STUDY OBJECTIVES The decrease in incidence of tuberculosis, along with the increase in invasive cardiovascular procedures, may have changed the frequency of causes of bloody pericardial effusion associated with cardiac tamponade, although this is not yet recognized by medical textbooks. We analyzed the causes of bloody pericardial effusion in the clinical setting of cardiac tamponade in the 199...

A Laparoscopic means of treating malignant pericardial effusion is implemented and compared with other approaches for management of this condition. Laparoscopic pericardial fenestration was performed in a 68 year old man with bronchogenic carcinoma and recurrent pericardial effusion. . The procedure tool 45 minutes and no complications were observed. We feel that laparoscopic transdiaphragmatic...

To elucidate the clinical characteristics associated with pericardial effusion in the early phase of myocardial infarction, 330 patients with acute Q wave infarction were studied. According to echocardiography, 83 patients had pericardial effusion on the third day of hospitalization, and careful auscultation revealed that a pericardial rub was absent in 45 patients and was present in 38 patient...

Pericardial effusion is commonly seen in patients with hypothyroidism, but a massive pericardial effusion with obvious diastolic right ventricular compression is uncommon. We herein report a case of 73-year-old woman seen in the ED with generalized weakness and hypotension. Echocardiography revealed a massive pericardial effusion with diastolic right ventricular compression, and thyroid functio...

In order to evaluate the reliability and sensitivity of echocardiograms for detecting and quantitating pericardial effusion, 41 patients had echocardiograms on the day prior to cardiac operation. A fluid trap was used to aspirate the pericardium at operation. Thirty-nine of 41 patients had echocardiograms of diagnostic quality. In 25 patients, the echocardiogram was negative for pericardial eff...

BACKGROUND Conservative treatment of malignant pericardial effusion by intrapericardial instillation of a sclerosing agent may be an alternative to surgery. METHODS Twenty patients with malignant pericardial effusion were treated by ultrasound guided pericardiocentesis and the intrapericardial instillation of mitomycin C. RESULTS Mitomycin C was effective in controlling the pericardial effu...

We present the case of a 64-year-old, immunocompetent woman with untreated hypothyroidism, who was admitted with massive pericardial effusion. She had no clinical signs or echocardiographic evidence of pericardial tamponade. To our surprise, cultures of pericardial fluid grew salmonella enteritidis. Hypothyroidism is a known, but rare cause of pericardial effusion. Due to its insidious onset an...

OBJECTIVE the study aimed to evaluate the prognostic importance of an incidental small pericardial effusion found on echocardiography. METHODS we identified 10,067 consecutive patients undergoing echocardiography at 1 of 3 laboratories. Patients were excluded if they were referred for evaluation of the pericardium (n = 133), had cardiac surgery within the previous 60 days (n = 393), had a mod...

We would like to thank the authors for the letter [1] regarding our manuscript entitled “Prolonged Tp-e interval and Tp-e/QT correlates well with modified Rodnan skin severity score in patients with systemic sclerosis” [2] published in “Cardiology Journal”. We would also like to thank the Editor for the opportunity to respond to this letter. In the study we aimed to evaluate Tp-e interval and T...