Ventricular systolic discordance in pericardial tamponade: acute reversal by pericardiocentesis

Pericardial tamponade following percutaneous left ventricular puncture.

Acute cardiac tamponade caused by massive hemorrhage from pericardial cyst.

A12-year-old girl with no significant previous cardiac history was transferred to our university hospital because of 1 week of high fever and dyspnea. On physical examination, the heart sounds were muffled, the heart rate was 110 bpm, the respiratory rate was 32 breaths per minute with dyspnea, and the blood pressure was 110/75 mm Hg. A chest radiograph revealed marked cardiac enlargement (Figu...

Transient left ventricular systolic dysfunction mimicking myocardial infarction after pericardiocentesis

A 69-year-old woman was admitted to our hospital because of weight loss and progressively worsening dyspnoea. Her previous medical history was unremarkable. She was admitted to the internal medicine department. A cardiologist was consulted because of atrial fibrillation with rapid ventricular response and an enlarged cardiac silhouette on her chest Xray. On physical examination her blood pressu...

Transcatheter aortic valve implantation complicated by acute pericardial tamponade

Transcatheter aortic valve replacement (TAVR) is now an accepted standard of care for patients with symptomatic severe aortic stenosis who are not candidates for surgery or have high surgical risk. Despite its more widespread adoption as a treatment option and increasing experience of centers, TAVR is still associated with several complications. We therefore report a case of TAVR complicated by...

Pericardial Tamponade in an Adult Suffering from Acute Mumps Infection

Here, we report a case of a 51-year-old man with acute pericardial tamponade requiring emergency pericardiocentesis after he suffered from sore throat, headache, malaise, and sweats for two weeks. Serological analyses revealed increased mumps IgM and IgG indicating an acute mumps infection whereas other bacterial and viral infections were excluded. In addition, MRI revealed atypical swelling of...