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. 2013;4(4):403-5.
doi: 10.1016/j.ijscr.2013.02.002. Epub 2013 Feb 19.

Pericardial window procedures: Implications on left ventricular function

George Philippakis  1 , Antonios Marinakis, Nikolaos Manoloudakis
Affiliations

Pericardial window procedures: Implications on left ventricular function

George Philippakis et al. Int J Surg Case Rep. 2013.

Abstract

Introduction: Pericardial window procedures are generally designed to relieve pericardial fluid pressure on the heart, in cases of cardiac tamponade, and to restore the hemodynamic stability of the patient. Rarely, however, may acute left ventricular failure develop after creation of a pericardial window.

Presentation of case: We describe a patient in whom that complication developed. We are trying to give an insight to the pathophysiology, existence of potential predisposing factors, as well as to propose therapeutic measures.

Discussion: Acute heart failure, developing after pericardiocentesis or surgical creation of a pericardial window is an unusual complication, with several theories developed to explain that paradox.

Conclusion: Treatment is supportive, but that complication of pericardial window procedures may carry a high mortality rate.

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Figures

Fig. 1
Fig. 1
ECG: deep Q waves are prominent in all the precordial leads.
Fig. 2
Fig. 2
ECG: reappearance of R waves, after left ventricular recovery.
See this image and copyright information in PMC

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