Aug 14, 2013

Evaluation of non-surgical causes of cardiac tamponade in children at a cardiac surgery center

Pediatrics International : Official Journal of the Japan Pediatric Society
Erkut OzturkEnder Odemis

Abstract

The aim of this study was to examine the causes of cardiac tamponade in children undergoing percutaneous pericardiocentesis. Patients who presented with other complaints but were diagnosed with cardiac tamponade based on clinical and echocardiographic findings between January 2010 and January 2013 were retrospectively investigated. Electrocardiography, telecardiography and transthoracic echocardiography were performed. Pericardiocentesis was performed percutaneously under continuous blood pressure and rhythm monitoring with echocardiography and fluoroscopy. Pericardial fluid was analyzed on hemography and biochemistry. Fourteen patients (six boys, eight girls; median age, 7 years) underwent pericardiocentesis for cardiac tamponade. At presentation, 78% had dyspnea, 56% chest pain, and 49% fever. All had cardiomegaly, and their cardiothoracic index was 0.56-0.72. Also, all patients had sinus tachycardia; 78%, low QRS voltage; 70%, ST-T changes; and 50% QRS alternans. On echocardiography the widest diameter of pericardial effusion was between 12 mm and 36 mm depth around the heart. The pericardial fluid was purulent in one, serohemorrhagic in seven, serofibrinous in two, and serous in four cases. Pericardiocentesis was unsuccessf...Continue Reading

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Mentioned in this Paper

Pulmonary Arterial Hypertension
Pericardial Fluid
Transthoracic Echocardiography
Hemopericardium
Discipline of Heart Surgery
Etiology
Fluoroscopy
Cardiac Surgery Procedures
Idiopathic Pulmonary Hypertension
Differential Diagnosis

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