Korean J Thorac Cardiovasc Surg.
2006 Sep;39(9):702-705.
Acute Heart Failure after Relief of Massive Pericardial Effusion
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, Korea. dhlee@med.yu.ac.kr
Abstract
- Severe left ventricular dysfunction after relief of massive pericardial effusion has been rarely reported. Interventricular volume mismatch, acute distention of the cardiac chambers and interplay of autonomic nerve system are believed to be the possible causes for ventricular dysfunction. Presenting two patients who had marked decrease in global ventricular systolic function after relief of pericardial tamponade by subxyphoid pericardial window, we recommend gradual removal of pericardial fluid under hemodynamic monitoring, especially in patient with postcardiotomy tamponade.
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