Abstract Right ventricle perforation by pacemaker lead is rare but a life-threatening complication. It may present acutely within few hours of implantation as hemopericardium, dreaded cardiac tamponade, leading to acute hemodynamic deterioration; even death, if not address immediately. At times, it presents gradually with progressive decline in and requires surgical exploration. The authors rep...

Spontaneous Coronary Artery Dissection (SCAD) is a rare but potentially lethal event. The cause of spontaneous coronary dissection is poorly understood. There are reported associations with female sex, exercise, pregnancy and postpartum state, coronary artery disease, connective tissue disorders and hemorrhage into the vasovasorum and periadventitial inflammation [1-7]. Most cases have no ident...

We report the case of a 50-year-old man admitted for cardiac tamponade. He was diagnosed with acute pneumonia. He had no previous medical history, but exhibited a body mass index of 41. Two days before admission, he complained of chest pain irradiating to the neck lateral side. Massive cardiac tamponade developed over 48 hours. There was no obvious cause for immunodepression. Pericardial punctu...

Cardiac tamponade is an uncommon but life-threatening complication of percutaneous coronary intervention (PCI). The purpose of the present study was to characterize the incidence, management, and clinical outcome associated with this complication. We analyzed a prospective database of 25,697 PCIs performed at William Beaumont Hospital (Royal Oak, Michigan) between October 1993 and December 2000...

(Chest 1992; 101:258-60) P ulmonary edema may be anticipated in patients with cardiac failure and high central circulatory pressures as reflected in pulmonary artery wedge levels of 20 to 30 mm Hg,’ but does not occur at the same pressure levels with pencardial compression of the heart.2 Yet, in the systemic circulation, both rightsided cardiac failure and compressive pencardial disorders cause...

OBJECTIVE To identify features which predict the subsequent development of constrictive pericarditis from acute or subacute tuberculous (TB) pericarditis. SETTING Tertiary referral centre, chest hospital. PATIENTS The records of 16 consecutive patients in whom acute or subacute TB pericarditis was diagnosed between 1988 and 1990 at a chest hospital were reviewed. These records included a fo...

While pleural effusion and ascites secondary to acute pancreatitis are common, clinically relevant pericardial effusion and cardiac tamponade are observed rarely. In a study by Pezzilli et al., pleural effusion was noted in 7 of the 21 patients with acute pancreatitis whereas the authors detected pericardial effusion development in only three. The authors asserted that pleural effusion was asso...

We report a case of 62-year-old man with cardiac tamponade due to coronary artery injury after acupuncture into the substernum. After resuscitation of cardiac arrest, we performed emergent pericardiocentesis. Nevertheless, the cardiac arrest recurred, and the emergent operation on cardiopulmonary bypass was performed. We identified hemopericardium due to shredded acute marginal branch of right ...

coronary artery perforation is a rare, but potentially serious, complication of percutaneous coronary intervention and is associated with a high incidence of death, q-wave myocardial infarction, and emergency coronary bypass surgery. management is different but requires prompt recognition and treatment. we describe a case of coronary perforation only after guidewire removal and also review the ...