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Paradoxical Hemodynamic Instability After Pericardial Window.
Han, Andrew J; Slomka, Teresa; Mehrotra, Anurag; Murillo, Luis C; Alsafwah, Shadwan F; Khouzam, Rami N.
Afiliación
  • Han AJ; Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
  • Slomka T; Division of Cardiovascular Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
  • Mehrotra A; Division of Pulmonary Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
  • Murillo LC; Division of Pulmonary Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
  • Alsafwah SF; Division of Cardiovascular Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
  • Khouzam RN; Division of Cardiovascular Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee.
Echocardiography ; 33(8): 1251-2, 2016 Aug.
Article en En | MEDLINE | ID: mdl-27046800
Paradoxical hemodynamic instability (PHI), also called postoperative low cardiac output syndrome (LCOS), is a rare but fatal complication after drainage of a pericardial effusion (PEf). This condition usually develops within hours postprocedure and appears unrelated to the method of drainage. The exact mechanism of this condition is not well understood. We present a case of an 84-year-old patient with no previous cardiac or cancer history who presented with acute shortness of breath (SOB). Computed tomography (CT) ruled out pulmonary embolism and echocardiography confirmed early tamponade. Following emergent subxiphoid pericardiectomy, the patient developed hemodynamic instability and shock and subsequent multiorgan failure. Repeat echocardiography revealed left ventricular (LV) hypercontractility and new right ventricular (RV) dilatation with akinesis. The patient's condition continued to deteriorate in spite of maximal doses of pressors. The patient died after the family's request to discontinue further extraordinary measures.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ecocardiografía / Taponamiento Cardíaco / Técnicas de Ventana Pericárdica / Disfunción Ventricular / Pericardiocentesis Tipo de estudio: Diagnostic_studies Límite: Aged80 / Female / Humans Idioma: En Revista: Echocardiography Asunto de la revista: CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ecocardiografía / Taponamiento Cardíaco / Técnicas de Ventana Pericárdica / Disfunción Ventricular / Pericardiocentesis Tipo de estudio: Diagnostic_studies Límite: Aged80 / Female / Humans Idioma: En Revista: Echocardiography Asunto de la revista: CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Año: 2016 Tipo del documento: Article Pais de publicación: Estados Unidos