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
Hauptverfasser: Ogura, Hiroki, Kimata, Ryutaro, Mitta, Shohei, Umeda, Etsuji, Ishida, Narihiro, Shimabukuro, Katsuya, Nakashima, Takashi, Kanamori, Hiromitsu, Kawasaki, Masanori, Doi, Kiyoshi
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container_end_page 395
container_issue 4
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container_title General thoracic and cardiovascular surgery
container_volume 68
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.
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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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