385 results on '"Pericardial effusion"'
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2. Tamponnade cardiaque.
- Author
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Sabione, I., Giacalone, S., Herkert, C., Carron, P. N., and Pasquier, M.
- Subjects
CARDIAC tamponade treatment ,FLUID therapy ,PERICARDIAL effusion ,PERICARDIUM paracentesis ,CARDIAC tamponade ,ELECTROCARDIOGRAPHY ,EMERGENCY medicine - Abstract
Copyright of Annales Françaises de Médecine d'Urgence is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
3. Un cas de péricardite hémorragique aseptique idiopathique chez une vache Prim'Holstein de 3 ans.
- Author
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Collin, Floriane
- Abstract
Copyright of Nouveau Praticien Vétérinaire Élevages et Santé is the property of EDP Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
4. Perforation myocardique après l'implantation d'un stimulateur cardiaque.
- Author
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Majdoub, Amine, Boulmakoul, Salaheddine, Elhafidi, Anas, Moumna, Anas, and Messouak, Mohammed
- Abstract
Résumé: Introduction: La perforation myocardique par une sonde de stimulation est une complication rare. Toutefois, elle peut mettre en jeu le pronostic vital du patient. Nous présentons le cas d'une perforation myocardique après l'implantation d'un stimulateur double chambre (sonde à vis) chez un homme de 71 ans. Observation: Un homme, diabétique et hypertendu, a bénéficié de la mise en place d'un pacemaker double chambre Medtronic type DDD pour la prise en charge d'un bloc auriculo-ventriculaire complet symptomatique d'origine dégénérative. La symptomatologie s'est aggravée cinq jours avant sa réadmission par l'installation d'une dyspnée de stade III et de signes d'insuffisance cardiaque droite. L'échographie transthoracique montrait un épanchement péricardique compressif de grande abondance avec le balancement de la sonde de stimulation à travers la paroi du ventricule droit. Le patient a été acheminé immédiatement au bloc opératoire où une exploration par thoracotomie antérieure gauche a mis en évidence une sonde de stimulation traversant la paroi du ventricule droit. Après avoir repoussé cette dernière, l'hémostase a été obtenue par suture de la brèche myocardique. Les suites postopératoires ont été simples avec une bonne reprise de l'hémodynamique et de l'activité électrique du cœur. Conclusion: Les perforations myocardiques qu'elles soient aiguës, subaiguës ou chroniques ne font pas partie du domaine de l'exceptionnel. Les techniques d'implantation doivent être adaptées en préférant un site de stimulation au niveau du septum et surtout en ne vissant pas trop fort une sonde à vis. Introduction: Myocardial perforation by a stimulation probe is a rare complication. However, it can put the patient's vital prognosis at risk. Here we present the case of a myocardial perforation after the implantation of a double chamber stimulator (screw probe) in a 71-year-old man. Observation: A diabetic and hypertensive man has benefited from the setting up of a Medtronic DDD dual-chamber pacemaker for the management of a symptomatic complete atrioventricular block of degenerative origin. The symptomatology worsened five days before his readmission with the installation of stage III dyspnea and signs of right heart failure. Ultrasound transthoracic echocardiography (UTT) showed a compressive pericardial effusion of great abundance with the swing of the stimulation probe through the wall of the right ventricle. The patient was taken immediately to the operating room where an exploration by left anterior thoracotomy revealed a stimulation probe crossing the wall of the right ventricle. After pushing back the latter, hemostasis was obtained by suturing the myocardial breach. The postoperative consequences were simple with good recovery of hemodynamics and electrical activity of the heart. Conclusion: Myocardial perforations, acute, subacute, or chronic, are not part of the domain of the exceptional. Implantation techniques have to be adapted by preferring a site of stimulation at the level of the septum and especially not screwing too much a screw probe. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
5. A case of peritoneal-pericardial leak in a 19-year-old patient on peritoneal dialysis
- Author
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Meryem Birrou, Mina Agrou, Hasnae Guerrouj, Rabia Bayahia, and Loubna Benamar
- Subjects
Peritoneal dialysis ,Pericardial effusion ,Peritoneo-pericadial leak ,Peritoneo-pleural leak ,Internal medicine ,RC31-1245 - Abstract
We report a case of a peritoneal-pericardial leak in peritoneal dialysis. A 19-year-old patient, with no history of heart disease, with unkown chronic kidney disease, treated with continuous ambulatory peritoneal dialysis (CAPD) for 10 months. complained of chest pain and tachycardia, revealing pericardial effusion of great abundance. Pericardial drainage was necessary. The fluid analysis was a transudate with glucose levels 5 times higher than glucose plasma levels. A peritoneal scintigraphy was performed and showed a distribution of the radio-tracer in the peritoneal cavity without any image of a leak. With clinical and especillay biological arguments, the patient was diagnosed with a peritoneal-pericardial leak. After pericardial drainage and temporary switch to hemodialysis, automated peritoneal dialysis was resumed with progressive increase in volumes, without recurrence of the leak after a 6 months follow-up.
- Published
- 2021
- Full Text
- View/download PDF
6. Water bottle sign of pericardial effusion on chest radiograph
- Author
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Yee Li Xien and Sarvesh Seger
- Subjects
water bottle ,pericardial effusion ,chest radiograph ,Medicine - Abstract
A 69-year-old lady diagnosed with congestive cardiac failure three years prior presented with worsening shortness of breath and bilateral leg swelling. She does not have a history of acute coronary syndrome, however an angiogram performed two years ago revealed a two-vessel disease. She also has hypothyroidism secondary to thyroidectomy. A cardiovascular examination revealed a raised jugular venous pulsation, displaced apex beat, muffled heart sounds, a pan systolic murmur heard loudest at the mitral region with radiation to the axilla and mid inspiratory crepitations over the lung bases with pitting oedema till the level of the mid-shin. These features are suggestive of an acute decompensation of congestive cardiac failure with mitral regurgitation. Her previous echocardiogram revealed an ejection fraction of 28% with global hypokinesia, dilated left ventricle and severe mitral regurgitation. A chest radiograph was done and revealed a very massive symmetrical cardio pericardial silhouette. This heart has a globular appearance, a flask or water bottle configuration with relatively smooth left and right cardiac contours. This is characteristic of pericardial effusion. The patient was treated with intravenous diuretics and supplemental oxygen along with the necessary supportive treatment of cardiac failure.
- Published
- 2020
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7. Cardiac tamponade: an uncommon presenting feature of systemic lupus erythematosus, a case-based review
- Author
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Chadia Chourabi, Houaida Mahfoudhi, Sameh Sayhi, Rim Dhahri, Karima Taamallah, Sarra Chenik, Abdeddayem Haggui, Nadhem Hajlaoui, Dhaker Lahidheb, Ajili Faida, Nadia Ben Abdelhafidh, Bassem Louzir, and Wafa Fehri
- Subjects
systemic lupus erythematosus ,tamponade ,pericardial effusion ,Medicine - Abstract
Although pericarditis is the most prevalent cardiac involvement in systemic lupus erythematosus (SLE), cardiac tamponade is extremely infrequent notably as the first manifestation of the disease. Here we report the case of a 22-year-old woman presenting with cardiac tamponade as the initial presentation of SLE.
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- 2020
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8. Primary malignant pericardial mesothelioma: a case report
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Sameh Ben Farhat, Maroua Salah, and Sami Milouchi
- Subjects
pericardial effusion ,malignancy ,pericardial mesothelioma ,Medicine - Abstract
Metastases to the heart and pericardium are much more common than primary malignant neoplasms. Primary malignant pericardial mesothelioma is a rare tumor that arises from the mesothelial cells of the pericardium. It is usually characterized by a delayed diagnosis, a low response to treatment, and a poor prognosis with an overall survival up to six months after the onset of symptoms. We report a rare case of a 32-year-old woman with primary pericardial malignant mesothelioma that was diagnosed 4 months after the onset of pericardial effusion as the first clinical manifestation.
- Published
- 2020
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9. Right atrial rhabdomyosarcoma presenting with recurrent pericardial effusion and haemoptysis: a case report
- Author
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Samuel Alomatu, Kipepo Kona, Kandathil Thomas, Khaled Elmezughi, and Chukwuma Ekpebegh
- Subjects
cardiac rhabdomyosarcoma ,cardiac tumour ,pericardial effusion ,haemoptysis ,mthatha ,south africa ,Medicine - Abstract
We report on a 33-year-old female with exudative pericardial effusion and elevated ADA enzyme initially thought to be tuberculous. Atrial rhabdomyosarcoma was diagnosed when pericardial effusion recurred, and haemoptysis developed while on treatment for tuberculosis.
- Published
- 2020
- Full Text
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10. Pericardial effusion 'in snowfall'
- Author
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Amal El Ouarradi
- Subjects
leukemia ,pericardial effusion ,snowfall ,echocardiography ,chemotherapy ,Medicine - Abstract
A 23-year-old young man with discovery acute leukemia admitted for pre-chemotherapy echocardiography. Transthoracic echocardiography (four cavity (A) and two cavity (B)) found good systolic function of the left ventricle with moderate circumferential pericardial effusion containing hyperechoic micronodules give the appearance like "snowfall" without hemodynamic repercussions. This aspect of pericardial effusion, never described, can be paraneoplastic or reactive due to the leukemia. The evolution after chemotherapy was favorable with disappearance of hyperechoic nodules and then the effusion.
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- 2020
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11. [Cardiac tamponade as first manifestation of multiple myeloma : A case report with literature review].
- Author
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Loukhnati M, Lahlimi FE, and Tazi I
- Subjects
- Humans, Female, Aged, Neoplasm Recurrence, Local, Pericardium, Cardiac Tamponade etiology, Cardiac Tamponade diagnosis, Multiple Myeloma complications, Multiple Myeloma diagnosis, Multiple Myeloma pathology, Pericardial Effusion etiology
- Abstract
Multiple myeloma is a hematologic malignancy characterized by clonal proliferation of plasma cells, mainly in bone marrow. Extramedullary disease is reported in many cases and may occur at diagnosis, at progression, or during relapse phase. Pericardial involvement is a rare condition that usually occurs with advanced-stage disease. We report a rare case of 76-year-old women with plasma cell-based pericardial effusion with cardiac tamponade as a form of presentation of multiple myeloma and discuss it in the light of literature. Diagnosis was established by pericardial fluid cytology. The patient received systemic chemotherapy, according to MPT protocol., (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
12. Chylopericardium or contamination by injectable lipid emulsion?
- Author
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Bertrand, Lefrère, Randa, Bittar, Antoine, Levasseur, Cécile, Lambe, Elie, Abi-Nader, Margaux, Pontailler, Régis, Gaudin, Valérie, Fesel-Fouquier, Mehdi, Sakka, and Dominique, Bonnefont-Rousselot
- Subjects
Male ,Short Bowel Syndrome ,Parenteral Nutrition ,Vena Cava, Superior ,Humans ,Infant ,Emulsions ,Child ,Lipids ,Pericardial Effusion - Abstract
Effusions can show some surprises. We document the case of a fourteen-month-old male patient with short-bowel syndrome, hospitalized in a cardiology unit, receiving a chronic parenteral nutrition by a Broviac® catheter. The patient presented several thrombosis following iterative catheter replacements. In parallel with superior vena cava plasty, a right intra-atrial Broviac® catheter was placed in the absence of other peripheral venous accesses. This device has a cutaneous exit site to allow for infusion of a hyperosmolar lipid emulsion. Seven days later, a milky liquid was secreted from pericardial/mediastinal redon. A gel lipoprotein electrophoresis of the fluid suggested a preliminary diagnosis of chylopericardium. However, biochemical testing of certain analytes evoked a parenteral nutrition-related pericardial effusion and a possible pseudochyloperitoneum caused by the shearing of a migrated Broviac® in pericardium. The patient, on a fat-free diet, was admitted to the ICU to drain the effusion and reposition the catheter, with success. In the light of new datas on the interference of parenteral lipid emulsions with the lipoproteins gel electrophoresis, we will try to determine whether the apparent presence of chylomicrons in the gel would be the sign of a lesion of the lymphatic system, or rather the result of a contamination by artificial chylomicron in the lipid emulsion, if not the sign of contaminated blood. In our article, we highlight several considerations in identifying and confirming cases of pericardial effusion, such as chylopericardium and parenteral nutrition-related one, as well as points concerning the use of lipid emulsions for pediatric patients with short-bowel syndrome.Les liquides d'épanchements peuvent renfermer quelques surprises. Nous documentons le cas d'un patient de quatorze mois, hospitalisé en cardiologie, présentant un syndrome de grêle court et recevant une nutrition parentérale au long cours par cathéter Broviac®. Le patient présentait de multiples occlusions veineuses consécutives aux changements itératifs du dispositif. En parallèle d'une plastie de la veine cave supérieure, un Broviac® a été posé en intra-atrial droit devant l'absence d'autres abords veineux périphériques. Ce dispositif comporte un orifice de sortie sous-cutané pour apporter une solution de nutrition hyperosmolaire de type émulsion lipidique. Le liquide recueilli dans les drains péricardiques en post-opératoire est lactescent, particulièrement à partir du septième jour. Le lipidogramme du liquide d'épanchement péricardique semble conclure à la présence de chylomicrons - un chylopéricarde. Cependant, le dosage de certains analytes penche en faveur d'un perfusopéricarde, probablement pseudochyleux, lié au cisaillement du Broviac® dont l'extrémité a migré de l'oreillette droite au péricarde. Le patient, sous régime sans graisses, sans nutrition parentérale, sera réopéré pour drainer l'épanchement et repositionner le cathéter, avec succès. À la lumière de données originales quant à l'interférence des émulsions lipidiques sur le lipidogramme, nous tâcherons de déterminer si l'apparente présence de chylomicrons sur le gel serait le témoin d'une réelle lésion du lymphatique, ou plutôt le fruit d'une contamination par l'émulsion, si ce n'est par le sang. Des considérations au sujet des épanchements péricardiques, dont les chylopéricarde et nutripéricarde, ainsi que sur les émulsions lipidiques pédiatriques dans le contexte du grêle court émailleront ce travail.
- Published
- 2022
13. [COVID-19 myocarditis : 'About a monocentric series of 33 cases']
- Author
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N, Zaoui, N, Bachir, A, Terki, and A, Boukabous
- Subjects
Heart Failure ,Myocarditis ,SARS-CoV-2 ,COVID-19 ,Humans ,RNA, Viral ,Pericardial Effusion ,Troponin - Abstract
The world is experiencing a pandemic linked to the respiratory spread of SARS-CoV2 which can affect the heart with elevated troponins, ECG abnormalities and kinetic disturbances in echocardiography, of ischemic or non-ischemic origin (most often fulminant myocarditis).To describe the evolutionary modalities of post-COVID-19 myocarditis and to identify factors of poor ejection fraction (EF) recovery under treatment of heart failure.Monocentric observational study including patients with post-COVID-19 non-fulminant myocarditis confirmed by cardiac MRI. These patients were divided into 2 groups according to the evolution of their EF at 3 months (EF50% vs EF50%).33 patients (19♂/14♀) aged from 30 to 61 were included, all of whom had repolarization disorder; mean EF at baseline was 44.3% (30-52%) with a troponin level 480 times normal (20-2100). Conventional treatment for heart failure was initiated in all patients with clinical, electrical and echocardiographic monitoring at 1 and 3 months. A significant improvement (EF50%) was observed in 29 patients. Gender, congestive signs, electrical and angiographic abnormalities do not seem to influence the evolution of EF (P0.10). Age60 years, troponins1200 times normal, pericardial effusion and a combined criterion of the three seem to be associated with poor evolution of EF (P at 0.07, 0.02, 0.035 and 0.01 respectively).Non-fulminant post-COVID-19 myocarditis have a good prognosis (EF recovery in 87.88%). Factors of poor recovery are age60 years, elevated troponins, appearance of pericardial effusion and the combined criterion of the three.Non-fulminant post-COVID-19 myocarditis seems to have a favorable course. Patients presenting factors of poor evolution had to have a longer follow-up.
- Published
- 2022
14. Pericardial effusion with cardiac tamponade caused by a central venous catheter in a very low birth weight infant
- Author
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Fatma-Zohra Chioukh, Karim Ben Ameur, Hayet Ben Hmida, and Kamel Monastiri
- Subjects
newborn ,umbilical central venous catheterization ,pericardial effusion ,cardiac tamponade ,pericardiocentesis ,Medicine - Abstract
With more and more extreme premature and very low-birth weight babies being resuscitated, umbilical central venous catheterisation is now being used more frequently in neonatal intensive care. One of the life-threatening complications is pericardial effusion and cardiac tamponade; however, it is potentially reversible when it is caught in time. The authors present a case of cardiac tamponade following umbilical venous catheterisation in a neonate. The patient was diagnosed at the appropriate time by echocardiography and urgent pericardiocentesis proved lifesaving.
- Published
- 2016
- Full Text
- View/download PDF
15. [Ruptured sinus of Valsalva aneurysm presenting as an idiopathic pericardial effusion]
- Author
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F, Aboukhoudir, N, Jaussaud, Sofiéne, Rekik, and Mathieu, Pankert
- Subjects
Adult ,Young Adult ,Aortic Rupture ,Humans ,Sinus of Valsalva ,Pericardium ,Pericardial Effusion ,Aortic Aneurysm - Abstract
Aneurysm of the sinus of Valsalva is a rare cardiac condition, which could be either acquired or congenital. The most frequent complication is a rupture into right cavities or more rarely into left cavities or pericardium. Rupture could be either asymptomatic or poorly tolerated with hemodynamic instability, acute heart failure or sudden death. We report the case of a 24-year-old patient with no past medical history presenting with a partially ruptured sinus of Valsalva into the pericardium and in whom the initial diagnosis was idiopathic pericardial effusion; we describe diagnostic modalities and management.
- Published
- 2021
16. Concurrent acute pancreatitis and pericardial effusion
- Author
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Yusuf Kayar, Kenan Ahmet Turkdogan, Birol Baysal, Nigar Gultekin, Ahmet Danalioglu, Ali Tuzun Ince, and Hakan Senturk
- Subjects
acute pancreatitis ,pericardial effusion ,pleural effusion ,Medicine - Abstract
While pleural effusion and ascites secondary to acute pancreatitis are common, clinically relevant pericardial effusion and cardiac tamponade are observed rarely.In a study by Pezzilli et al., pleural effusion was noted in 7 of the 21 patients with acute pancreatitis whereas the authors detected pericardial effusion development in only three. The authors asserted that pleural effusion was associated with severe acute pancreatitis, while pericardial effusion and the severity of acute pancreatitis were not significantly related.
- Published
- 2015
- Full Text
- View/download PDF
17. Épanchement péricardique en réanimation - critères cliniques et échographiques diagnostiques de tamponnade - indications de drainage en urgence.
- Author
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Guérin, L., Aubry, A., and Vieillard-Baron, A.
- Abstract
Copyright of Reanimation is the property of Lavoisier and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2016
- Full Text
- View/download PDF
18. [COVID-19 myocarditis : "About a monocentric series of 33 cases"].
- Author
-
Zaoui N, Bachir N, Terki A, and Boukabous A
- Subjects
- Humans, RNA, Viral, SARS-CoV-2, Troponin, COVID-19 complications, Heart Failure complications, Myocarditis diagnosis, Pericardial Effusion
- Abstract
Introduction: The world is experiencing a pandemic linked to the respiratory spread of SARS-CoV2 which can affect the heart with elevated troponins, ECG abnormalities and kinetic disturbances in echocardiography, of ischemic or non-ischemic origin (most often fulminant myocarditis)., Objective: To describe the evolutionary modalities of post-COVID-19 myocarditis and to identify factors of poor ejection fraction (EF) recovery under treatment of heart failure., Method: Monocentric observational study including patients with post-COVID-19 non-fulminant myocarditis confirmed by cardiac MRI. These patients were divided into 2 groups according to the evolution of their EF at 3 months (EF > 50% vs EF < 50%)., Results: 33 patients (19♂/14♀) aged from 30 to 61 were included, all of whom had repolarization disorder; mean EF at baseline was 44.3% (30-52%) with a troponin level 480 times normal (20-2100). Conventional treatment for heart failure was initiated in all patients with clinical, electrical and echocardiographic monitoring at 1 and 3 months. A significant improvement (EF > 50%) was observed in 29 patients. Gender, congestive signs, electrical and angiographic abnormalities do not seem to influence the evolution of EF (P > 0.10). Age > 60 years, troponins > 1200 times normal, pericardial effusion and a combined criterion of the three seem to be associated with poor evolution of EF (P at 0.07, 0.02, 0.035 and 0.01 respectively)., Discussion: Non-fulminant post-COVID-19 myocarditis have a good prognosis (EF recovery in 87.88%). Factors of poor recovery are age > 60 years, elevated troponins, appearance of pericardial effusion and the combined criterion of the three., Conclusion: Non-fulminant post-COVID-19 myocarditis seems to have a favorable course. Patients presenting factors of poor evolution had to have a longer follow-up., (Copyright © 2022 Elsevier Masson SAS. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
19. Chylopericardium or contamination by injectable lipid emulsion?
- Author
-
Lefrère B, Bittar R, Levasseur A, Lambe C, Abi-Nader E, Pontailler M, Gaudin R, Fesel-Fouquier V, Sakka M, and Bonnefont-Rousselot D
- Subjects
- Humans, Male, Child, Infant, Emulsions, Vena Cava, Superior, Parenteral Nutrition, Lipids, Pericardial Effusion diagnosis, Pericardial Effusion etiology, Short Bowel Syndrome
- Abstract
Effusions can show some surprises. We document the case of a fourteen-month-old male patient with short-bowel syndrome, hospitalized in a cardiology unit, receiving a chronic parenteral nutrition by a Broviac® catheter. The patient presented several thrombosis following iterative catheter replacements. In parallel with superior vena cava plasty, a right intra-atrial Broviac® catheter was placed in the absence of other peripheral venous accesses. This device has a cutaneous exit site to allow for infusion of a hyperosmolar lipid emulsion. Seven days later, a milky liquid was secreted from pericardial/mediastinal redon. A gel lipoprotein electrophoresis of the fluid suggested a preliminary diagnosis of chylopericardium. However, biochemical testing of certain analytes evoked a parenteral nutrition-related pericardial effusion and a possible pseudochyloperitoneum caused by the shearing of a migrated Broviac® in pericardium. The patient, on a fat-free diet, was admitted to the ICU to drain the effusion and reposition the catheter, with success. In the light of new datas on the interference of parenteral lipid emulsions with the lipoproteins gel electrophoresis, we will try to determine whether the apparent presence of chylomicrons in the gel would be the sign of a lesion of the lymphatic system, or rather the result of a contamination by artificial chylomicron in the lipid emulsion, if not the sign of contaminated blood. In our article, we highlight several considerations in identifying and confirming cases of pericardial effusion, such as chylopericardium and parenteral nutrition-related one, as well as points concerning the use of lipid emulsions for pediatric patients with short-bowel syndrome.
- Published
- 2022
- Full Text
- View/download PDF
20. Péricardite récidivante : traquer le mésotheliome péricardique primitif.
- Author
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Smets, P., Guettrot-Imbert, G., Hermet, M., Delevaux, I., Kemeny, J.-L., Aumaître, O., and André, M.
- Subjects
- *
PERICARDITIS , *PERICARDIAL effusion , *ETIOLOGY of diseases , *AUTOPSY , *IMMUNOHISTOCHEMISTRY , *HYPERPLASIA , *THERAPEUTICS - Abstract
Résumé: Introduction: L’exploration des péricardites récidivantes permet la découverte d’une étiologie spécifique dans seulement 15 à 20 % des cas. Le mésothéliome péricardique primitif (MPP) est l’une d’entre elles et reste rare. Son diagnostic n’est établi avec certitude que dans 10 à 20 % des cas avant autopsie. Il repose sur des arguments à la fois histologiques et immunohistochimiques. La médiane de survie après diagnostic est d’environ six mois mais semble s’améliorer avec le pémétrexed. Observation: Nous rapportons l’observation d’une femme de 64 ans chez laquelle des biopsies péricardiques répétées ont été nécessaires pour l’obtention du diagnostic de MPP ; l’histologie initiale étant une hyperplasie mésothéliale bénigne. Conclusion: Cette observation souligne la nécessité de répéter les biopsies péricardiques en cas d’évolution défavorable d’une péricardite. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
21. Péricardite aiguë et prétamponnade : un mode de révélation atypique d’une tuberculose viscérale.
- Author
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Thabouillot, O., Bouvier, F., Lupu, J., Charbonnel, A., Dumitrescu, N., Stefuriac, M., Godreuil, C., Ficko, C., Andriamanantena, D., Flateau, C., Rapp, C., and Roche, N.C.
- Abstract
Résumé La tuberculose est une maladie pulmonaire qui reste endémique dans les pays en développement et dans les communautés défavorisées. Le mode de révélation reste principalement l’atteinte pulmonaire ; l’atteinte péricardite est une localisation rare avec un fort taux de mortalité. Les auteurs rapportent le cas d’un patient de 58 ans, immunocompétent, sans antécédents médicaux, sans facteur de risque social ni professionnel, ayant présenté une tamponnade, mode de révélation initial et atypique d’une tuberculose viscérale. Tuberculosis is a common pulmonary disease, which is still endemic in disadvantaged communities. Pericarditis is a rare but very lethal visceral localization. The authors report the case of a 58-year-old man, without neither medical history nor social risk, who presented a cardiac tamponade as the first and atypic manifestation of a visceral tuberculosis. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
22. Cathéters centraux et épanchements péricardiques en période néonatale : étude rétrospective multicentrique
- Author
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Jouvencel, P., Tourneux, P., Pérez, T., Sauret, A., Nelson, J.R., Brissaud, O., and Demarquez, J.L.
- Subjects
- *
NEWBORN infants , *INTRAVENOUS catheterization , *CATHETERS , *EXUDATES & transudates - Abstract
Abstract: Objective. – To evaluate the use of neonatal central venous catheters (CVC) in 38 french neonatal units and occurrence of pericardial effusion (PCE) over the past 5 years. Materials and methods. – We surveyed 38 units with a questionnaire and studied the cases of PCE in five units. Results. – Response rate was 89% (34/38). Accepted CVC tip positions were: junction of right atrium (RA) and vena cava (VC) 76%, VC 58%, RA 11%. Fifty percent of the centers had been exposed to PCE. 16 cases of PCE were studied. Median gestational age was 31 weeks (range: 26.1 to 40 weeks). Median time from insertion: 3.2 days (range: 0.4–13.5). In all cases CVC tip was intracardiac at insertion with inadequate withdrawing in 13 cases. Sudden cardiac collapse was reported in eight cases, and unexplained cardiorespiratory instability in six cases. Echography showed PCE in 14 cases. One diagnosis was post-mortem. CVC was withdrawn in 12 patients and 13 underwent pericardiocentesis. Four patients died and two had neurological sequelae. Conclusion. – PCE was associated with intracardiac CVC tip. The CVC tip should be controlled with radiography or echography outside the cardiac silhouette. PCE diagnosis must be considered in face of unexplained cardiovascular decompensation of neonate with CVC. [Copyright &y& Elsevier]
- Published
- 2005
- Full Text
- View/download PDF
23. [Cardiac tamponade]
- Author
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A, Ancion, S, Robinet, and P, Lancellotti
- Subjects
Echocardiography ,Drainage ,Humans ,Pericardial Effusion ,Cardiac Tamponade - Abstract
Cardiac tamponade is a vital emergency. It occurs when the accumulation of intra-pericardial fluid exceeds the pericardial adaptation capacity. Pericardial pressure is equalized with that of cardiac cavities and severe heart failure occurs, most often rapidly. Several clinical presentations are possible. The diagnosis is based on the assessment of pericardial effusion and its impact on the heart by echocardiography. Supportive treatments have limited effectiveness. The only emergency treatment is drainage of the pericardium by direct puncture or by surgical approach.La tamponnade cardiaque est une urgence vitale. Elle survient quand l’accumulation de liquide intra-péricardique dépasse les capacités d’adaptation du péricarde. La pression péricardique s’égalise avec celle des cavités cardiaques et une insuffisance cardiaque sévère s’installe, le plus souvent rapidement. Plusieurs présentations cliniques sont possibles. Le diagnostic repose sur l’évaluation de l’épanchement péricardique et de ses répercussions sur le cœur par échocardiographie. Les mesures de supports ont une efficacité limitée. Le seul traitement d’urgence est le drainage du péricarde par ponction directe ou par abord chirurgical.
- Published
- 2018
24. [Purulent pericarditis, an unusual complication of pneumococcal pneumonia: a case report]
- Author
-
Mustapha Harandou, Mustapha Mahmoud, Ghizlane Zoulati, Rachid Kerzaz, Ghita Yahyaoui, and Ramatou Yèya Maïga
- Subjects
Adult ,Resuscitation ,medicine.medical_specialty ,medicine.disease_cause ,Pericardial effusion ,Severity of Illness Index ,Pericardial Effusion ,03 medical and health sciences ,0302 clinical medicine ,Pregnancy ,Streptococcus pneumoniae ,medicine ,Humans ,Pericarditis ,Pregnancy Complications, Infectious ,Sclerosis ,business.industry ,Pericardial fluid ,030208 emergency & critical care medicine ,General Medicine ,Emergency department ,Pneumonia, Pneumococcal ,medicine.disease ,Surgery ,Pneumonia ,Mediastinitis ,Pneumococcal pneumonia ,Female ,Complication ,business - Abstract
Purulent pericarditis has become rare since the advent of antibiotics. Among the involved germs, S. pneumoniae remains the most implicated pathogen to evoke in principle, especially that prescription of systematic antibiotics for any febrile condition can considerably mask the clinical picture. A 36-year-old pregnant woman was visiting the emergency department for dyspnea and flu-like syndrom that had been going on for a week. The chest X-ray showed a white lung on the left and the transthoracic ultrasound revealed a pericardial effusion, resulting in pericardial drainage and pleural puncture that allows the evacuation of a purulent fluid. S. pneumoniae was identified on the pericardial fluid. Antibiotic therapy and resuscitation measures have allowed a good evolution. Even if it has become exceptional, pneumococcal pericarditis must not be overlooked since the evolution is often favorable in triple conditions: early recognition, prompt institution of appropriate antibiotic therapy, and early surgical drainage.
- Published
- 2018
25. [Heart and brain in a newborn]
- Author
-
A, Ben Salem, I, Mazhoud, F Z, Chioukh, R, Salem, K, Ben Ameur, A, Khalfalli, and C, Hafsa
- Subjects
Diagnosis, Differential ,Male ,Echocardiography ,Pregnancy ,Infant, Newborn ,Pregnancy, Twin ,Brain ,Humans ,Jaundice ,Female ,Heart ,Magnetic Resonance Imaging ,Pericardial Effusion - Published
- 2017
26. [Delayed tamponade: Four cases of rare complication of blunt chest trauma].
- Author
-
Rajaoharimalala TG, Rajaobelison T, Rakotorahalahy RNAL, Ramiliarijaona L, Ravalisoa MLA, and Rakotoarisoa AJC
- Subjects
- Adolescent, Cardiac Tamponade diagnosis, Cardiac Tamponade therapy, Drainage, Humans, Male, Pericardial Effusion diagnosis, Pericardial Effusion therapy, Rare Diseases diagnosis, Rare Diseases therapy, Young Adult, Cardiac Tamponade etiology, Pericardial Effusion etiology, Rare Diseases etiology, Thoracic Injuries complications, Wounds, Nonpenetrating complications
- Abstract
Delayed post-traumatic pericardial effusion is a rare condition after blunt trauma. The diagnosis of the effusion can be made by the clinical signs, which is not very specific and the cardiac echography. The etiological diagnosis remains difficult because it requires the elimination of the other causes of pericarditis. Their treatment consists in evacuating the pericardial effusion. The evolution thereafter is simple. We report four cases of patients with pericardial effusion late after a thoracic injury. Imaging the blood test, the examination of the pericardial fluid and the anatomopathological examination of the pericardium, eliminates the other etiologies., (Copyright © 2020 Elsevier Masson SAS. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
27. [Infectious and inflammatory complications occurring after cardiac surgery in cardiac rehabilitation centres].
- Author
-
Ghannem M, Ahmaidi S, Ghannem L, and Meimoun P
- Subjects
- Aged, Cicatrix complications, Cicatrix therapy, Humans, Mediastinitis etiology, Mediastinitis microbiology, Mediastinitis therapy, Patient Transfer, Postoperative Complications etiology, Time Factors, Cardiac Care Facilities, Cardiac Surgical Procedures adverse effects, Cardiac Tamponade diagnostic imaging, Cardiac Tamponade etiology, Cardiac Tamponade therapy, Postoperative Complications therapy
- Abstract
Patients undergoing cardiac surgery are older, have complex pathologies and several comorbidities, but need to leave the hospital quickly! Therefore, the mission of cardiac rehabilitation centres has substantially changed. Indeed, if 15 to 25% of patients undergoing cardiac surgery will have a postoperative complication requiring a hospital management (infectious, pericardial, rhythmic, neurologic, pulmonary, digestive, etc.), more than 2/3 of these acute events could be managed by cardiac rehabilitation centres for a lower cost. Therefore, the quickest the patient is transferred to a cardiac rehabilitation centre, the easier the cardiac surgery centre could manage his beds. Infectious complications are the most dreadful, particularly mediastinitis., (Copyright © 2020. Published by Elsevier Masson SAS.)
- Published
- 2020
- Full Text
- View/download PDF
28. [Purulent pericarditis in a patient with diabetes mellitus treated by percutaneous pericardiocentesis]
- Author
-
A, Rougé, J, Wintzer-Wehekind, B, Demailly, M, Abdellaoui, B, Faurie, and J, Monségu
- Subjects
Adult ,Male ,Staphylococcus hominis ,Pericardiocentesis ,Staphylococcal Infections ,Combined Modality Therapy ,Pericardial Effusion ,Anti-Bacterial Agents ,Cardiac Tamponade ,Diabetes Complications ,Streptococcal Infections ,Drainage ,Humans ,Pericarditis ,Streptococcus intermedius ,Follow-Up Studies - Abstract
Purulent pericarditis seldom occurs in Western countries, yet its mortality rate remains high between 20 and 35 % despite early treatment. We report the case of a 43-year-old patient admitted in the intensive cardiologic care unit with a pre-tamponade, requiring an immediate percutaneous pericardiocentesis allowing the drainage of a purulent effusion. Evolution with antibiotic therapy adapted according to the bacteriological findings was favorable and 3-months follow-up shows a near complete regression of the effusion. This case recalls us this rare diagnosis entity and illustrates the possibility of a mere percutaneous pericardial drainage with the condition of a strict medical surveillance.
- Published
- 2016
29. [Oncological emergencies: they exist!]
- Author
-
Marie-Laure, Amram
- Subjects
Neoplasms ,Acute Disease ,Humans ,Emergencies ,Spinal Cord Compression ,Pericardial Effusion ,Febrile Neutropenia - Published
- 2016
30. [Cardiac tamponade: a rare manifestation of hypothyroidism]
- Author
-
Salim, Arous, Youssef, Ettaoumi, Hayat, Najih, Said, Makani, Arroussi Aziz, Alami, and Rachida, Habbal
- Subjects
Adult ,drainage chirurgical ,Case Report ,Middle Aged ,Hypothyroïdie ,Pericardial Effusion ,Cardiac Tamponade ,Hypothyroidism ,Echocardiography ,Humans ,Female ,surgical drainage ,tamponnade cardiaque ,Retrospective Studies - Abstract
La survenue d'un épanchement péricardique au cours d'une hypothyroïdie est fréquente. Ce fait justifie la réalisation d'une échocardiographie lors du diagnostic et du suivi évolutif des hypothyroïdies. Les signes de mauvaise tolérance de cet épanchement sont rares et la constitution d'une tamponnade péricardique n'est que très rarement rapportée. Ce travail se base sur l’étude rétrospective de quatre cas de tamponnade cardiaque révélant une hypothyroïdie primaire. L’échocardiographie a permis de faire le diagnostic immédiat de la tamponnade. Orienté par l'aspect clinique, le diagnostic d'hypothyroïdie a été confirmé par dosage biologique. Le traitement a été à base de drainage péricardique chirurgical et d'hormonothérapie progressive, l’évolution a été favorable avec disparition de l’épanchement péricardique. Certaines particularités physiopathologiques, l'intérêt de l’échocardiographie et du drainage péricardique chirurgical, tant au plan diagnostique qu'au plan thérapeutique sont soulignés.
- Published
- 2015
31. [Stereotactic body radiation radiotherapy for oligometastatic non-small cell lung cancer (NSCLC): A case report]
- Author
-
C, Leduc, D, Antoni, É, Quoix, and G, Noël
- Subjects
Aged, 80 and over ,Male ,Lung Neoplasms ,Brain Neoplasms ,Carcinoma, Non-Small-Cell Lung ,Remission Induction ,Adrenal Gland Neoplasms ,Humans ,Adenocarcinoma ,Radiosurgery ,Tomography, X-Ray Computed ,Carcinoma in Situ ,Pericardial Effusion - Abstract
Metastatic non-small cell lung cancer is associated with a poor prognosis, and palliative chemotherapy is the mainstay of treatment. However, long-time survival has been observed in oligometastatic patients treated with locally ablative therapies to all sites of metastatic disease. An 80-year-old man was diagnosed with an adenocarcinoma of the lung. The right upper lobe lesion was classified cT2aN0M0 and was treated with stereotactic body radiation therapy at the dose of 60Gy in eight fractions. A few months after, he successively presented with two brain metastases and one left adrenal metastasis, with a complete response on the primary tumor. The three secondary lesions were treated with stereotactic body radiation therapy alone. Thirty months after the diagnosis and 12months after metastases' apparition, primary and brain lesion kept controlled (complete response). Oligometastatic non-small cell lung cancer management is not clear. Locally ablative therapies such as stereotactic body radiation therapy, surgery and radiofrequency are efficient and should be considered. A phase III study should evaluate radical treatment strategies in such patients.
- Published
- 2014
32. [Letter on the article 'Pericardial effusion: an unknown expression of Graves' disease']
- Author
-
Lovely, Chhabra, Nauman, Khalid, and David H, Spodick
- Subjects
Humans ,Female ,Graves Disease ,Pericardial Effusion - Published
- 2014
33. [Hypocomplementaemic urticarial vasculitis with bullous lesions and pericardial involvement]
- Author
-
T, Kervarrec, R, Binois, C, Bléchet, and É, Estève
- Subjects
Skin Diseases, Vesiculobullous ,Urticaria ,Neutrophils ,Biopsy ,Complement C1q ,Pneumonia ,Middle Aged ,Pericardial Effusion ,Autoimmune Diseases ,Capillaries ,Recurrence ,Chronic Disease ,Humans ,Pericarditis ,Prednisone ,Vasculitis, Leukocytoclastic, Cutaneous ,Female ,Lymphocytes ,Pericardium ,Immunosuppressive Agents ,Autoantibodies - Abstract
Hypocomplementemic urticarial vasculitis syndrome (HUVS) is a rare disease involving urticarial cutaneous vasculitis, hypocomplementaemia and systemic manifestations. Pericardial involvement occurs in very rare cases. We report a case of HUVS associated with specific pericarditis and bullous lesions.A 63-year-old woman consulted for chronic urticaria that had appeared ten months earlier. Her skin lesions were associated with weight loss of 10 kg, deterioration of respiratory function and abdominal pain. Leukocytoclastic vasculitis was seen in the skin biopsy sample. Hypocomplementaemia and anti C1q antibodies were present and a diagnosis of HUVS was made. During hospitalisation, extensive compressive pericardial effusion was identified, and histological examination of the biopsy revealed specific pericardial lymphocytic vasculitis. During follow-up, four episodes of infectious pneumonitis were noted. Bullous skin lesions were also observed.HUVS is a disease caused by an antibody against C1q complement responsible for urticarial lesions and vasculitis antibodies. To our knowledge, there have been only five reports in the literature of pericardial injury associated with HUVS. In our case, histological examination of the pericardium demonstrated lymphocytic vasculitis.
- Published
- 2014
34. [An open heart lesion]
- Author
-
Marie, Crahes, Françoise, Lemoine, Laurence, Roquet, François, Bouchard, and Jean-Christophe, Sabourin
- Subjects
Diagnosis, Differential ,Heart Neoplasms ,Biopsy ,Heart Ventricles ,Humans ,Female ,Middle Aged ,Pulmonary Embolism ,Carcinoma, Renal Cell ,Kidney Neoplasms ,Pericardial Effusion ,Ultrasonography, Interventional ,Echocardiography, Doppler, Color - Published
- 2013
35. [Recurrent pericarditis related to primary pericardial malignant mesothelioma]
- Author
-
P, Smets, G, Guettrot-Imbert, M, Hermet, I, Delevaux, J-L, Kemeny, O, Aumaître, and M, André
- Subjects
Heart Neoplasms ,Mesothelioma ,Lung Neoplasms ,Recurrence ,Biopsy ,Mesothelioma, Malignant ,Humans ,Pericarditis ,Female ,Middle Aged ,Pericardial Effusion - Abstract
Most of recurrent pericarditis are idiopathic and only 15 to 20% have a specific diagnosis. Primary pericardial mesothelioma is a rare cause of recurrent pericarditis. Diagnosis can be challenging and antedates patient's death in only 10 to 20% of cases. Histology of mesothelioma and immunohistochemistry are mandatory for the diagnosis. Median of survival before using pemetrexed was about 6 months after diagnosis.We report the history of a 64-year-old woman for which repeated biopsy for recurrent pericarditis was necessary to diagnose a primary pericardial mesothelioma. The first biopsy had only found mesothelial hyperplasia.This case report highlights the necessity of repeat pericardial biopsy in the case of adverse outcome.
- Published
- 2012
36. [A pericardial effusion]
- Author
-
Vinsonneau, U., Brondex, A., Paleiron, N., Castellant, P., Cornily, J.-C., Arles, F., Quiniou, G., Optimisation des régulations physiologiques (ORPHY (EA 4324)), Institut Brestois Santé Agro Matière (IBSAM), and Université de Brest (UBO)-Université de Brest (UBO)-Université de Brest (UBO)-Centre Hospitalier Régional Universitaire de Brest (CHRU Brest)
- Subjects
Adult ,Male ,MESH: Humans ,MESH: Pericardial Effusion ,MESH: Adult ,Pericarditis, Tuberculous ,Sensitivity and Specificity ,Pericardial Effusion ,MESH: Male ,MESH: Predictive Value of Tests ,MESH: Sensitivity and Specificity ,MESH: Pericarditis, Tuberculous ,Predictive Value of Tests ,[SDV.MHEP.PHY]Life Sciences [q-bio]/Human health and pathology/Tissues and Organs [q-bio.TO] ,Humans ,ComputingMilieux_MISCELLANEOUS ,Ultrasonography - Abstract
International audience
- Published
- 2010
37. [Subxiphoid pericardial drainage]
- Author
-
F, Pons, J-P, Arigon, and H, Abdourrhamane
- Subjects
Drainage ,Humans ,Xiphoid Bone ,Pericardial Effusion - Published
- 2009
38. [Rapid malnutrition in patient with anorexia nervosa: experience of a general pediatric department]
- Author
-
G, Cros, M, Sznajder, S, Meuric, C, Mignot, B, Chevallier, and C, Stheneur
- Subjects
Blood Glucose ,Male ,Patient Care Team ,Anorexia Nervosa ,Adolescent ,Blood Pressure ,Weight Gain ,Protein-Energy Malnutrition ,Pericardial Effusion ,Body Mass Index ,Hospitalization ,Enteral Nutrition ,Creatinine ,Weight Loss ,Humans ,Female ,Child ,Retrospective Studies - Abstract
Rapid undernutrition in patients with anorexia nervosa can compromise vital functions, notably due to cardiac complications. The aim of this study was to analyze the clinical parameters of anorexic patients, hospitalized for substantial weight loss, in a general pediatric inpatient unit, in order to determine which parameters should be tested by the medical doctor.We performed a retrospective study on 20 consecutive patients (18 girls), median age of 13.75 (+/-2.3) years, admitted for the first time in our pediatric inpatient unit for anorexia nervosa.Symptoms evolved for a median duration of 11.5 (+/-10.2) months before admittance and was shorter for the youngest patients (r = 0.42, p = 0.067). The mean BMI was 13.3 (+/-0.6) kg/m(2) (-3.0+/-1.2 Z-score) and was inversely correlated with serum creatinine levels (74+/-15 micromol/l) (r = 0.44, p0.05). The mean BMI variation between the beginning of the disease and hospitalization (Delta BMI) was-3.5 Z-score and was correlated to low systolic blood pressure (r = 0.45, por =0.05) and the presence of a pericardial effusion at admittance (r = 0.45, p0.05). Complete blood count, electrolyte balance and the serum phosphorus levels were normal except in 1 case. Mean serum glucose was 3.5+/-1.2 mmol/l. At admittance, an electrocardiogram, performed for 16 patients, showed sinusal bradycardia without conduction impairment. Enteral nutrition was necessary for 14 patients (70%) for a mean duration of 18.1 days (range, 6-56 days). The mean weight gain was 3.1+/-2 kg and was inversely correlated to the BMI at admittance (r = 0.49, p0.05).Medical supervision of undernutrition tolerance during anorexia nervosa is above all clinical, as hematological and biological parameters remain normal for a long time. The cardiac complications found in our study appeared to be more related to the rapid rate of weight loss than to the amount of weight loss itself.
- Published
- 2009
39. [Important pericardial effusions: apport of echocardiography guided pericardocentensis: about 30 consecutive cases]
- Author
-
M, Thiam, M, Sarr, A, Niang, P D, Fall, and P S, Mbaye
- Subjects
Adult ,Male ,Adolescent ,Pericardiocentesis ,Middle Aged ,Severity of Illness Index ,Pericardial Effusion ,Young Adult ,Child, Preschool ,Humans ,Female ,Prospective Studies ,Child ,Aged ,Ultrasonography - Abstract
Western countries have good mastery of abundant pericardial effusion while in Africa this still raises some problems regarding diagnosis and therapy. The aim was to see to what extent echo guided pericardiocentesis could contribute in severe cases.All patients with abundant pericardial effusion diagnosed by echocardiography with or without compression were considered in a prospective study. They experienced a pericardiocentesis. Some patients did undergo an additional surgical biopsy. The liquid was preliminarily submitted to chemical, bacteriological, cytological analysis. Tissues were observed through an anatomic pathology in biopsy. Heart tuberculosis was diagnosed through histology for following therapeutic testing.Thirty consecutive patients aged 37 in average were included. The sex ratio was 3.75. Prior to draining off, 3 neoplasies (2 of lung bronchitis, 1 of cervix ), 1 leukaemia, 2 extra pericardium tuberculosis and 1 amoebic abscess were diagnosed . Clinical occurrence: the most frequent case, besides the tampon (10 cases, i.e. 30%), was isolated pericardial effusion associated or not with an alteration of the global state (13 cases, i.e. 4%). The average quantity of liquid extracted was 600c c which provoked a kind of haemorrhage in 18 cases, i.e. 60%. Tuberculosis was the major aetiology: 15 cases e i 50% out of which 4 were HIV positive. Three additional surgical biopsies were carried out. Seven patients died. CCONCLUSION In addition to its diagnostic contribution, echo guided pericardiocentesis offers an alternative to endoscopy surgery.
- Published
- 2008
40. [Postpartum pericardic tamponade revealing systemic lupus erythematosus]
- Author
-
W, Ketata, S, Msaad, W, Feki, I, Gargouri, H, Ayadi, and A, Ayoub
- Subjects
Adult ,Postpartum Period ,Pericardiocentesis ,Pericardial Effusion ,Cardiac Tamponade ,Diagnosis, Differential ,Treatment Outcome ,Pregnancy ,Antibodies, Antinuclear ,Humans ,Lupus Erythematosus, Systemic ,Female ,Glucocorticoids ,Biomarkers - Abstract
Pericarditis is the most common manifestation of systemic lupus erythematosus and is clinically found in 62% of the autopsies. Cardiac tamponade is a deadly but rare complication found in less than 1% of all lupus cases. It is highly revealing. The authors report the case of a 29-year old woman presenting postpartum cardiac tamponade. The diagnosis of systemic lupus erythematosus was based on the association of haematological disorders (anaemia and leukopenia), pericarditis, pleurisy and positive anti-nuclear and anti-native DNA antibodies. The patient was treated with pericardiac drainage and cortisone therapy. The evolution was favourable after 22 months. Using this case study, the authors note the rarity of cardiac tamponade as a manifestation inaugurating lupus and discuss the relationship between pregnancy and lupus disease.
- Published
- 2008
41. [Uterine cervical carcinoma and pericardial effusion]
- Author
-
B, Vokaer, J P, Machiels, F, Vansnick, C, Castaigne, F, Feoli, A, Dediste, and J P, Sculier
- Subjects
Paclitaxel ,Biopsy ,Antineoplastic Combined Chemotherapy Protocols ,Humans ,Uterine Cervical Neoplasms ,Female ,Middle Aged ,Tomography, X-Ray Computed ,Pericardial Effusion ,Carboplatin - Abstract
A 64-year-olf woman has been treated by chemotherapy for a uterine cervical carcinoma with known pathological lymph nodes in the abdomen and in the thorax. She is admitted in our Intensive Care Unit for fever and cardiac tamponade attributed to a large pericardial effusion. No diagnostic could be concluded from the analysis of the liquid or the pericardial biopsy. Complementary investigations are performed and the differential diagnosis of pericardial effusion is discussed in the context of a neoplastic disease.
- Published
- 2007
42. [Image of the month. Aortic dissection with hemopericardium]
- Author
-
D, Secco, E, Brasseur, A, Ghuysen, V, Angelozzi, B, Ghaye, and V, D'Orio
- Subjects
Aged, 80 and over ,Male ,Aortic Dissection ,Electrocardiography ,Echocardiography ,Humans ,Tomography, X-Ray Computed ,Pericardial Effusion ,Aortic Aneurysm - Published
- 2007
43. [Intramural hemorrhage of the thoracic aorta]
- Author
-
Arman, Parsaï and Chirine, Parsaï
- Subjects
Aortic Dissection ,Aortic Aneurysm, Thoracic ,Vasa Vasorum ,Humans ,Female ,Radiography, Thoracic ,Tomography, X-Ray Computed ,Pericardial Effusion ,Aged ,Cardiac Tamponade - Abstract
Intramural hemorrhage (IMH) of the thoracic aorta is a unique aortic syndrome. It is a spontaneous hemorrhage of the vasa vasorum (small vessels that run in the wall of an artery) in the wall of the aorta without an intimal tear, such as overt aortic dissection. IMH has a similar clinical profile, prognosis and can progress to aortic dissection. CT scan ensures the rapid diagnosis of IMH. Surgical treatment of IMH of the ascending aorta is necessary.
- Published
- 2007
44. [Kawasaki disease is also a disease of adults: report of six cases]
- Author
-
C, Dauphin, P, Motreff, G, Souteyrand, H, Laurichesse, F, Gourdon, O, Lesens, D, Lamaison, J, Beytout, J, Cassagnes, and J-R, Lusson
- Subjects
Adult ,Male ,Decision Trees ,Coronary Aneurysm ,Immunoglobulins ,Middle Aged ,Mucocutaneous Lymph Node Syndrome ,Coronary Angiography ,Pericardial Effusion ,Diagnosis, Differential ,Electrocardiography ,Myocarditis ,Echocardiography ,Humans ,Immunologic Factors ,Pericarditis ,Female - Abstract
Kawasaki disease is an inflammatory arterial disease of unknown cause usually affecting young children, the principal complication of which is coronary artery aneurysm. Early treatment with immunoglobulins and aspirin prevents this complication. The diagnosis requires expert clinical criteria and, in atypical forms, a more recent decisional diagnostic tree has to be used. The authors report 6 cases of adult Kawasaki disease. As in the other sixty or so cases in the literature, hepatic forms were the commonest (5/6). Only three of the six cases met the classical clinical criteria and the diagnosis was made by the decisional tree or after coronary complications in the oldest subject. The five treated patients progressed favourably after a course of immunoglobulins. Echocardiography detected 100% of children with coronary disease but it was more difficult in adults in whom new non-invasive methods of coronary imaging (fast CT and MRI) and stress testing should complete the investigations. The association of prolonged pyrexia, clinical criteria and a biological inflammatory syndrome should, after exclusion of the differential diagnoses, suggest a diagnosis of Kawasaki disease in the adult as in the child. The possibility of coronary disease, even though extremely rare, should be recognised by the cardiologist and lead to diagnostic and therapeutic managements as aggressive as in children.
- Published
- 2007
45. [Cardiac imaging in ANCA-associated vasculitis]
- Author
-
Olivier, Vignaux, Julien, Marmursztejn, Pascal, Cohen, Eric, Bruguière, Denis, Duboc, Loïc, Guillevin, and Paul, Legmann
- Subjects
Time Factors ,Heart Diseases ,Echocardiography ,Coronary Circulation ,Granulomatosis with Polyangiitis ,Heart Valve Diseases ,Humans ,Coronary Disease ,Churg-Strauss Syndrome ,Prognosis ,Magnetic Resonance Imaging ,Pericardial Effusion ,Antibodies, Antineutrophil Cytoplasmic - Abstract
Churg-Strauss syndrome and Wegener granulomatosis are the two principal ANCA-associated vasculitides. Cardiac damage is frequent and prognosis poor. This damage is often subclinical initially and undetectable with standard cardiac imaging techniques (such as cardiac ultrasound or myocardial scintigraphy). Cardiac MRI permits early diagnosis of the different types of cardiac damage (myocarditis, pericarditis, and impaired myocardiac perfusion) that may occur during ANCA-associated vasculitis, even before the onset of symptoms. Early detection of this cardiac damage is crucial for it enables faster implementation of aggressive treatment, which may significantly improve disease prognosis. The widespread, even routine, practice of cardiac MRI in patients with ANCA-associated vasculitis thus seems justified, for this noninvasive examination provides essential diagnostic and prognostic information and helps guide therapeutic management.
- Published
- 2007
46. [Madame K. is out of breath]
- Author
-
Jonathan, Laurençon, Anna, Leone, Markus, Wunderlich, and Virginie, Zimmermann
- Subjects
Diagnosis, Differential ,Heart Failure ,Acute Disease ,Humans ,Lupus Erythematosus, Systemic ,Female ,Pericardial Effusion ,Aged - Published
- 2007
47. [Pericardial cytopathology]
- Author
-
Françoise, Thivolet-Béjui
- Subjects
Heart Neoplasms ,Humans ,Pericardial Effusion - Abstract
Cytopathology diagnosis of three hundred and thirty three pericardial effusions performed between September 1999 and August 2006 were systematically analyzed and compared with the biopsy in 71 cases. We described the clinical circumstances, the etiologies, the cytomorphologic features of the effusions, the role of liquid based cytology and ancillary studies such as immunocytochemistry and the sensitivity of cytopathology compared with histopathology. Among the 57 pericardial tumors, 51 (89%) were metastatic carcinomas--included 42 (73%) adenocarcinomas--, 5 (9%) were malignant lymphomas and one (2%) was a malignant mesothelioma. Cytology of pericardial effusion with ancillary studies enables rapid cytodiagnosis as specific as histodiagnosis provided by biopsy.
- Published
- 2007
48. [Acute pericarditis in the modern era: a diagnostic challenge]
- Author
-
R, Cohen, F, Cohen-Aubart, and P-G, Steg
- Subjects
Male ,Chest Pain ,Fever ,Troponin I ,Middle Aged ,Pericardial Effusion ,Cardiac Tamponade ,Electrocardiography ,C-Reactive Protein ,Echocardiography ,Acute Disease ,Tachycardia, Ventricular ,Humans ,Pericarditis ,Female ,Follow-Up Studies ,Retrospective Studies - Abstract
Diagnosis of acute pericarditis remains difficult in clinical practice.The purpose of this study was to evaluate the clinical and biological features of patients presenting with acute pericarditis, and to determine the incidence and significance of troponin I (cTnI) elevation in that context.We retrospectively included 55 patients with acute idiopathic pericarditis. We analyzed clinical presentation, ECG recordings, biologic results, echocardiography findings and cTnI level.Fifty-five consecutive patients (41 men, 54+/-18 years) with idiopathic acute pericarditis were included. There was a typical chest pain in 90% of cases, whereas fever and pericardial friction rub were present in 25 and 18%, respectively. ST-segment elevation was observed in 58% of the patients. A rise of cTnI and C-reactive protein was detectable in 27 and 78% of cases respectively. The following characteristics were more frequently associated with a positive cTnI test: younger patients, recent infection and higher length-of-stay. Pericardial effusion was observed in 58% of patients. Cardiac tamponade and ventricular tachycardia both occurred in 3 patients (5%). After a mean follow-up of 33 months, recurrent pericarditis occurred in 13% of patients. A similar rate of complications was found in patients with a positive or a negative cTnI.Clinical spectra of acute pericarditis have changed and some classic assumptions and descriptions, perpetuated in some publications, are outdated. Clinical presentation implies a 45-55 year-old man, with a chest pain and ST-segment elevation, without fever or pericardial friction rub, and a positive cTnI test in 27% of cases. Therefore, misinterpretation as other disease, especially acute myocardial infarction, is common and diagnosis of acute pericarditis remains often retrospective. In our series, a cTnI rise did not appear as a negative prognostic marker.
- Published
- 2006
49. [Spontaneous idiopathic chylopericardium in childhood]
- Author
-
D, Attias, P, Ou, P, Souillard, Y, Boudjemline, D, Sidi, and D, Bonnet
- Subjects
Male ,Radiography ,Treatment Outcome ,Adolescent ,Pericardiectomy ,Humans ,Ligation ,Pericardial Effusion ,Thoracic Duct ,Ultrasonography - Abstract
Here we report a case of a primary idiopathic chylopericardium in a 13 years old child. Pericardial effusion was diagnosed because the child suffered chest pain and fatigue. Pericardial drainage was performed and 800mL of chylous fluid was evacuated. Extensive investigations were performed but no cause could be found. Thoracic CT scan, lymphoscintigraphy and MRI did not evidence any communication between the thoracic duct and pericardium. After 2 recurrences of pericardial effusion while the child was on a medium chain triglycerides regimen, it was decided to ligate the thoracic duct and to do a partial pericardectomy. The result was excellent with complete resolution of the pericardial effusion and no recurrence since 3 years.
- Published
- 2006
50. [Percutaneous mitral commisurotomy in patients aged 60 years and more]
- Author
-
F, Remadi, E, Boughzala, E, Neffati, N, Jenayeh, J, Zemni, N, Hergli, A, Ismail, and H, Ben Saad
- Subjects
Adult ,Male ,Age Factors ,Mitral Valve Insufficiency ,Blood Pressure ,Balloon Occlusion ,Middle Aged ,Pericardial Effusion ,Cardiac Tamponade ,Catheterization ,Postoperative Complications ,Treatment Outcome ,Recurrence ,Humans ,Mitral Valve ,Mitral Valve Stenosis ,Atrial Function, Left ,Female ,Aged ,Follow-Up Studies - Abstract
Of 745 patients treated by balloon mitral commissurotomy (BMC) between February 1988 and December 2002, 45 wereor = 60-years old. Immediate and late outcomes in this group (group 1) were compared with those in the patients aged60-years (group 2). Baseline hemodynamic parameters were comparable in the two groups. Mitral surface area and hemodynamic parameters improved significantly after BMC in group 1: mean left atrial pressure fell from 18.76 +/- 6.18 to 10.65 +/- 4.38 mmHg (P0.001), mean transmitral gradient from 11.03 +/- 4.70 to 4.63 +/- 2.05 mmHg (p0.001) and mitral valve area from 0.99 +/- 0.22 to 1.88 +/- 0.41 cm2 (p0.001). Similar significant improvements were seen in group 2. The hemodynamic result was good in 69% of group 1 patients. Tamponade occurred in one patient. Mitral regurgitation grade I or II developed in 8 patients and remained stable in 13 patients. These complication rates were comparable to those seen in group 2. In the group 1, a good result was maintained in 60% of patients after 43 +/- 23 months of follow-up. Although restenosis was observed in 40% of patients, functional amelioration was obtained in most of cases. In the group 2, restenosis was observed in 25% of patients. The data from this study suggest that BMC is effective first therapy in patients agedor = 60-years with symptomatic mitral stenosis.
- Published
- 2006
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