Phenomenon of Pericardial Sluice Gates-Juniper Publishers


Introduction

A 70-year-old male with arterial hypertension presented to the emergency department with a 3-week history of chest pain. An urgent echocardiography revealed a severe pericardial effusion with cardiac tamponade. Emergent pericardiocentesis is performed obtaining a hematic fluid. Both cardiac rupture and ascending aortic dissection were discarded by contrast echocardiography and thoracic aorta angiography respectively. Biochemical analysis showed a hematic fluid with normal microbiological results. Cytology analysis of the pericardial fluid presented abundant cellularity constituted by reactive mesothelium (exuberant mesothelium) and moderate acute infiltrate. CEA and CA 15.3 were high, with negative virus serology and normal autoimmunity tests. There was no evidence of tumor pathology in thoracoabdominal CT. The patient progressed favorably, but after drainage removal, a new pericardial effusion was observed, with a maximum of 21mm located at the wall of the right ventricle with abundant fibrin tracts linking some parietal and visceral pericardium points (Figure 1) (Panel A). Both pulsed (Panel C) and color doppler echocardiography revealed a striking intrapericardial flow at the level of the fibrin tracts simulating a possible cardiac rupture that was discarded by a new contrast echocardiography (Panel B), and probably related to the pressure differential generated on both sides of the fibrin tract by the transmission of the cardiac chambers (that we have named phenomenon of pericardial sluice gates or pseudo-valve).

For more Open Access Journals in Juniper Publishers please click on: https://juniperpublishers.com/open-access.php

For more articles in Open Access Journal of Cardiology & Cardiovascular Therapy please click on: https://juniperpublishers.com/jocct/index.php

Comments

Post a Comment

Popular posts from this blog

Juniper Publishers trusted open access platform

Juniper Publishers: A Trusted Open Access Platform Introduction In the rapidly evolving world of academic publishing, open access platforms have become essential in promoting global knowledge sharing. Juniper Publishers positions itself as a trusted open access publisher , offering a broad range of scientific and medical journals. It aims to provide a transparent, accessible, and ethical platform for researchers, scholars, and practitioners to disseminate their work worldwide. 1. Open Access for Global Reach Juniper Publishers follows the open access publishing model , meaning that all published content is freely accessible without any subscription barriers. This ensures: Greater visibility and citation potential for authors Easy access for researchers, educators, and policymakers Enhanced collaboration across institutions and borders The platform enables global readers to stay updated with current scientific developments. 2. Diverse Portfolio of Jour...
Read more

Physical Condition for the Coronary Artery Disease Patients-Juniper Publishers

Image
JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Keywords: Aerobic exercise; Cardiac output; Maximal oxygen uptake Coronary Artery Disease Considerations A systematic review estimated that inactivity is responsible for 6% of the burden of disease from coronary heart disease worldwide [1]. CAD influence on work capacity and physical performance has been widely investigated. Myocardial functional changes include declines in maximum heart rate, stroke volume, left ventricular contractility and an increase in peripheral vascular resistance. Oxygen demand and supply for the Myocardium are normally balanced. Oxygen demand above quiescent needs of the Myocardium is determined by number of factors: Heart rate-the greater the frequency of contractions, the greater the oxygen demand. Myocardial wall tension is a function of both left ventricular systolic pressure and the ventricular radius [2]. The contractility of the heart-relates to the ...
Read more

Case Report of Cardiac Mass in an Infant-Juniper Publishers

Image
JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Cardiac tumors can be benign or malignant. Primary cardiac tumors are rare in paediatric practice with a prevalence of 0.0017 to 0.28 in autopsy series. In contrast, the incidence of cardiac tumors during fetal life has been reported to be approximately 0.14%. We are presenting a case of an infant born in good condition with three intra-cardiac masses in which two of them attached to each other adjacent to RVOT. The Case Baby of S.R. born at term 37 gestational weeks, maternal age 32 years old, maternal screen for (HIV, HBV, Syph, GBS) were negative. Fetal scanning showed intra-cardiac echogenic foci at the level of AV junction. He born with good apgars 8/9/9 at 1/5/10 minutes. On examination He looks comfortable in himself, active, well perfused, no distress, precordium looks normal. CVS: S1 normal +S2 splitted, can hear addition...
Read more