[Tamponade in patients with systolic left ventricular dysfunction. An atypical presentation].
BACKGROUND
Left ventricular failure has been described following surgery due to localized compression of the left ventricle and in case of diastolic left ventricular dysfunction after pericardiotomy or pericardiocentesis.


METHODS
Global heart failure was observed in 3 patients with dilated cardiopathy who developed tamponade. Systolic left ventricular dysfunction was caused by ischemic heart disease in one patient and secondary to anthracyclin chemotherapy in the two others. The effusion was successfully removed with pericardiocentesis in all three cases. No specific complications were observed.


CONCLUSIONS
Although exceptional, tamponade may occur in patients with signs of left ventricular failure.
Service de Cardiologie, Hôpital Ambroise Paré, Boulogne.
F
F
Vayre
H
H
Lardoux
J P
JP
Bourdarias
M
M
Pezzano
O
O
Dubourg
D000328:Adult; D000368:Aged; D000903:Antibiotics, Antineoplastic / Q000009:adverse effects; D002303:Cardiac Output, Low / Q000209:etiology; D002305:Cardiac Tamponade / Q000150:complications* / Q000601:surgery; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000601:surgery; D004452:Echocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications; D019152:Paracentesis / Q000009:adverse effects; D010492:Pericardiectomy / Q000009:adverse effects; D013599:Systole; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000209:etiology*
D000903:Antibiotics, Antineoplastic
Tamponnade chez des sujets atteints d'une dysfonction ventriculaire gauche systolique. Une présentation atypique.