Acute cardiac tamponade requires urgent diagnosis and treatment. Spontaneous hemopericardium leading to cardiac tamponade as an initial manifestation of essential thrombocythemia (ET) has never been reported in the literature. We report a case of a 72-year-old Caucasian female who presented with spontaneous hemopericardium and tamponade requiring emergent pericardiocentesis. The patient was sub...

left ventricular free wall rupture is responsible for up to 10% of in-hospital deaths following myocardial infarction. it is mainly associated with posterolateral myocardial infarction, and its antemortem diagnosis is rarely made. one of the medical complications of myocardial infarction is the rupture of the free wall, which occurs more frequently in the anterolateral wall in hypertensives, wo...

Pericardial tamponade can lead to significant hemodynamic derangement including cardiac arrest. We experienced a case of pericardial tamponade in a patient with end-stage renal disease. Hemodynamic changes occurred by unexpectedly aggravated pericardial effusion during surgery for iatrogenic hemothorax. We quickly administered a large amount of fluids and blood products for massive bleeding and...

Echocardiographic abnormalities of valvular movement described in patients with pericardial effusions have included systolic anterior motion (SAM) of the mitral valve. Published illustrations have shown, however, "pseudo-SAM" rather than true SAM. We report a patient with asymmetric septal hypertrophy whose echocardiogram during tamponade showed true SAM, which was no longer apparent and could ...

A case ofa young woman who presented to emergency department with severe abdominal pain and shock is reported here. The patient was found to have pericardia Itamponade due to massive pericardial effusion. On further evaluation, the etiology of this effusion was found to be secondary to hypothyroidism with concomitant acute viral pericarditis leading to a fulminant tamponade. The presentation, d...

The effect of Ammine and Wyamine on the depressed circulntion in acute cardiac tamponade was studied in six dogs. As u result of tamponade, there was marked depression of the apparent right and left ventricular function curves which were then significantly re-elevated by the administration of these drugs. Evidence of coronary insufficiency was demonstrated in very severe tumponudo where there w...

Mediastinal germ cell tumors (GCTs) are rare and aggressive cancers originating from the cells in mediastinum. Early detection treatment vital due to their high potential for metastasis recurrence. We present a case of 28-year-old man who exhibited cough shortness breath. Laboratory tests revealed elevated tumor markers, alpha-fetoprotein, beta-human chorionic gonadotropin. Imaging studies disp...

The malpositioning of a pacemaker lead is an uncommon and under-reported complication of pacemaker/Automated Implantable Cardioverter-Defibrillator (AICD) placement. It can be associated with complications such as pericardial effusions and tamponade. We describe a case of an elderly woman who developed cardiac tamponade after inadvertent placement of a permanent pacing lead in the left ventricl...

Non-penetrating cardiac traumatisms can cause cardiac rupture, myocardial contusion or, rarely, commotio cordis. In cases of rupture of a cardiac cavity, acute and severe cardiac tamponade almost invariably occurs. This paper presents an exceptionally unusual case of non-penetrating cardiac trauma resulting in right atrium rupture contained by the pericardial cavity. A situation of exceptional ...

We report a case of a 75-year-old male with history of lung adenocarcinoma who presented with shortness of breath and frequent episodes of cough-induced syncope. A large pericardial effusion was found on echocardiogram suggestive of cardiac tamponade. Pericardiocentesis was done which improved the dyspnea and eventually resolved the syncope. There are only two other cases reported in the litera...