Korean J Thorac Cardiovasc Surg.  2006 Sep;39(9):702-705.

Acute Heart Failure after Relief of Massive Pericardial Effusion

Affiliations
  • 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.

Keyword

Heart failure; Pericardial effusion; Pericardiotomy

MeSH Terms

Autonomic Pathways
Cardiac Tamponade
Heart Failure*
Heart*
Hemodynamics
Humans
Pericardial Effusion*
Pericardiectomy
Ventricular Dysfunction
Ventricular Dysfunction, Left
Full Text Links
  • KJTCS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr