• Title/Summary/Keyword: pericardial effusion

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Medistinal Teratoma with Pleural and Pericardial Effusion Teratoma with Pleural and Pericardial Effusion (늑막 삼출 및 심막 삼출을 동반한 종격동 기형종)

  • Jeon, Yang-Bin;Sohn, Sang-Tae;Chun, Sun-Ho;Chung, Won-Sang;Kim, Young-Hak;Kim, Hyuk;Kang, Jung-Ho;Jee, Haeng-Ok
    • Journal of Chest Surgery
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    • v.31 no.4
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    • pp.436-439
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    • 1998
  • Mediastinal teratoma is a tumor that thoracic surgeons made an operation much less commonly than other mediastinal masses and most of them are asymptomatic. But very rarely, this tumor invades the pleura and pericardium resulting in pleural effusion, pericardial effusion and cardiac tamponade in severe cases. The mechanism of invasion and perforation of the tumor is unknown and tumor-consisting tissue factor is suspected of a cause. In this case, we operated on a patient whose anterior mediastinal teratoma invaded and perforated pericardium and pleura resulting in pericardial effusion and pleural effusion. The patient was improved and discharged with no problem after resection of mass and involved pericardium.

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A Case of Steroid-responsive Pericardial Effusion as an Initial Manifestation of Childhood Systemic Lupus Erythematosus (심낭삼출로 발병하여 스테로이드 단독치료로 호전된 소아 전신성 홍반성 낭창 1례)

  • Lee Jin-Seok;Ha Tae-Sun
    • Childhood Kidney Diseases
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    • v.8 no.1
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    • pp.80-85
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    • 2004
  • The systemic lupus erythematosus(SLE) is a systemic inflammatory disease caused by autoimmune mechanism, involving blood cells, the kidney, the central nervous system, and etc. The heart is one of the frequently involved organs but it is rare as an initial manifestation. Therefore, early suspicion and accurate diagnosis followed by aggressive immunosuppressive therapy including corticosteroid is mandatory for heart-involved patients. We experienced a case of pericardial effusion as an initial manifestation of childhood SLE, which showed immediate response to corticosteroid.

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Pericardial effusion in three cases of anorexia nervosa (심장막삼출을 동반한 신경성 식욕부진 3예)

  • Cho, Young Kuk;Yang, Su Jin;Ma, Jae Sook
    • Clinical and Experimental Pediatrics
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    • v.51 no.2
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    • pp.209-213
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    • 2008
  • In young adolescent girls, anorexia nervosa is a significant cause of weight loss, and hospital admissions among children and adolescents. Anorexia nervosa is a life-threatening disorder, with about one-third of deaths caused by cardiac complications. A high rate of pericardial effusion has been recently reported in patients with anorexia nervosa, although relatively few cases require pericardiocentesis. Here, we describe three patients with anorexia nervosa who were diagnosed with large pericardial effusions. To prevent cardiac tamponade, pericardiocentesis was performed in two girls.

Pericardial mesothelioma in a dog with lymph node metastasis and chylothorax (개에서 림프절 전이와 유미흉을 동반한 심낭막 중피종 증례 보고)

  • Lee, Jeong-Ha;Lee, Su-Hyung;Go, Du-Min;Kim, Dae-Yong
    • Korean Journal of Veterinary Research
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    • v.56 no.4
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    • pp.273-276
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    • 2016
  • Pericardial mesothelioma is a rare neoplasm in dogs. This report describes a case of pericardial mesothelioma in a 13-year-old Shih Tzu that presented with a clinical history of dyspnea. Hemorrhagic pericardial effusion and chylous pleural effusion with reactive mesothelial cells were identified by radiograph and cytology. Necropsy revealed multiple round nodules throughout the pericardium and regional lymph nodes in addition to chylothorax. Histopathology revealed invasive neoplasm on the pericardial surface with metastasis to the lymph nodes. The neoplastic cells were immunopositive to both cytokeratin and vimentin. Diagnosis of pericardial mesothelioma with regional lymph node metastasis was made.

Clinical Experience of Acute Pericarditis with Effusion (삼출액을 동반한 급성심낭염의 임상적 고찰)

  • Park, K.;Yoo, J.S.;Kim, Y.H.;Jo, K.D.;Park, J.K.;Wang, Y.P.;Kim, S.W.;Lee, H.K
    • Journal of Chest Surgery
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    • v.24 no.2
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    • pp.190-196
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    • 1991
  • Clinical experience of 48 acute pericarditis with effusion was reviewed and presented. There were 28 male and 20 female patients ranging from 3 years to 77 years old. Malignant effusion; Twenty patients had underlying malignancy. These etiologies were lung ca[8 patients, 40%], breast ca[7 patients 35%], lymphoma[2 patients, 10%], esophageal ca[1 patients, 5%], stomach ca[1 patient, 5%], ovarian ca[1 patient, 5%]. Uremic effusion; 15 patients with renal failure required surgical intervention. Traumatic effusion; 7 patients had traumatic pericarditis. These etiologies were stab wound [5 patients, 71.4%] and aspiration[2 patients, 28.6%]. Pyogenic effusion: 6 patients had pyogenic pericarditis. These etiologies were empyema thoracis[3 patients, 50%], liver abscess[2 patients, 33.3%], pneumonia[1 patient, 16.7%]. The patients were treated by pericardiocentesis, subxiphoid tube drainage, pericardiectomy: 4 of them underwent pericardiocentesis; 37, subxiphoid tube drainage; 5, pericardiectomy. We conclude that subxiphoid tube pericardial drainage was effective for treatment of pericardial effusion.

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Primary Rhabdomyosarcoma of the Right Atrium -A Case Report- (원발성 우심방 횡문 근육종 -1례 보고-)

  • 안정태
    • Journal of Chest Surgery
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    • v.28 no.4
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    • pp.412-415
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    • 1995
  • Primary cardiac tumors are extremely rare and about 20-25% of primary cardiac tumors are malignant. Recently we have experienced a case of primary cardiac rhabdomyosarcoma originated on the right atrial wall. Patient was 41 years-old women and chief complaints were pitting edema and exertional dyspnea. Emergency operation was performed to relieve symptoms by pericardial effusion that hac been seen on the echocardiogram and large soft mass in right atrial cavity on the MRI. About 700ml amounts of bloody pericardial effusion was collected into the pericardial cavity. 4X5X5 cm sized ingrowing soft mass in the right atrial cavity and two small sized outgrowing masses were inspected. A tumor was invaded into the SA node and superior limbic portion of fossa ovalis. And then mass & right atrial free wall was resected but areas of SA node and fossa ovalis were not resected. Defect of right atrial wall was reconstruced with bovine patch. She was discharged after 2 weeks without any problems and she has been treated with chemotherapy.

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Penetrating Cardiac Injury and Traumatic Pericardial Effusion Caused by a Nail Gun

  • Miranda, Willem Guillermo Calderon;Fuentes, Edgardo Jimenez;Hernandez, Nidia Escobar;Salazar, Luis Rafael Moscote;Parizel, Paul M.
    • Journal of Trauma and Injury
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    • v.30 no.1
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    • pp.21-23
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    • 2017
  • Penetrating cardiac injury caused by nail gun is an uncommon life-threatening condition characterized by a rapidly severe hemodynamic status compromise. We report non-contrast-enhanced CT findings of a right ventricle myocardium injury leading to a fluid collection in the pericardial space with the same attenuation as blood. The CT findings well depicted the pathological feature of a significant cardiac injury and may be helpful for the surgical management.

Right Atrial Angiosarcoma -One Case Rreport- (우심방 맥관육종 -1례 보고-)

  • 박진상
    • Journal of Chest Surgery
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    • v.28 no.7
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    • pp.713-716
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    • 1995
  • A 75-year-old man was admitted to the hospital because of a pericardial effusion.After 3 L of blood-stained pericardial fluid was drained, clinical examination together with echocardiography and chest computed tomography showed a tumor in the right atrium. At operation a pedunculated vascular tumor was found with a broad base which was embedded in the atrial wall and extended into the pericardium.A wide resection was performed resulting in a large defect of the right atrial wall. The defect was reconstructed with a pericardial patch. The patient did well postoperatively, but bloody pleural effusion developed later, presumably because of pulmonary metastasis. The patient died 2 months after surgery as a result of respiratory failure.

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