Etiology, management, and outcome of pediatric pericardial effusions

Pediatric Cardiology
B KühnR E Breitbart

Abstract

The objective of this study was to determine the contemporary etiologies, treatment, and outcomes of moderate and large pericardial effusions in pediatric patients. We reviewed pediatric patients with moderate or large effusions diagnosed at Children's Hospital Boston. Effusion size was determined in offline review of echocardiograms. One hundred sixteen patients with moderate or large pericardial effusions were identified. The age range was 1 day to 17.8 years (median 8.6). The size of the pericardial effusions ranged from 0.5 to 4.7 cm (median 2.1). Neoplastic disease was present in 39% of patients, collagen vascular disease in 9%, renal disease in 8%, bacterial infection in 3%, and human immunodeficiency virus (HIV) in 2%; 37% were idiopathic. Pericardial drainage procedures were performed in 47 patients (41%). Of these, 29 (63%) had recurrent effusions leading to repeat drainage in 12 (41%). Pericardial effusions resolved within 3 months in 83% of patients who underwent drainage and in 91% of patients who did not. In summary, pediatric pericardial effusions were rarely caused by bacterial infections in this study population and were more frequently idiopathic or associated with neoplastic disease. Pericardial effusions ofte...Continue Reading

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Citations

Jul 1, 2009·Cardiology in the Young·Rowan F Walsh, Devyani Chowdhury
Mar 5, 2010·Paediatric Anaesthesia·Gregory J Latham, Robert S Greenberg
Nov 9, 2014·Journal of the American Heart Association·Divya ShaktiJane W Newburger
Dec 20, 2018·Pediatrics International : Official Journal of the Japan Pediatric Society·Atsuhiko HandaAtsushi Manabe
Apr 27, 2018·Pediatric Emergency Care·Matthew CullyOlivia M Titus
Nov 26, 2010·Current Opinion in Pediatrics·Stephen HawkinsAnthony C McCanta
Dec 12, 2018·International Journal of Pediatrics·Nahed Abdel-HaqBasim I Asmar
Dec 18, 2010·Journal of the American Animal Hospital Association·Suzanne M Dempsey, Patty J Ewing
Dec 22, 2020·Journal of Tropical Pediatrics·Rahul MalgopeMalay Kumar Sinha
Oct 12, 2020·International Journal of Surgery Case Reports·Agnieszka WójcikPiotr Weryński
Dec 15, 2020·Annals of Pediatric Cardiology·Anika AgrawalRomit Saxena
Jul 10, 2021·Frontiers in Pediatrics·Paulina Lubocka, Robert Sabiniewicz
Sep 1, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Marwa M ElgendyMohamed A Mohamed

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