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Pericardial Decompression Syndrome: an Uncommon But Dangerous Complication After Successful Pericardiocentesis

Year 2017, Volume: 20 Issue: 3, 253 - 255, 03.12.2017

Abstract

Pericardial
decompression syndrome (PDS) is an infrequent but mostly fatal complication
after successful pericardiocentesis. We present a case of a 27-year-old female
patient with suspected malignancy and cardiac tamponade treated with
pericardiocentesis, followed by acute pulmonary edema and cardiac arrest 2
hours later. We also reviewed possible mechanisms involved in PDS
pathophysiology in the context of literature data.

References

  • 1. Karamichalis JM, Gursky A, Valaulikar G, Pate JW, Weiman DS. Acute pulmonary edema after pericardial drainage for cardiac tamponade. Ann Thorac Surg 2009;88:675-7.
  • 2. Angouras DC, Dosios T. Pericardial decompression syndrome: a term for a well-defined but rather underreported complication of pericardial drainage. Ann Thorac Surg 2010;89:1702-3.
  • 3. Dosios T, Theakos N, Angouras D, Asimacopoulos P. Risk factors affecting the survival of patients with pericardial effusion submitted to subxiphoid pericardiostomy. Chest 2003;124:242-6.
  • 4. Pradhan R, Okabe T, Yoshida K, Angouras DC, DeCaro MV, Marhefka GD. Patient characteristics and predictors of mortality associated with pericardial decompression syndrome: a comprehensive analysis of published cases. Eur Heart J Acute Cardiovasc Care 2015;4:113-20.
  • 5. Wolfe MW, Edelman ER. Transient systolic dysfunction after relief of cardiac tamponade. Ann Intern Med 1993;119:42-4.
  • 6. Skalidis EI, Kochiadakis GE, Chrysostomakis SI, Igoumenidis NE, Manios EG, Vardas PE. Effect of pericardial pressure on human coronary circulation. Chest 2000;117:910-2.
  • 7. Basmaji SG, Peretz-Larochelle M, Bernier ML. Pericardial decompression syndrome: A rare and potentially dramatic complication of pericardiocentesis. Int J Cardiol 2015;178:297-8.
  • 8. Vandyke Jr WH, Cure J, Chakko CS, Gheorghiade M. Pulmonary edema after pericardiocentesis for cardiac tamponade. N Engl J Med 1983;309:595-6.
  • 9. Konstam MA, Levine HJ. Pulmonary edema after pericardiocentesis. N Engl J Med 1984;310:391.

Başarılı Perikardiyosentez Sonrası Nadir ve Tehlikeli Bir Komplikasyon: Perikardiyal Dekompresyon Sendromu

Year 2017, Volume: 20 Issue: 3, 253 - 255, 03.12.2017

Abstract

Perikardiyal
dekompresyon sendromu (PDS), başarılı perikardiyosentez sonrası görülebilecek
nadir ancak ölümcül bir tablodur. Yirmi yedi yaşında malignite sebebiyle takip
edilen, kardiyak tamponad sebebiyle perikardiyosentez yapılan ve sonraki ikinci
saatte dispne, akut pulmoner ödem ve kardiyak arrest gelişen olguyu sunduk. PDS
patofizyolojisinde etkili mekanizmalar ve olası tedavi literatür bağlamında
gözden geçirildi.

References

  • 1. Karamichalis JM, Gursky A, Valaulikar G, Pate JW, Weiman DS. Acute pulmonary edema after pericardial drainage for cardiac tamponade. Ann Thorac Surg 2009;88:675-7.
  • 2. Angouras DC, Dosios T. Pericardial decompression syndrome: a term for a well-defined but rather underreported complication of pericardial drainage. Ann Thorac Surg 2010;89:1702-3.
  • 3. Dosios T, Theakos N, Angouras D, Asimacopoulos P. Risk factors affecting the survival of patients with pericardial effusion submitted to subxiphoid pericardiostomy. Chest 2003;124:242-6.
  • 4. Pradhan R, Okabe T, Yoshida K, Angouras DC, DeCaro MV, Marhefka GD. Patient characteristics and predictors of mortality associated with pericardial decompression syndrome: a comprehensive analysis of published cases. Eur Heart J Acute Cardiovasc Care 2015;4:113-20.
  • 5. Wolfe MW, Edelman ER. Transient systolic dysfunction after relief of cardiac tamponade. Ann Intern Med 1993;119:42-4.
  • 6. Skalidis EI, Kochiadakis GE, Chrysostomakis SI, Igoumenidis NE, Manios EG, Vardas PE. Effect of pericardial pressure on human coronary circulation. Chest 2000;117:910-2.
  • 7. Basmaji SG, Peretz-Larochelle M, Bernier ML. Pericardial decompression syndrome: A rare and potentially dramatic complication of pericardiocentesis. Int J Cardiol 2015;178:297-8.
  • 8. Vandyke Jr WH, Cure J, Chakko CS, Gheorghiade M. Pulmonary edema after pericardiocentesis for cardiac tamponade. N Engl J Med 1983;309:595-6.
  • 9. Konstam MA, Levine HJ. Pulmonary edema after pericardiocentesis. N Engl J Med 1984;310:391.
There are 9 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Reports
Authors

Gamze Babur Güler This is me

Ekrem Güler

Gültekin Günhan Demir This is me

Hacı Murat Güneş This is me

Publication Date December 3, 2017
Published in Issue Year 2017 Volume: 20 Issue: 3

Cite

Vancouver Babur Güler G, Güler E, Günhan Demir G, Güneş HM. Pericardial Decompression Syndrome: an Uncommon But Dangerous Complication After Successful Pericardiocentesis. Koşuyolu Heart Journal. 2017;20(3):253-5.