keyword
https://read.qxmd.com/read/38466481/successful-removal-of-an-intra-pericardic-kirschner-wire-via-fluoroscopy-guided-minimal-invasive-approach-a-case-report
#1
JOURNAL ARTICLE
Olivier Georges, Florence De Dominicis, Malek Ben Rahal, Jules Le Pessot, Pascal Berna, Osama Abou Arab, Christophe Beyls
BACKGROUND: Kirschner wires are widely used in trauma surgery. Their migration into the pericardium is a rare but often fatal phenomenon, requiring urgent management. CASE PRESENTATION: We describe the case of a 65-year-old patient who underwent Kirschner wire placement to treat a humeral head fracture. Three months after the operation, pleural and pericardial effusions with cardiac tamponade were observed, leading to the diagnosis of wire migration within the pericardium...
March 11, 2024: Surgical Case Reports
https://read.qxmd.com/read/38454962/pericardial-anisakiasis-unravelling-diagnostic-challenges-in-an-unprecedented-extra-abdominal-manifestation-a-case-report
#2
Jacopo Giovacchini, Silvia Menale, Valentina Scheggi, Niccolò Marchionni
BACKGROUND: Anisakis infects humans by consuming contaminated undercooked or raw fish, leading to gastric anisakiasis, gastro-allergic anisakiasis, or asymptomatic contamination. Although larvae usually die when penetrating the gastric tissue, cases of intra- and extra-abdominal spread were described. We report the first probable case of pericardial anisakiasis. CASE SUMMARY: A 26-year-old man presented to the emergency department because of progressive lower limb oedema and exertional dyspnoea...
March 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38435931/desmoplastic-small-round-cell-tumors-presented-with-st-segment-elevation-myocardial-infarction-and-cardiac-tamponade-in-a-young-adult-female-a-case-report
#3
Kensuke Takaoka, Ashwin Venkataraman, Clarke Morihara, Arvin Tan, Witina Techasatian
Desmoplastic small round cell tumors (DSRCT) are very rare and aggressive diseases typically present with abdominal or retroperitoneal masses. We present a case of a young female who presented with ST-segment elevation myocardial infarction and cardiac tamponade and who was found to have DSRCT. The patient was coded at the emergency department. Left heart catheterization showed normal coronary arteries, and pericardiocentesis removed 1,260 mL of bloody pericardial effusions. The patient was stabilized, and a positron emission tomography scan revealed left intrahilar, hilar, and cardiophrenic masses with associated hypermetabolic right hilar, left hilar, subcarinal, costophrenic, aortopulmonary, paratracheal, and mediastinal lymphadenopathy...
January 2024: Curēus
https://read.qxmd.com/read/38414922/case-report-primary-pericardial-angiosarcoma-a-rare-cause-of-cardiac-tamponade
#4
Ling-Yun Kong, Xiao-Zheng Cui, Wei Xiang, Xiu-Juan Wang, Fang Liu
Primary pericardial angiosarcoma is a rare malignancy of the pericardium with variable clinical features and imaging characteristics. Herein, we report a case of histopathologically confirmed pericardial angiosarcoma in a 66-year-old man. The patient developed cardiac tamponade in a short time period. The transthoracic echocardiography showed the presence of multiple irregular echodensities, heterogeneous in echogenicity, encasing the apex of both ventricles in the pericardial space, initially misinterpreted as pericardial effusion...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38405193/acute-radiation-induced-pericarditis-complicated-by-polymicrobial-infectious-pericarditis-in-a-patient-with-mediastinal-sarcoma-a-case-report
#5
Kimberly L Yan, Yoo Jin Lee, Alan H Baik
BACKGROUND: Acute pericarditis is often caused by viral infections, autoimmune diseases, and radiation therapy (RT). Infectious pericarditis is rare and associated with high morbidity and mortality. We present a case of acute RT-induced pericarditis complicated by bacterial pericarditis and cardiac tamponade due to oesophageal bacterial translocation. CASE SUMMARY: A 65-year-old man with a recurrent mediastinal sarcoma complicated by oesophageal compression and recent oesophageal stenting presented with shortness of breath...
February 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38389040/semiquantitative-18-f-fdg-pet-ct-in-monitoring-glucocorticoid-response-of-immunoglobulin-g4-related-effusive-constrictive-pericarditis-a-case-report
#6
JOURNAL ARTICLE
Soo Yeon An, Byung Joo Sun
BACKGROUND: Immunoglobulin G4 (IgG4)-related effusive constrictive pericarditis (ECP) is a rare manifestation of IgG4-related disease (IgG4-RD). It can lead to persistent pericardial fibrosis, resulting in cardiac tamponade, diastolic dysfunction, and heart failure. Glucocorticoids are the primary treatment for effectively reducing inflammation and preventing fibrosis. However, guidelines for monitoring treatment response are lacking and tapering glucocorticoid therapy for specific target organs remains a challenge...
February 22, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38365812/pericardial-effusion-in-oncological-patients-current-knowledge-and-principles-of-management
#7
REVIEW
S Mori, M Bertamino, L Guerisoli, S Stratoti, C Canale, P Spallarossa, I Porto, P Ameri
BACKGROUND: This article provides an up-to-date overview of pericardial effusion in oncological practice and a guidance on its management. Furthermore, it addresses the question of when malignancy should be suspected in case of newly diagnosed pericardial effusion. MAIN BODY: Cancer-related pericardial effusion is commonly the result of localization of lung and breast cancer, melanoma, or lymphoma to the pericardium via direct invasion, lymphatic dissemination, or hematogenous spread...
February 16, 2024: Cardio-Oncology
https://read.qxmd.com/read/38295417/case-report-pericardial-actinomycosis-in-a-79-year-old-man-with-poor-dental-hygiene
#8
Chun-Hsun Liao, Tzong-Yow Wu, Yen-Liang Lin, Wang-Da Liu, Jann-Tay Wang, Jin-Shing Chen, Yi-Lwun Ho
Actinomycosis is an uncommon infection caused by Actinomyces species, and the diagnosis is often challenging owing to low prevalence and diverse clinical manifestations. Pericardial involvement of actinomycosis is particularly rare. Here, we present a case of a 79-year-old man who initially complained of exertional dyspnea, orthopnea, and decreased urine amount. There was no fever, chest pain, or productive cough. Physical examination was remarkable for decreased breath sounds at the left lower lung field. Poor dental hygiene and a firm, well-defined mass without discharge over the hard palate were noted...
January 30, 2024: American Journal of Tropical Medicine and Hygiene
https://read.qxmd.com/read/38199173/cardiac-substructures-dosimetric-predicts-cardiac-toxicity-and-prognosis-in-esophageal-squamous-cell-cancer-treated-by-radiotherapy
#9
JOURNAL ARTICLE
Zhicheng Jin, Xuefeng Sun, Chao Zhou, Haihua Yang, Suna Zhou
PURPOSE: To look into the relationship between cardiac substructures (CS) dosimetric parameters and cardiac events (CE) or overall survival (OS) in patients undergoing radiation therapy (RT) for esophageal squamous cell carcinoma (ESCC). METHODS AND MATERIALS: A retrospective study included 350 patients with ESCC receiving definitive chemoradiotherapy or radiotherapy (d-CRT/d-RT) or neoadjuvant chemoradiotherapy (NCRT) from March 2013 to May 2022. Our study examined the adverse cardiac events of any grade or G3+, as defined by the Common Terminology Criteria for Adverse Events (CTCAE) version 5...
January 9, 2024: Neoplasia: An International Journal for Oncology Research
https://read.qxmd.com/read/38192913/survival-after-cardiac-laceration-from-a-gunshot-wound-a-rare-case-report
#10
Yusuke Tsukioka, Atsushi Nemoto, Raquel Salazar
In the United States, approximately 48,000 deaths annually are attributed to gunshot wounds, with a notably low survival rate of 24.5% in cases involving cardiac injury. This case report presents a unique instance of a gunshot wound to the heart, where the patient, despite sustaining cardiac damage, maintained stable hemodynamics and underwent successful surgical removal of the bullet from the pericardial cavity. The absence of significant pericardial effusion and the maintenance of stable hemodynamics in this case provide valuable insights into the management of similar traumatic injuries...
December 2023: Curēus
https://read.qxmd.com/read/38188317/pericardial-effusion-in-an-immunocompetent-host-a-unique-presentation-of-histoplasmosis
#11
Nada Qaisar Qureshi, Jeffrey Foley, Syed Hamza Mufarrih, Mohammed Kazimuddin
UNLABELLED: Histoplasma capsulatum infection is infrequently considered in the differential diagnoses for acute pericarditis in immunocompetent hosts when presenting with tamponade physiology, given its gradual infective nature. We describe a case of a young male presenting solely with acute pericarditis with pericardial effusion and early cardiac tamponade physiology secondary to a pulmonary histoplasmosis infection. Our patient had no pulmonary symptoms; the only pulmonary manifestation of histoplasmosis included incidental findings of subcarinal lymphadenopathy and a left lingular nodule abutting the pericardium...
January 2024: Journal of Cardiology Cases
https://read.qxmd.com/read/38179471/cardiac-tamponade-associated-with-primary-myelofibrosis-a-case-report
#12
Wishnu Aditya Widodo, Teuku Muhammad Haykal Putra, Maria Elfiana, Eka Widya Khorinal
BACKGROUND: Cardiac tamponade is a life-threatening condition that occurs when an abnormal amount of fluid accumulates in the pericardial sac and impedes the cardiac filling process. Although extremely rare, haematological diseases have the potential to trigger an extramedullary haematopoiesis (EMH) process within the pericardium, resulting in a substantial build-up of pericardial effusion. CASE SUMMARY: We present the case of a 29-year-old male previously diagnosed with primary myelofibrosis (PMF), who presented to the emergency unit with cardiac tamponade...
January 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38151268/primary-cardiac-large-b-cell-lymphoma
#13
JOURNAL ARTICLE
Sumukh Arun Kumar, Rahul Mishra, Sarat Chandra Malempati, Poorva Bindal
A female patient in her mid-60s presented with progressive shortness of breath, pleuritic chest pain and bilateral leg swelling for 1 week. Initial diagnostic workup revealed pericardial effusion, and a localised pericardial tubular mass on CT chest. Pericardial fluid analysis showed elevated white cells, with predominance of medium-large sized atypical lymphoid cells. Atypical lymphocytes stained positive for CD79a, CD10, PAX-5, BCL-2 and BCL6. Fluorescence in situ hybridisation testing demonstrated MYC and BCL6 rearrangements without BCL2 gene rearrangement...
December 26, 2023: BMJ Case Reports
https://read.qxmd.com/read/38050616/eosinophilic-pericardial-effusion-and-pericarditis-in-a-cat
#14
Meagan Alisa Wheatley, John Shamoun, Ricardo Maggi, Edward B Breitschwerdt, Samantha L Sommer, John M Cullen, Devorah Marks Stowe
CASE SUMMARY: A 10-year-old domestic shorthair cat presented for lethargy, anorexia and labored breathing. Significant pleural and pericardial effusions prompted thoracocentesis and pericardiocentesis. Cytologic evaluation of the pericardial effusion revealed a highly cellular hemorrhagic, eosinophilic (12%) effusion, with many markedly atypical suspected mesothelial cells, interpreted as concerning for neoplasia. Thoracoscopic subtotal pericardiectomy and histology of the pericardium revealed predominantly eosinophilic inflammation with multifocal mesothelial hypertrophy and ulceration...
2023: JFMS Open Reports
https://read.qxmd.com/read/38025132/a-case-report-of-constrictive-pericarditis-following-covid-19-vaccination
#15
Eric Bain, Maya Guglin
BACKGROUND: COVID-19 infection and the COVID-19 vaccines have been associated with rare cases of pericarditis. We present a case of constrictive pericarditis (CP) following the vaccine. CASE SUMMARY: A 19-year-old healthy male started having progressive abdominal pain, emesis, dyspnoea, and pleuritic chest pain 2 weeks after the second dose of Pfizer vaccine. Computed tomography angiography chest revealed bilateral pleural effusions and pericardial thickening with effusion...
November 2023: European Heart Journal. Case Reports
https://read.qxmd.com/read/38025118/cardiac-rupture-during-the-course-of-treatment-for-acute-purulent-pericarditis-caused-by-staphylococcus-aureus-a-case-report
#16
Ryutaro Katahira, Hiroyuki Sano, Kosuke Tanimura, Yutaka Okita
BACKGROUND: Purulent pericarditis is rare in the modern era of antibiotics. However, it is a rapidly progressive, life-threatening disease with complications, including cardiac tamponade and left ventricular pseudoaneurysm. CASE SUMMARY: A 44-year-old female was admitted with a pontine haemorrhage. On the 25th day of admission, she developed a fever along with chest pain and dyspnoea. Transthoracic echocardiography and computed tomography revealed a large pericardial effusion, leading to the diagnosis of cardiac tamponade...
November 2023: European Heart Journal. Case Reports
https://read.qxmd.com/read/37986073/a-rare-and-challenging-case-of-intrapericardial-hydatidosis
#17
JOURNAL ARTICLE
Fatmir Caushi, Emira Hysa, Ilir Skenduli, Lutfi Lisha, Alban Hatibi, Loreta Bica, Silvana Bala, Francesco Rulli
BACKGROUND: Hydatid cysts are most frequently located in the liver and lungs and very rarely can be found in the pericardium. Diagnosis and treatment are quite challenging, as the disease can present itself in many forms depending to the location and the complications that it might cause. CASE PRESENTATION: A 22-year-old man presented to our hospital with ongoing dry cough for more than 1 month prior to admission. Other symptoms included chest pain, fatigue, low grade fever, and night sweats, which have worsened in the past 2 weeks...
November 20, 2023: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/37900857/primary-cardiac-epithelioid-angiosarcoma-with-sustained-remission-following-surgical-resection-a-case-report
#18
May Myint Thanda Kyaw, Eileen Shiuan, Ariannette Yaniz Robledo Gomez, Arun S Singh, Nasser Abdo
Epithelioid angiosarcoma is an extremely rare subtype of cardiac angiosarcoma that is highly aggressive and associated with poor prognosis. Due to its rare nature, the epidemiology and pathogenesis of this disease are not well-known. Thus, effective diagnostic and treatment modalities are limited. Here, we report a case of a primary epithelioid angiosarcoma in a patient who was treated successfully with surgical resection. A 45-year-old woman who initially presented with chronic systemic symptoms and severe anemia and subsequently developed new-onset atrial fibrillation with rapid ventricular rate was found to have a right-sided cardiac mass with a large pericardial effusion...
2023: Case Reports in Oncology
https://read.qxmd.com/read/37900378/post-cardiac-injury-syndrome-in-a-systemic-lupus-erythematosus-patient-after-an-open-heart-operation-a-case-report
#19
Aseel Abuhammad, Osayd Nassar, Saed I Atawnah
Post-cardiac injury syndrome (PCIS) is an inflammatory condition caused by a cardiac injury that can affect the pericardium, pleura, or both. We describe a female patient who underwent heart surgery and thereafter developed pericardium and pleural effusion. She was also known to have systemic lupus erythematosus (SLE). Due to the possibility that each of these symptoms could impact the pericardium or pleura, we came to the conclusion that they could be caused by either PCIS, SLE, or both. A 54-year-old woman underwent open heart surgery three weeks ago and required aortic valve replacement and coronary artery bypass grafting (CABG)...
September 2023: Curēus
https://read.qxmd.com/read/37900376/peritoneal-carcinoma-unveiling-a-hidden-threat-a-case-of-malignant-pericardial-effusion
#20
Mohammed Abusuliman, Amr M Mohamed, Anas Mahmoud, Tala Beliani, Ibrahim M Ismail-Sayed
Malignant pericardial effusion (MPE) is a slowly progressive and potentially clinically silent condition. Pericardial effusion can arise in oncology patients due to several factors, including disease spreading directly or metastatically, anticancer therapy side effects, or both. Solid and hematological malignancy metastasis more frequently involves the pericardium than primary tumors, with lung cancer being the most common metastatic tumor to involve the pericardium. While 5%-20% of all patients with metastatic neoplasms have pericardial involvement, MPE rarely appears with hemodynamic instability...
September 2023: Curēus
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