Pericardial effusion is a common cardiac manifestation of hypothyroidism, but effusion resulting in cardiac tamponade is extremely rare. We present a case of a 56-year-old African American woman with slurred speech and altered mental status that was initially suspected to have stroke. Her chest X-ray revealed cardiomegaly and subsequent echocardiogram showed a large pericardial effusion with ec...

Chylous pericardial effusion may occur after cardiothoracic surgery or in association with congenital lymphangiomatosis. Other causes may include chest trauma, mediastinal radiation, malignant neoplasm of the mediastinum or thrombosis of the subclavian vein and superior vena cava [1]. Idiopathic chylopericardium has also been described, most commonly in children and young adults [1]. Cardiac ta...

OBJECTIVE We describe 2 newborn infants with persistent pericardial effusion treated with thoracoscopic pericardial window and thoracic duct ligation. METHODS Patient 1 was a premature female newborn who presented with severe cardiac anomalies, including dextrocardia. She was treated with pulmonary artery handing and pacemaker placement for complete cardiac block. Postoperatively, she develop...

Seven cases of delayed pericardial effusion with tamponade in children have been reported previously, all following the Wattrston operation. Three cases are now described in which delayed pericardial effusion developed three weeks after operation, following procedures other than the Waterston operation. Two of our cases, and two of the reported cases, died because the possibility of delayed per...

OBJECTIVE To describe profile and outcome in children with significant pericardial effusion. METHODS Hospital records of 25 children admitted with significant pericardial effusion during January 2010 to March 2013 were analyzed. RESULTS Thirteen (52%) children had tubercular, 6 (24%) had bacterial, 3 viral, 2 recurrent idiopathic and one had malignant pericardial effusion. Only 3 children i...

PERICARDIAL effusion can be a striking physical and radiologic finding, but its occurrence as a manifestation of disseminated lupus erythematosus has not been emphasized. During the last 2 years 4 patients with systemic lupus erythematosus who had an associated pericardial effusion were seen at this hospital. Two of this group were misdiagnosed and treated incorreetly, partly because of failure...

C ardiac hemangiomas are rare vascular tumors that account for 2% to 5% of benign cardiac masses. They are constituted by endothelial cells lining vascular channels, and they can be histologically classified into capillary, cavernous, or arteriovenous hemangiomas. They may affect the endocar-1 The natural history of pericardial hemangiomas is difficult to predict, and its course may be complica...

Background: Pericardial involvement, with subsequent effusion and cardiac tamponade, may be a metastatic manifestation of an advanced lung carcinoma. These neoplastic pericardial effusions are usually asymptomatic and often times being diagnosed at an autopsy. We report on a 44-year-old woman who presented with cardiac tamponade and further investigations revealed a metastasis from the lung can...

Drug induced lupus erythematosus (DIL or DILE) is an autoimmune disorder caused by chronic use of certain drugs. We report a unique case of hydralazine induced lupus syndrome (HILS) with a negative antinuclear antibody in a female patient who was on hydralazine for a period of 1.5-2 years and developed recurrent pericardial effusion as a result of it. Initially her condition was managed with a ...