scholarly journals Benign Pericardial Hemangioma—A Rare Cause of Cardiac Tamponade

2021 ◽  
Vol 31 (03) ◽  
pp. 754-757
Author(s):  
Dhanya Jacob ◽  
Thara Pratap ◽  
Anand Kumar ◽  
Rashmi R. ◽  
Vishnu A. K.
Keyword(s):  
Computed Tomography ◽  
Chest Pain ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Pain Severity ◽  
Atypical Chest Pain ◽  
Secondary Tumors ◽  
Life Threatening ◽  
Primary Neoplasms ◽  
Threatening Situation

AbstractPericardial tumors are very rare. It can be primary or secondary, of which secondary tumors are more common. Pericardial hemangiomas are extremely rare primary neoplasms and there are only very few cases published in the literature. These patients can be asymptomatic. When symptomatic, they present with dyspnea, palpitation, or atypical chest pain. Severity of symptoms depends on the size and location of the tumor. Pericardial effusion with features of cardiac tamponade can lead to a life-threatening situation. Here, we report a case of pericardial hemangioma in a patient who presented with breathlessness and tamponade which was diagnosed preoperatively with computed tomography.

scholarly journals Polyserositis: An Extremely Rare Life-Threatening Manifestation of Pheochromocytoma

2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Maryam Heidarpour ◽  
Mohammad Ali Haghighatpanah ◽  
Hassan Rezvanian ◽  
Motahare Yadegarfar ◽  
Amir Mohammad Mozafari ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Cardiac Tamponade ◽  
Adrenal Mass ◽  
Vital Signs ◽  
Abdominal Computed Tomography ◽  
Life Threatening

The pericardium is an uncommon site for manifestation of pheochromocytoma. Herein, the case of a 57-year-old man with cardiac tamponade is presented. Pericardiocentesis was performed, and the vital signs were stabilized afterwards. An abdominal computed tomography (CT) scan illustrated a nonhomogeneous right adrenal mass suspicious of pheochromocytoma, planned for right adrenalectomy. He recovered well after surgery, and his subsequent follow-ups did not reveal any complications.

scholarly journals A Rare Coincidence of Two Coronary Anomalies in an Adult

2010 ◽  
Vol 2010 ◽  
pp. 1-4 ◽  
Author(s):  
Cesar Cruz ◽  
Dalton Mclean ◽  
Matthew Janik ◽  
Paolo Raggi ◽  
A. Maziar Zafari
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Chest Pain ◽  
Coronary Angiography ◽  
Coronary Arteries ◽  
Coronary Anomalies ◽  
Left Main ◽  
Atypical Chest Pain ◽  
Selective Coronary Angiography ◽  
Type Iv

Anomalous right-sided left main coronary arteries and dual type IV left anterior descending arteries are rare coronary anomalies. In this case report, we present a 59 year old man with atypical chest pain and a combination of the above coronary anomalies as identified by selective coronary angiography and computed tomography angiography. To the best of our knowledge, the coincidence of these coronary anomalies has not been previously described.

Symptoms of massive cardiac tamponade during support of biventricular assist device

2018 ◽  
Vol 41 (5) ◽  
pp. 245-246
Author(s):  
Mosab Al Shakaki ◽  
Angelo M Dell’Aquila ◽  
Andreas Rukosujew
Keyword(s):  
Computed Tomography ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Ventricular Assist Device ◽  
Clinical Symptoms ◽  
Hemodynamic Instability ◽  
Computed Tomography Scan ◽  
Assist Device ◽  
Ventricular Assist ◽  
Tomography Scan

Typical symptoms of cardiac tamponade are jugular venous distension, pulsus paradoxus, hypotension, and rest dyspnea. However, these clinical symptoms can be masked in patients with ventricular assist device and even more in patients supported with a biventricular-HeartWare ventricular assist device. Hereby, we report the case of a 30-year-old man supported with a biventricular-HeartWare ventricular assist device, who underwent a computed tomography scan due to suspect of ventricular assist device thrombosis. In the first scan, no pericardial effusion could be detected; however, a flow-limiting formation suggestive of a thrombus was localized in the outflow graft of the right ventricular assist device immediately before the anastomosis with pulmonary artery. Lysis therapy was initiated. On the same day, two episodes of sustained ventricular tachycardia and ventricular fibrillation without hemodynamic instability had to be promptly treated with antiarrhythmic drugs and electrical defibrillations. On the same day, a second computed tomography scan showed a massive pericardial effusion that required an emergency resternotomy.

Gastropericardial fistula: A rare etiology of chest pain

2017 ◽  
Vol 25 (2) ◽  
pp. 106-109
Author(s):  
Amine Ghalem ◽  
Mehdi Berrajaa ◽  
Kamal Ahsayan ◽  
Mohammed Aabdi ◽  
Imane Boutahar ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Chest Pain ◽  
Wedge Resection ◽  
Unusual Condition ◽  
Gastropericardial Fistula ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of ◽  
Esophagogastric Surgery

Gastropericardial fistula is an abnormal communication between the stomach and the pericardium. It is a rare, life-threatening condition that has numerous etiologies. We report the case of a 53-year-old male patient, with a history of wedge resection for gastrointestinal stromal tumor, who presented to the emergency department for epigastric and chest pain along with lethargy leading to the uncommon diagnosis of gastropericardial fistula with pneumopericardium. Through this case, we would like to draw clinicians’ attention to gastropericardial fistula as a differential diagnosis in patients presenting for epigastric and/or chest pain with a history of esophagogastric surgery, emphasizing on the key role of computed tomography in this regard, and underscore the management basics of this unusual condition.

scholarly journals An Unusual Cause of Cardiac Tamponade during Cardiac Catheterization Study

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Deepanwita Das ◽  
Monalisa Datta ◽  
Somnath Dey ◽  
Jyotiranjan Parida ◽  
Rupesh Kumar ◽  
...  
Keyword(s):  
Cardiac Tamponade ◽  
Coronary Vessels ◽  
Study Patient ◽  
Spontaneous Respiration ◽  
Pericardial Cavity ◽  
Therapeutic Procedures ◽  
Life Threatening ◽  
Threatening Situation ◽  
Continuous Bleeding ◽  
Tamponade Effect

Introduction.Catheter-based diagnostic and therapeutic procedures are rapidly advancing. However, catheter related complications sometimes become life threatening. Cardiac tamponade is a rare but serious complication of this procedure. We have summarized one cardiac tamponade pejoration due to secondary coronary vessels laceration by the implanted pericardial drainage.Case report. A 4-year-old baby having Tetralogy of Fallot was posted for diagnostic catheterization study. Patient was induced with sevoflurane and spontaneous respiration was maintained. After catheter insertion to RV, dye was injected through the catheter which rapidly spread into the pericardial cavity indicating right ventricle perforation. Immediately, blood was aspirated under transthoracic echocardiographic guidance and hemodynamics started improving. For the provision of quick access to aspirate further collection, an intrapericardial sheath was inserted after multiple attempts. Patient’s condition started deteriorating again. TTE revealed again some collection and it was increasing gradually. On exploration, it was found that there was continuous bleeding from a lacerated epicardial vessel which contributed to the pericardial collection leading to further tamponade effect. This second iatrogenic injury complicated the management of the first iatrogenic cardiac perforation and, thereby, created a life-threatening situation which needed immediate surgical exploration.Discussion. Usual cause of tamponade after right ventricular perforation is bleeding from the RV, but in our case the second tamponade was not due to bleeding from the RV, but was rather from new laceration injury of epicardial vessels which was remained undiagnosed till exploration.

scholarly journals Morganella morganiiPericarditis in a Patient with Multiple Myeloma

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Takafumi Nakao ◽  
Masahiro Yoshida ◽  
Hiroshi Kanashima ◽  
Takahisa Yamane
Keyword(s):  
Computed Tomography ◽  
Multiple Myeloma ◽  
Chest Pain ◽  
Pericardial Effusion ◽  
Antibiotic Therapy ◽  
Pericardial Fluid ◽  
Purulent Pericarditis ◽  
Immunocompromised Patients ◽  
Surgical Drainage ◽  
Morganella Morganii

Purulent pericarditis caused byMorganella morganiiis extremely rare. We report herein a case of a 61-year-old man who presented with chest pain and dyspnea fourteen days after chemotherapy for multiple myeloma. Echocardiogram and computed tomography revealed a massive pericardial effusion and associated cardiac tamponade. Pericardiocentesis was performed. Pericardial fluid was found to be purulent, andMorganella morganiiwas isolated from the fluid. The patient was successfully treated with antibiotic therapy and surgical drainage of the fluid.Morganella morganiishould be considered a possible pathogen when immunocompromised patients develop purulent pericarditis.

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