Case reportAcute Pulmonary Edema After Pericardial Drainage for Cardiac Tamponade
Section snippets
Comment
Acute pulmonary edema after pericardiocentesis for cardiac tamponade is an unusual complication [1, 2, 3, 4, 5]. It was first described in 1983 by Vandyke and colleagues [6], who hypothesized that left ventricular dysfunction after pericardiocentesis for chronic tamponade may be related to acute hemodynamic changes from interventricular volume mismatch in the setting of elevated systemic vascular resistance and tachycardia. The initial left ventricular response is characterized by optimization
References (7)
- et al.
Pulmonary edema following pericardiotomy for cardiac tamponade
Chest
(1984) - et al.
Non-cardiogenic pulmonary edema after pericardial drainage for cardiac tamponade
Chest
(1988) - et al.
Acute pulmonary edema following pericardiocentesis for cardiac tamponade
Can J Cardiol
(2007)
Cited by (20)
Pericardial Decompression Syndrome After Drainage of Chronic Pericardial Effusions
2022, JACC: Case ReportsPericardial tamponade: A comprehensive emergency medicine and echocardiography review
2022, American Journal of Emergency MedicineCitation Excerpt :As aspiration continues, the pericardial fluid should be drained slowly. Though more often associated with surgical drainage, a rapid evacuation of > 1 L of fluid can lead to pericardial decompression syndrome [8,184,208-212]. With a mortality of 29% in 35 cases found between 1983-2013 [208], this condition manifests immediately or up to within 48 hours as cardiogenic pulmonary edema and left-, right-, or biventricular heart failure.
Acute Right Ventricular Failure After Surgical Drainage of Pericardial Tamponade: A Case Report of Pericardial Decompression Syndrome and Review of the Literature
2019, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :This clinical syndrome was first described by Vandyke et al in 1983 referring to a case of acute pulmonary edema following pericardiocentesis for cardiac tamponade.2 The term “pericardial decompression syndrome” was not used until 2010 in a publication by Angouras responding to a case report of a young woman with fatal pulmonary edema and hemodynamic collapse after a subxiphoid decompression of a pericardial effusion.3,6 Prior to this, there had been multiple reports with varying descriptions of cardiovascular decompensation, but not having enough in common to support the existence of such a syndrome; terms such as paradoxical hemodynamic instability and postoperative low cardiac output syndrome also have been used to describe similar phenomena.7–9
Pericardial decompression syndrome: A rare entity
2016, Revista Colombiana de CardiologiaManagement of cardiac tamponade after cardiac surgery
2012, Journal of Cardiothoracic and Vascular AnesthesiaCitation Excerpt :Pericardiocentesis may be associated with a variety of complications, including laceration of the right ventricle or a coronary artery, arrhythmias, pneumothorax, and acute respiratory distress syndrome. Postpericardiocentesis acute left ventricular failure, pulmonary edema, and cardiogenic shock have been reported.77-81 In conclusion, anesthesiologists who manage surgical pericardial drainage of a cardiac tamponade face an unstable hemodynamic situation resulting from abnormal ventricular filling and the consequent reduction in systolic volume.
Reply
2010, Annals of Thoracic Surgery