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Showing posts with the label Pericardial effusion

Recurrent Large Pericardial Effusion and Tamponade in a Young Patient with Erdheim Chester Syndrome: A Case Report and Review of the Syndrome-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract In this report, we present a case of young male with Erdheim Chester Syndrome, who presented with dyspnea due to recurrent large pericardial effusion and impending tamponade. The patient underwent percutaneous pericardiocentesis and started on steroid, interferon alpha and immunosuppressive treatment with subjective improvement of his symptoms and rate of pericardial fluid re accumulation. This report will give an updated review of the syndrome. Introduction Erdheim Chester Disease (ECD) is a Non- Langerhans histiocytic disorder without a clear cut etiology [ 1 , 2 ]. Non- Langerhans histiocytic disorders are named as such due to the fact that the disorder or the cells affected are derived from cells otherthan that of Langerhans- typically of monocytic/ macrophagic origin [ 3 ]. Erdheim Chester Disease causes inflammation followed by invasion and ...

Percutaneous Left Atrium Appendage Closure as an Option for Systemic Anticoagulation: Success and Safety Outcomes by a Review Series Analysis-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Objective: To perform a review series about percutaneous LAA closure, evaluating the initial case series and their success and safety outcomes. Methods: A systematic review with standard protocols recommended by PRISMA was performed. We reviewed relevant studies and the absolute numbers of events for each outcome of interest in every study were obtained. RevMan statistical software program was used to synthesize the results. Dichotomous outcomes data were measured and reported as the odds ratio (OR) with their 95% confidence intervals. Heterogeneity across studies was examined with the Cochrane's Q statistic (based on pooled OR) and the I 2 statistic test. Results: Seven studies were included in this analysis, culminating to 1215 patients in the device closure group. The primary outcome studied was ischemic stroke incidence.31 ischemic stroke events occurred in the device ...