Neovascularization in pericarditis: a possible etiology of hemopericardium
Hemorrhagic pericardial effusion is life-threatening and mostly occurs during pericarditis; however, its underlying mechanism is unclear. We report a case of pericardial hematoma with obvious hemorrhage. A 56-year-old man without prior chest trauma presenting with exertional dyspnea and abdominal fu...
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Veröffentlicht in: | General thoracic and cardiovascular surgery 2020-04, Vol.68 (4), p.392-395 |
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creator | Ogura, Hiroki Kimata, Ryutaro Mitta, Shohei Umeda, Etsuji Ishida, Narihiro Shimabukuro, Katsuya Nakashima, Takashi Kanamori, Hiromitsu Kawasaki, Masanori Doi, Kiyoshi |
description | Hemorrhagic pericardial effusion is life-threatening and mostly occurs during pericarditis; however, its underlying mechanism is unclear. We report a case of pericardial hematoma with obvious hemorrhage. A 56-year-old man without prior chest trauma presenting with exertional dyspnea and abdominal fullness was treated for idiopathic pericarditis. The echocardiogram showed a thickened pericardium with effusion. Imaging showed extravasation and neovascularization. Following ineffective pharmacotherapy, we performed pericardiectomy. The site of bleeding was undetectable. Because parietal pericardiectomy with hematoma evacuation did not improve diastolic function, we removed the epicardium. During the follow-up period, the patient remained almost asymptomatic. We identified neovascularization as the potential source of idiopathic pericardial hemorrhage. |
doi_str_mv | 10.1007/s11748-019-01124-4 |
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We report a case of pericardial hematoma with obvious hemorrhage. A 56-year-old man without prior chest trauma presenting with exertional dyspnea and abdominal fullness was treated for idiopathic pericarditis. The echocardiogram showed a thickened pericardium with effusion. Imaging showed extravasation and neovascularization. Following ineffective pharmacotherapy, we performed pericardiectomy. The site of bleeding was undetectable. Because parietal pericardiectomy with hematoma evacuation did not improve diastolic function, we removed the epicardium. During the follow-up period, the patient remained almost asymptomatic. 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We report a case of pericardial hematoma with obvious hemorrhage. A 56-year-old man without prior chest trauma presenting with exertional dyspnea and abdominal fullness was treated for idiopathic pericarditis. The echocardiogram showed a thickened pericardium with effusion. Imaging showed extravasation and neovascularization. Following ineffective pharmacotherapy, we performed pericardiectomy. The site of bleeding was undetectable. Because parietal pericardiectomy with hematoma evacuation did not improve diastolic function, we removed the epicardium. During the follow-up period, the patient remained almost asymptomatic. We identified neovascularization as the potential source of idiopathic pericardial hemorrhage.</description><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Case Report</subject><subject>Catheters</subject><subject>Coronary vessels</subject><subject>Dyspnea</subject><subject>Etiology</subject><subject>Heart attacks</subject><subject>Heart surgery</subject><subject>Hematoma</subject><subject>Hemorrhage</subject><subject>Hyperplasia</subject><subject>Iatrogenesis</subject><subject>Inflammation</subject><subject>Magnetic resonance imaging</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neutrophils</subject><subject>Pericarditis</subject><subject>Pericardium</subject><subject>Surgical Oncology</subject><subject>Thoracic Surgery</subject><subject>Tomography</subject><subject>Trauma</subject><subject>Ultrasonic imaging</subject><issn>1863-6705</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kEtLxDAYRYMozjj6B1xIwY2bah5t0riTwSeDbnQd0vbrmKFtatIK46832nEEFy5CAjnfzc1B6Jjgc4KxuPCEiCSLMZFhEZrEyQ6akoyzmAvCdrdnnE7QgfcrjFOekXQfTRiWPKMcT9HDI9h37Yuh1s586N7YNjJt1IEzhXal6Y2_jHTUWe9NXkMEgajtch3ZKnqFxm7BoTlEe5WuPRxt9hl6ubl-nt_Fi6fb-_nVIi6YlH2sieAlr2RCUyFCEcZ0kVFGyzQHAIlZynGR5xSyglcEkrSiGaal0DzPWSkrNkNnY27n7NsAvleN8QXUtW7BDl5RigVJJSUyoKd_0JUdXBvaKSpJJkIhjgNFR6pw4ZsOKtU502i3VgSrL9NqNK2CafVtWiVh6GQTPeQNlNuRH7UBYCPgw1W7BPf79j-xn5LFiPw</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Ogura, Hiroki</creator><creator>Kimata, Ryutaro</creator><creator>Mitta, Shohei</creator><creator>Umeda, Etsuji</creator><creator>Ishida, Narihiro</creator><creator>Shimabukuro, Katsuya</creator><creator>Nakashima, Takashi</creator><creator>Kanamori, Hiromitsu</creator><creator>Kawasaki, Masanori</creator><creator>Doi, Kiyoshi</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6118-1157</orcidid></search><sort><creationdate>20200401</creationdate><title>Neovascularization in pericarditis: a possible etiology of hemopericardium</title><author>Ogura, Hiroki ; Kimata, Ryutaro ; Mitta, Shohei ; Umeda, Etsuji ; Ishida, Narihiro ; Shimabukuro, Katsuya ; Nakashima, Takashi ; Kanamori, Hiromitsu ; Kawasaki, Masanori ; Doi, Kiyoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-a176d6f94257730933ac8232d5beee903560cbb2e8c6f1e45f2802d7a6bb3d9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Case Report</topic><topic>Catheters</topic><topic>Coronary vessels</topic><topic>Dyspnea</topic><topic>Etiology</topic><topic>Heart attacks</topic><topic>Heart surgery</topic><topic>Hematoma</topic><topic>Hemorrhage</topic><topic>Hyperplasia</topic><topic>Iatrogenesis</topic><topic>Inflammation</topic><topic>Magnetic resonance imaging</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neutrophils</topic><topic>Pericarditis</topic><topic>Pericardium</topic><topic>Surgical Oncology</topic><topic>Thoracic Surgery</topic><topic>Tomography</topic><topic>Trauma</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogura, Hiroki</creatorcontrib><creatorcontrib>Kimata, Ryutaro</creatorcontrib><creatorcontrib>Mitta, Shohei</creatorcontrib><creatorcontrib>Umeda, Etsuji</creatorcontrib><creatorcontrib>Ishida, Narihiro</creatorcontrib><creatorcontrib>Shimabukuro, Katsuya</creatorcontrib><creatorcontrib>Nakashima, Takashi</creatorcontrib><creatorcontrib>Kanamori, Hiromitsu</creatorcontrib><creatorcontrib>Kawasaki, Masanori</creatorcontrib><creatorcontrib>Doi, Kiyoshi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogura, Hiroki</au><au>Kimata, Ryutaro</au><au>Mitta, Shohei</au><au>Umeda, Etsuji</au><au>Ishida, Narihiro</au><au>Shimabukuro, Katsuya</au><au>Nakashima, Takashi</au><au>Kanamori, Hiromitsu</au><au>Kawasaki, Masanori</au><au>Doi, Kiyoshi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neovascularization in pericarditis: a possible etiology of hemopericardium</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><stitle>Gen Thorac Cardiovasc Surg</stitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>68</volume><issue>4</issue><spage>392</spage><epage>395</epage><pages>392-395</pages><issn>1863-6705</issn><eissn>1863-6713</eissn><abstract>Hemorrhagic pericardial effusion is life-threatening and mostly occurs during pericarditis; however, its underlying mechanism is unclear. We report a case of pericardial hematoma with obvious hemorrhage. A 56-year-old man without prior chest trauma presenting with exertional dyspnea and abdominal fullness was treated for idiopathic pericarditis. The echocardiogram showed a thickened pericardium with effusion. Imaging showed extravasation and neovascularization. Following ineffective pharmacotherapy, we performed pericardiectomy. The site of bleeding was undetectable. Because parietal pericardiectomy with hematoma evacuation did not improve diastolic function, we removed the epicardium. During the follow-up period, the patient remained almost asymptomatic. We identified neovascularization as the potential source of idiopathic pericardial hemorrhage.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>30968260</pmid><doi>10.1007/s11748-019-01124-4</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-6118-1157</orcidid></addata></record> |
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subjects | Cardiac Surgery Cardiology Case Report Catheters Coronary vessels Dyspnea Etiology Heart attacks Heart surgery Hematoma Hemorrhage Hyperplasia Iatrogenesis Inflammation Magnetic resonance imaging Medical imaging Medicine Medicine & Public Health Neutrophils Pericarditis Pericardium Surgical Oncology Thoracic Surgery Tomography Trauma Ultrasonic imaging |
title | Neovascularization in pericarditis: a possible etiology of hemopericardium |
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