| Evaluation of children with a large pericardial effusion and cardiac tamponade. | |
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MedLine Citation:
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PMID: 17536600 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: Large pericardial effusions and cardiac tamponade are rare in childhood. The aim of this study was to evaluate the aetiological factors and clinical findings of large pericardial effusion and cardiac tamponade in children. METHODS: We reviewed retrospectively the records of 10 (6 male, 4 female) patients (mean age: 8.05 +/- 4.4 y) with the diagnosis of large pericardial effusion and cardiac tamponade requiring pericardiocentesis and pericardial drainage between 2002 and 2004. RESULTS: After extensive diagnostic investigation we detected that three patients had tuberculosis, one patient had uraemic pericarditis; one patient had bacterial pericarditis; one patient had post-pericardiotomy syndrome; two patients had malignancy and two patients had no identifiable aetiology. Echocardiography-guided percutaneous pericardial puncture and pigtail catheter placement is safe and effective for initial treatment of patients with large pericardial effusion and cardiac tamponade and in most cases, initial assessment with clinical, serologic, and radiologic investigation and careful follow-up can reveal the aetiology. CONCLUSIONS: Although tuberculosis is rare in industrialized countries, in developing countries it remains one of the most important causes of large pericardial effusion and should be investigated and excluded in each patient. |
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Authors:
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Hasan Guven; A Rahmi Bakiler; Zulal Ulger; Bahadir Iseri; Meral Kozan; Coskun Dorak |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta cardiologica Volume: 62 ISSN: 0001-5385 ISO Abbreviation: Acta Cardiol Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-05-31 Completed Date: 2007-10-02 Revised Date: 2009-11-03 |
Medline Journal Info:
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Nlm Unique ID: 0370570 Medline TA: Acta Cardiol Country: Belgium |
Other Details:
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Languages: eng Pagination: 129-33 Citation Subset: IM |
Affiliation:
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Department of Pediatric Cardiology, Tepecik Education and Research Hospital. drhasanguven@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Cardiac Tamponade / etiology*, microbiology, surgery Child Child, Preschool Drainage Echocardiography Electrocardiography Female Follow-Up Studies Heart Neoplasms / complications*, diagnosis*, radiography, ultrasonography Humans Infant Lymphoma, Non-Hodgkin / complications, diagnosis Male Mycobacterium tuberculosis Pericardial Effusion / etiology*, microbiology, surgery Pericardiectomy / adverse effects Pericardiocentesis Pericarditis / complications*, diagnosis*, microbiology, radiography, ultrasonography Radiography, Thoracic Retrospective Studies Streptococcus pneumoniae Tomography, X-Ray Computed Treatment Outcome Turkey |
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