-Saar, Voelklingen, Germany.); Oezbek C ( Department of Cardiology, Herz-Zentrum-Saar, Voelklingen, Germany.) |
| Abstract | A 44-year-old man, with a history of arterial hypertension, was referred with increasing shortness of breath due to a large pericardial effusion and imminent tamponade. Emergency ultrasound-guided pericardiocentesis resulted in the rapid withdrawal of 2760â cc of serous fluid. 3â hours later, the patient developed acute pulmonary oedema, which was successfully treated. Hypertrophic obstructive cardiomyopathy was later diagnosed and malignancy was excluded as a cause of the effusion. Clinicians performing pericardiocentesis need to be aware of pericardial decompression syndrome (PDS), a rare but serious complication. Although the underlying mechanisms causing PDS are not fully understood, patients with high left ventricular (LV) filling pressures are at particular risk. In other words: diastolic dysfunction of the LV is a risk factor for the occurrence of PDS. |
| Journal | BMJ Case Reports |
| Volume Number | 2016 |
| e-ISSN | 1757790X |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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