scholarly journals Perforation of the Right Ventricle as a Complication of Pericardiocentesis: A Case report

2016 ◽  
Vol 33 (2) ◽  
pp. 141-147
Author(s):  
Milovan Stojanović ◽  
Bojan Ilić ◽  
Sanja Stojanović ◽  
Stevan Ilić ◽  
Marina Deljanin Ilić
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Pericardial Effusion ◽  
Right Ventricle ◽  
Ultrasound Examination ◽  
Permanent Pacemaker ◽  
Invasive Procedures ◽  
Pericardial Cavity ◽  
Medical Reports ◽  
The Right

Summary Pericardial effusion represents the accumulation of larger amounts of fluid in the pericardial cavity. If not timely diagnosed and adequately treated, it can lead to cardiac tamponade. The treatment of pericardial effusion includes primarily the use of drugs like aspirin, NSAIDs, corticosteroids, and/or colchicine followed by invasive procedures such as pericardiocentesis or pericardiectomy. Pericardiocentesis complications are extremely rare but very serious especially in the case of the rupture of the right ventricle or the coronary arteries. Patient S.V, born in 1938, from Svrljig, was examined because of suffocating and swollen shin. The medical reports showed that the patient previously had had a permanent pacemaker implanted and that he had undergone a triple coronary artery bridging. Medical reports also showed that two months before the examination he was hospitalized due to pericardial effusion at the reference institution. The ultrasonographic examination registered large circular effusion with the motion of the right ventricle and the patient underwent urgent pericardiocentesis. During pericardiocentesis, the rupture of the right ventricle occurred and the patient was sent to the cardiac surgery clinic where he had catheter extraction performed. The control ultrasound examination of the heart showed no pericardial effusion, and no signs of damage to the right ventricle.

scholarly journals Neuromonitoring During Cardiac Surgery in a Patient with Ventriculo-Caval Shunt Migration: Case Report

2021 ◽  
Vol 75 (5) ◽  
pp. 397-402
Author(s):  
Roberts Leibuss ◽  
Inna Babuškina ◽  
Taisija Žeņiļenko ◽  
Kristiāns Meidrops ◽  
Artis Kalniņš ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Right Ventricle ◽  
Increased Intracranial Pressure ◽  
Distal Catheter ◽  
Shunt Implantation ◽  
The Right ◽  
Shunt Migration ◽  
Right Ventricle Failure ◽  
Ventricular Shunting

Abstract Ventricular shunting is a well-recognised and commonly practiced method of reducing increased intracranial pressure in patients with neurologic pathology. There are possible complications related to shunt implantation, where the rarest is intracardiac migration of the distal shunt catheter. We present a case where the distal catheter migrated into the right ventricle, causing extrasystoles and was complicated with acute right ventricle failure during the endovascular shunt evacuation procedure.

scholarly journals Giant Cardiac Hydatid Cyst in Children: Case Report and Review of the Literature

2014 ◽  
Vol 7 ◽  
pp. CCRep.S15862 ◽  
Author(s):  
Leslie Fiengo ◽  
Federico Bucci ◽  
Domenico Giannotti ◽  
Gregorio Patrizi ◽  
Adriano Redler ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Left Ventricle ◽  
Right Ventricle ◽  
Interventricular Septum ◽  
Review Of The Literature ◽  
Asymptomatic Patients ◽  
The Mean ◽  
The Right ◽  
Cardiac Cyst

Cardiac echinococcus is a rare affliction of the heart caused by the tapeworm Echinococcus granulosus. Primary echinococcosis of the heart represents 0.5–2% of all hydatid disease cases in endemic regions. It evolves slowly, explaining its rarity in children. We report the case of a 11-year-old child affected by a giant cardiac cyst of the left ventricle (LV). The patient underwent cardiac surgery and medical treatment. A retrospective review of the current literature was realized. We found 18 cases: the mean age was 11-years old. Nine cysts were localized in the LV, four in the interventricular septum, three in the right ventricle, and two in the right atrium. All underwent surgery except six patients. Routine echocardiographic screening may be useful in endemic regions where infestation is common. Cardiac echinococcus should be diagnosed in the early and uncomplicated stages and be removed surgically even in asymptomatic patients.

scholarly journals P842 The sword in the heart

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
V Scheggi ◽  
T Mariani ◽  
B Alterini
Keyword(s):  
Pericardial Effusion ◽  
Right Ventricle ◽  
Cardiac Biomarkers ◽  
Empiric Antibiotic Therapy ◽  
Surgical Removal ◽  
Recurrent Pericarditis ◽  
Peripheral Vessel ◽  
Pericardial Cavity ◽  
Surgical Extraction ◽  
The Right

Abstract Introduction Needle embolism is a rare complication of intravenous drug abuse which has only been reported on a handful of occasions. Potential sequelae include cardiac perforation, tamponade, infective endocarditis and recurrent pericarditis. We report the case of a young intravenous opiate abuser. Case Report A 23-year-old heroin addicted man presented to the emergency department because of chest pain ensued six months before; the pain was sharp, was relieved by sitting up and leaning forward and increased with coughing, swallowing, deep breathing or lying flat. He complained also fatigue and fever since one month before presentation. Echocardiography revealed non haemodinamic pericardial effusion and pleural effusion, treated with pleural drainage. Three haemocoltures were negative. Cardiac biomarkers were negative. HIV, HBV and HCV sierology was negative. He was treated with cochicine and ibuprofen and empiric antibiotic therapy with initial improvement of symptoms and rapid recurrence of them. After a few weeks an ECG showed widespread concave ST segment elevation and an echocardiogram revealed pericardial effusion relapse. A chest radiograph showed a needle near the right ventricle. The patient underwent computed tomography angiography that was able to localize a needle inside the pericardium. A second echocardiogram confirmed the presence of the fragment in the pericardial cavity, beside the right ventricle. The patient underwent minithoracototomy surgical removal of the needle fragment and of 500 cc of haematic pericardial fluid. Discussion and conclusions The presence of a foreign body in the heart may result from either a direct injury to the heart such as a gunshot injury or from some other embolization to the heart from distal penetration sites (eg, the migration of a catheter or a needle fragment from a peripheral vessel). It may cause fever, recurrent pericarditis and arrhythmia. Surgical extraction in the therapy of choice. Abstract P842 Figure.

scholarly journals The diagnosis of a giant cardiac malignant lymphoma in the right ventricle: a case report

2021 ◽  
Vol 8 (2) ◽  
pp. 1620-1626
Author(s):  
Jiafeng Yu ◽  
Xin Zhao ◽  
Yingfeng Liu ◽  
Qingwei Yan ◽  
Fei Miao
Keyword(s):  
Case Report ◽  
Right Ventricle ◽  
Malignant Lymphoma ◽  
The Right

scholarly journals Venous bullet embolism to the right ventricle: Case report and review of management

2020 ◽  
Author(s):  
Luke Henderson ◽  
Ashley Wachsman ◽  
Joanna Chikwe ◽  
Fardad Esmailian
Keyword(s):  
Case Report ◽  
Right Ventricle ◽  
The Right

CT-Guided Pericardiocentesis

1996 ◽  
Vol 37 (3P2) ◽  
pp. 775-778 ◽  
Author(s):  
O. Duvernoy ◽  
A. Magnusson
Keyword(s):  
Cardiac Surgery ◽  
Pericardial Effusion ◽  
Guide Wire ◽  
Pericardial Fluid ◽  
Good Information ◽  
Indwelling Catheter ◽  
Ct Guided ◽  
Cardiac Apex ◽  
The Right ◽  
Stereotactic Device

Purpose: Pericardial effusion in patients who have recently undergone cardiac surgery is often trapped in compartments. CT of the pericardium provides good information about the distribution of pericardial fluid in the postoperative period after cardiac surgery. Contrary to echocardiography, CT imaging is not affected by postoperative mediastinal emphysema and pain from the wound. A method for CT-guided pericardiocentesis was developed. Material and Methods: CT-guided pericardiocentesis was carried out with a stereotactic device in 10 patients. The pericardium was punctured with a 0.9-mm needle and a 0.46-mm guide wire was introduced through the needle. An indwelling catheter was introduced over the guide wire and was left in the pericardium. Both the subxiphoid and parasternal approaches were used. Results: CT guidance facilitated placement of an indwelling catheter into the pericardial space in positions difficult to reach in patients with postoperative pericardial compartments, i.e. near the right atrium and adjacent to the cardiac apex/left ventricle. Conclusion: CT-guided pericardiocentesis offers a new possibility in patients where fluoroscopically or echocardiographically guided pericardiocentesis is difficult.

scholarly journals Metastatic adenocarcinoma involving the right ventricle and pulmonary artery leading to right heart failure: case report

2017 ◽  
Vol 136 (3) ◽  
pp. 262-265 ◽  
Author(s):  
Turgut Karabag ◽  
Caner Arslan ◽  
Turab Yakisan ◽  
Aziz Vatan ◽  
Duygu Sak
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Pulmonary Artery ◽  
Right Ventricle ◽  
Right Ventricular ◽  
Right Ventricular Outflow Tract ◽  
Right Heart Failure ◽  
Ventricular Outflow Tract ◽  
Right Heart ◽  
The Right

ABSTRACT CONTEXT: Obstruction of the right ventricular outflow tract due to metastatic disease is rare. Clinical recognition of cardiac metastatic tumors is rare and continues to present a diagnostic and therapeutic challenge. CASE REPORT: We present the case of a patient who had severe respiratory insufficiency and whose clinical examinations revealed a giant tumor mass extending from the right ventricle to the pulmonary artery. We discuss the diagnostic and therapeutic options. CONCLUSION: In patients presenting with acute right heart failure, right ventricular masses should be kept in mind. Transthoracic echocardiography appears to be the most easily available, noninvasive, cost-effective and useful technique in making the differential diagnosis.

scholarly journals Nail Penetration Injury of the Right Ventricle: A Case Report

2005 ◽  
Vol 55 (2) ◽  
pp. 151-154
Author(s):  
Yohei Miyamae ◽  
Toru Takahashi ◽  
Yutaka Hasegawa ◽  
Taro Nameki ◽  
Kunihiro Hamada ◽  
...  
Keyword(s):  
Case Report ◽  
Right Ventricle ◽  
The Right
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