scholarly journals Cardiac tamponade due to malignant pericardial effusion in breast cancer: A case report

2016 ◽  
Vol 9 (1) ◽  
pp. 53
Author(s):  
Sultan Mahmud ◽  
Omar Sadeque Khan ◽  
Md. Aftabuddin ◽  
Asit Baran Adhikary
Keyword(s):  
Breast Cancer ◽  
Pericardial Effusion ◽  
Cardiac Tamponade ◽  
Duct Cell ◽  
Pericardial Fluid ◽  
Pericardial Window ◽  
Severe Respiratory Distress ◽  
Malignant Pericardial Effusion ◽  
History Of ◽  
Subxiphoid Pericardial Window

We present a case of 35 years old women who presented to our institution with a history of bilateral infiltrating duct cell carcinoma of breast, chest pain with heaviness, severe respiratory distress and hypotension. Echocardiography revealed massive pericardial effusion with features of cardiac tamponade. The patient was treated with urgent pericardiocentesis followed by subxiphoid pericardial window drainage of 500ml of haemorrhagic pericardial fluid. Cytological examina­tion confirmed the previous suspicious of malignancy. The patient tolerated the procedure very well, immediate sympto­matic relief was observed.

Subxiphoid pericardial window

1970 ◽  
Vol 120 (5) ◽  
pp. 679-680 ◽  
Author(s):  
Larry J. Fontenelle ◽  
Leo Cuello ◽  
Byron N. Dooley
Keyword(s):  
Pericardial Window ◽  
Subxiphoid Pericardial Window

Subxiphoid Pericardial Window in Patients with Suspected Traumatic Pericardial Tamponade

1977 ◽  
Vol 23 (6) ◽  
pp. 545-549 ◽  
Author(s):  
Kit V. Arom ◽  
J. David Richardson ◽  
George Webb ◽  
Frederick L. Grover ◽  
J. Kent Trinkle
Keyword(s):  
Pericardial Tamponade ◽  
Pericardial Window ◽  
Subxiphoid Pericardial Window

scholarly journals Predictors of Positive Subxiphoid Pericardial Window in Stable Patients with Penetrating Injuries to the Precordial Region

2016 ◽  
Vol 5 (1) ◽  
pp. 43-51 ◽  
Author(s):  
Álvaro I Sánchez ◽  
Juan Carlos Puyana ◽  
Alberto F García ◽  
Mauricio Velsquez
Keyword(s):  
Early Recognition ◽  
Clinical Signs ◽  
Trauma Centre ◽  
Clinical Predictors ◽  
Penetrating Injuries ◽  
Pericardial Window ◽  
Patients At Risk ◽  
Subxiphoid Pericardial Window ◽  
Level I ◽  
High Level

ABSTRACT Background Subxiphoid pericardial window (SPW) remains a valuable diagnostic tool for patients at risk of occult cardiac injuries. However, how to select patients that could benefit from this procedure remains unclear. We aimed to identify clinical predictors of positive SPW in patients with penetrating precordial injuries. Materials and methods Prospective data collection of 183 patients who underwent SPW for the exclusion of penetrating cardiac injuries during 2002 – 2004 at a level I trauma centre in Cali, Colombia. Patient's demographics, clinical characteristics, and injury information were obtained. Independent predictors of positive SPW were assessed using stepwise logistic regressions. Results There were 41 positive SPW (22.4%). Unadjusted analyses demonstrated that stab/knife wounds (OR 2.48, 95% CI 1.17–5.25, p = 0.017), single wound (OR 14.61, 95% CI 1.9–110, p = 0.009), and clinical signs of pericardiac tamponade (OR 8.52, 95% CI 3.92–18.4, p < 0.001) were associated with increased odds of positive SPW. Conversely, systolic blood pressure (0.98, 95% CI 0.96–0.99) and stable physiological index (OR 0.31, 95% CI 0.14–0.65, p = 0.002) were associated with decreased odds. In multivariable analyses, signs of pericardiac tamponade (OR 6.37, 95% CI 2.78–14.6, p < 0.001), and single injuries (OR 12.99, 95% CI 1.6–102.7, p = 0.015) remained as independent predictors of positive SPW. Conclusion Emphasis on early recognition of the clinical signs of pericardiac tamponade could be the most important factor for the identification of occult cardiac injuries. Patients with multiple wounds to the precordial region who reached the hospital may not benefit from a SPW. However, high level of awareness is important because the incidence of occult cardiac injuries is not negligible. How to cite this article Sánchez ÁI, García AF, Velásquez M, Puyana JC. Predictors of Positive Subxiphoid Pericardial Window in Stable Patients with Penetrating Injuries to the Precordial Region. Panam J Trauma Crit Care Emerg Surg 2015;4(3):43-51.

Outcomes of Percutaneous Drainage Versus Subxiphoid Pericardial Window for the Treatment of Pericardial Effusions in the Cancer Population

CHEST Journal ◽  
2011 ◽  
Vol 140 (4) ◽  
pp. 835A
Author(s):  
Matthew Bott ◽  
Patrick Wagner ◽  
Robert Spang ◽  
Elizabeth Stillwell ◽  
Eileen McAleer ◽  
...  
Keyword(s):  
Percutaneous Drainage ◽  
Pericardial Window ◽  
Pericardial Effusions ◽  
Subxiphoid Pericardial Window

Subxiphoid pericardial window to exclude occult cardiac injury after penetrating thoracoabdominal trauma

2013 ◽  
Vol 100 (11) ◽  
pp. 1454-1458 ◽  
Author(s):  
M. Hommes ◽  
A. J. Nicol ◽  
J. van der Stok ◽  
I. Kodde ◽  
P. H. Navsaria
Keyword(s):  
Cardiac Injury ◽  
Pericardial Window ◽  
Subxiphoid Pericardial Window

scholarly journals Pericardial window used in the diagnosis of cardiac injury

2008 ◽  
Vol 23 (2) ◽  
pp. 208-215 ◽  
Author(s):  
Gustavo Pereira Fraga ◽  
Juliana Pinho Espínola ◽  
Mario Mantovani
Keyword(s):  
False Positive ◽  
Medical Records ◽  
Single Case ◽  
Cardiac Injury ◽  
Surgical Techniques ◽  
High Sensitivity ◽  
Accuracy Rate ◽  
Pericardial Window ◽  
Subxiphoid Pericardial Window ◽  
Positive Results

PURPOSE: The purpose of the present study is to analyze the results of subxiphoid pericardial window (SPW) and transdiaphragmatic pericardial window (TDP) procedures comparing the two techniques. METHODS: During the period of January, 1994 to December, 2004, at UNICAMP, 245 patients underwent a pericardial window (PW) procedure to evaluate the possibility of cardiac injury. We reviewed the medical records of those patients in order to compare both procedures. RESULTS: Two hundred and seven patients (84.5%) underwent the SPW procedure, and 38 (15.5%) underwent the TDP procedure. Of the patients who underwent a SPW procedure, 151 (72.9%) had gunshots injuries, and 56 (27.1%) had stab wounds. In the group of patients submitted to TDP procedure, the wound was caused by gunshot in 26 (68.4%). The SPW method has shown a sensitivity of 97.5%, specificity of 95.8%, and an accuracy of 96.1%. The TDP method demonstrated a sensitivity of 100%, specificity of 97% and a 97.4% of accuracy rate. This review showed 8 (3.3%) false positive results. There was a single case (2.6%) of complications directly associated to the TDP, and this patient developed pericarditis. CONCLUSIONS: Both techniques presented an equally great result, with high sensitivity and specificity. Both surgical techniques must be carefully done to avoid false positive results.

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