“The Allure of the Pericardial Space: How To Get There and What To Do”

Cardiac tamponade is a pericardial syndrome characterized by compression of the heart by the exudate accumulating within the pericardial space and impairing diastolic filling and cardiac output. Pericardial diseases of any aetiology but also haemorrhage during interventional procedures may cause tamponade. If pericardial effusion accumulates slowly, 2000 mL or more could be tolerated (unless precipitated by dehydration, loop diuretics, vasodilators, anticoagulants, or thrombolytics), but acute accumulation of more than 250 mL is fatal.

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Gaining access to the pericardial space

The American Journal of Cardiology ◽

10.1016/s0002-9149(02)02426-8 ◽

2002 ◽

Vol 90 (2) ◽

pp. 203-204 ◽

Cited By ~ 14

Author(s):

Eduardo Sosa ◽

Mauricio Scanavacca ◽

André d’Avila

Keyword(s):

Pericardial Space

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Transvenous Access to the Pericardial Space: An Approach to Epicardial Lead Implantation for Cardiac Resynchronization Therapy

Pacing and Clinical Electrophysiology ◽

10.1111/j.1540-8159.2005.00236.x ◽

2005 ◽

Vol 28 (10) ◽

pp. 1018-1024 ◽

Cited By ~ 14

Author(s):

STEVEN R. MICKELSEN ◽

HIROSHI ASHIKAGA ◽

RANIL DESILVA ◽

AMISH N. RAVAL ◽

ELLIOT MCVEIGH ◽

...

Keyword(s):

Cardiac Resynchronization Therapy ◽

Cardiac Resynchronization ◽

Resynchronization Therapy ◽

Pericardial Space ◽

Epicardial Lead

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Haemostasis with fibrin glue injection into the pericardial space for right ventricular perforation caused by an iatrogenic procedural complication

BMJ Case Reports ◽

10.1136/bcr-2016-215383 ◽

2016 ◽

pp. bcr2016215383 ◽

Cited By ~ 2

Author(s):

Hirofumi Arai ◽

Takamichi Miyamoto ◽

Nobuhiro Hara ◽

Tohru Obayashi

Keyword(s):

Right Ventricular ◽

Fibrin Glue ◽

Pericardial Space ◽

Procedural Complication ◽

Glue Injection

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Successful thoracic duct embolisation in a child with recurrent massive pericardial effusion diagnosed as a lymphatic anomaly

Cardiology in the Young ◽

10.1017/s1047951120000323 ◽

2020 ◽

Vol 30 (4) ◽

pp. 571-573

Author(s):

Jue Seong Lee ◽

Mi Kyoung Song ◽

Saebeom Hur

Keyword(s):

Magnetic Resonance ◽

Pericardial Effusion ◽

Thoracic Duct ◽

Unusual Case ◽

Pericardial Space ◽

Thoracic Level ◽

Collateral Vessels ◽

Upper Thoracic ◽

Pulmonary Lymphangiectasia ◽

Recurrent Pericardial Effusion

AbstractA 29-month-old girl had idiopathic massive pericardial effusion for over 6 months. Lymphangiography was performed for chronic and recurrent pericardial effusion and pulmonary lymphangiectasia, suspected based on CT findings. Magnetic resonance lymphangiography revealed chylolymphatic reflux from a tortuously dilated thoracic duct in the mediastinum to the pericardial space, suggesting primary chylopericardium with lymphangiectasia. Pericardial effusion resolved immediately after thoracic duct embolisation at the lower thoracic level. However, pericardial effusion recurred after 5 months, which resolved after additional embolisation of the abnormal lymphatic collateral vessels from the remnant upper thoracic duct. Here, we report an unusual case with chylous massive pericardial effusion diagnosed by magnetic resonance lymphangiography and treated with percutaneous embolisation.

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