Recurrent pericardial effusion due to retained cardiac pellets: a case report and review of the literature
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Dosyalar
Tarih
2003
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer-Verlag
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
A 52-year-old man presented with severe dyspnea 6 months after a thoracic firearm injury. Many pellets distributed in the thoracic wall and an enlarged cardiac silhouette were detected on chest X-ray. There was low voltage in all 12 leads and electrical alternans on electrocardiography. Echocardiography showed a massive pericardial effusion causing cardiac tamponade. Pericardial drainage was performed and 2400cc of hemorrhagic fluid was drained using a sheath and pigtail catheter. Coronary arteries were evaluated as normal by angiography, but four pellets which were moving simultaneously within the heart were detected on cardiac fluoroscopy. We thought that the recurrent pericardial effusion in our patient was secondary to pericardial damage due to the gunshot wound, as is seen in post-pericardiotomy syndrome. An excellent result was achieved by drainage of the pericardial fluid and oral administration of indomethacin plus prednisolone treatment.
Açıklama
Anahtar Kelimeler
Pericardial Effusion, Retained Cardiac Pellets
Kaynak
Heart And Vessels
WoS Q Değeri
Q4
Scopus Q Değeri
Q2
Cilt
18
Sayı
1
