Thorough clinical investigation of low cardiac output syndrome after subxiphoid pericardiostomy.
The paradoxical hemodynamic response after surgical or catheter pericardial drainage for cardiac tamponade is an infrequent complication. This case report describes this occasional ominous consequence of surgical pericardial decompression and suggests possible physiological explanations of rapidly progressive heart failure and death.
Dosios
Theodosios
T
Division of Thoracic Surgery, Department of Surgery, Henry Dunant Hospital, Athens, Greece. dosioth@internet.gr
Stefanidis
Alexander
A
Chatziantoniou
Christos
C
Sgouropoulou
Sophia
S
D000368:Aged; D002303:Cardiac Output, Low / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology*; D002305:Cardiac Tamponade / Q000601:surgery*; D003971:Diastole; D015150:Echocardiography, Doppler; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009200:Myocardial Contraction / Q000502:physiology*; D010491:Pericardial Window Techniques / Q000009:adverse effects*; D011183:Postoperative Complications; D014989:Xiphoid Bone