Pericardial Effusion: Causes & Reasons

Possible Causes for Pericardial Effusion

Primary Mediastinal Large B-Cell Lymphoma

Focusing on patients treated with R-CHOP, a higher International Prognostic Index score and the presence of pleural or pericardial effusion were identified as adverse prognostic [ncbi.nlm.nih.gov]

Most PMLBCL patients have stage I-II, bulky disease, with pleural or pericardial effusions in a third of cases. [moh-it.pure.elsevier.com]

There was a compression atelectasis of the left lung, a minimal pleural effusion on the left side and a moderate pericardial effusion. [eurorad.org]

Chylopericardium

CHYLOPERICARDIUM: A RARE CAUSE OF PERICARDIAL EFFUSION Abstract A 21 year old man presented with asymptomatic, isolated chylopericardium. [journals.uair.arizona.edu]

Echocardiography confirmed a massive pericardial effusion and was used to guide the insertion of a pigtail catheter into the pericardial cavity via a subxiphoid approach and [jtcvs.org]

& Kaindl, F., (1984) “CHYLOPERICARDIUM: A RARE CAUSE OF PERICARDIAL EFFUSION”, Lymphology 17(3), 89-94. 17 Views 9 Downloads [journals.librarypublishing.arizona.edu]

Acute Pericarditis

RESULTS: Ninety-nine patients were admitted for acute pericarditis with pericardial effusion. [ncbi.nlm.nih.gov]

Abstract In three cases of acute pericarditis with pericardial effusion, the presence of fibrous strands within the fluid-filled pericardial cavity was demonstrated by M-mode [ncbi.nlm.nih.gov]

BACKGROUND AND AIM: According to the published data and guidelines the diagnosis of pericarditis is mainly clinical; if we exclude patients with pericardial effusion, no single [ncbi.nlm.nih.gov]

Myocarditis due to Radiation

Introduction A pericardial effusion occurs when a significant amount of fluid fills the pericardial space. [healio.com]

[…] often unremarkable Ventricles: dilation, diffuse hypokinesia, reduced ejection fraction, impaired contractility, regional wall motion abnormalities Pericardial effusion : [amboss.com]

effusion (and potential tamponade physiology). [radiopaedia.org]

Radiation Pericarditis

Causes There are many causes of pericardial effusions. [verywell.com]

A pericardial effusion is an accumulation of extra fluid within the pericardium, the protective sac that surrounds your heart. [aurorahealthcare.org]

Abstract We report surgical management of radiation-induced massive pericardial effusion. [jstage.jst.go.jp]

Anasarca

Pericardial effusions were excluded by serial echocardiograms. [ncbi.nlm.nih.gov]

[…] of electrolyte disbalance (in renal failure) Echocardiography · Confirms heart failure (LV ejection fraction < 55%) · Detects ventricular hypertrophy · Detects pericardial [tirthankaronline.blogspot.com]

Chest and abdomen CT showed massive bilateral pleural effusions, but no lung infiltrate, pericardial effusion or ascites or lymphadenopathy. [bloodjournal.org]

Suppurative Pericarditis

A systematized diagnostic approach to moderate pericardial effusion is presented, together with a review of purulent pericarditis. [elsevier.pt]

[…] of pericardial effusion. [tele.med.ru]

Permanyer-Miralda Clinical clues to the causes of large pericardial effusions Am J Med, 109 (2000), pp. 95-101 [3] S. Ben-Horin, A. [elsevier.pt]

Myxedema

Hypothyroidism is also associated with pericardial effusion with rare progression to tamponade. [ncbi.nlm.nih.gov]

Pericardial effusion is frequently found in patients diagnosed with hypothyroidism, yet it is rarely associated with cardiac tamponade. [ncbi.nlm.nih.gov]

effusions caused by the accumulation of fluid rich in mucopolysaccharides within the pericardial sac. [emedicine.com]

Systemic Juvenile Idiopathic Arthritis

effusions. [autoinflammatory.org]

Some patients develop inflammation around the heart (pericarditis) and lungs (pleuritis), with occasional fluid accumulation around heart (pericardial effusion) and lungs [checkorphan.org]

Pericarditis, pleuritis, pericardial effusion and pleural effusion may occur but is less likely. They present as underlying complications. 8. [slideshare.net]

Hemopericardium

Update on bedside ultrasound diagnosis of pericardial effusion. [amboss.com]

Pericardial effusion. [learningradiology.com]

Pericardial effusion as seen with 2-dimensional (2D) echocardiography. Effusion, pericardial. Pericardial effusion as seen with M-mode echocardiography. [emedicine.medscape.com]

Postcardiac Injury Syndrome

in addition to pericardial effusion/tamponade. [ncbi.nlm.nih.gov]

This entity should be considered in patients who, after pacemaker lead insertion, develop pericardial and pleural effusion associated with markers of inflammation. [ncbi.nlm.nih.gov]

Over a treatment period of 2 months there was complete resolution of the pericardial and left-sided pleural effusions and normalization of inflammatory markers. [ncbi.nlm.nih.gov]

Dressler Syndrome

INTERESTING CASE REPORT Year : 2021 | Volume : 5 | Issue : 1 | Page : 78-80 Pericardial Effusion Secondary to Dressler's Syndrome Leading to Intractable Ventricular Tachycardia [jiaecho.org]

We excluded patients with pericardial tamponade due to a small amount of effusion or to localized pericardial effusion. [ncbi.nlm.nih.gov]

It is conceivable that the pericardial effusion in this case represented occult pericardial bleeding related to the ablation procedure. [tandfonline.com]

Traumatic Heart Rupture

Observations on pulsus paradoxus (with special reference to pericardial effusions): I. Clinical. [acls.com]

Keywords : Chest Pain, Pericardial Effusion, Cardiac Tamponade, Heart Rupture, Tomography. [casereports.in]

[…] symptoms, laboratory parameters and pericardial effusion. [elsevier.pt]

Cardiac Metastasis

Transthoracic echocardiography revealed massive localized pericardial effusion with the collapse of both ventricles and the mass-like echo in the left atrium. [ncbi.nlm.nih.gov]

[…] one in four had malignant pericardial effusion. [pubs.rsna.org]

Most frequent CT features of pericardial metastases include pericardial effusion, prepericardial lymph nodes, and pericardial thickening, enhancement, and nodules in order [radiopaedia.org]

Tuberculous Pericarditis

T-SPOT.TB was performed on both pericardial effusion mononuclear cells (PEMCs)and peripheral blood mononuclear cells (PBMCs). [ncbi.nlm.nih.gov]

KEYWORDS: Cardiac Tamponade; Pericardial Effusion; Pericarditis; Tuberculosis [ncbi.nlm.nih.gov]

Routine echocardiographic study during admission revealed a massive pericardial effusion (~4 cm in thickness) but with no tamponade effect. [ncbi.nlm.nih.gov]

Congenital Non-Goitrous Hypothyroidism Type 4

Also, the heart is small, and serous pericardial effusions do not occur. [merckmanuals.com]

Patients with severe hypothyroidism may present with pericardial effusion, pleural effusion, megacolon, hemodynamic instability, and coma. [aafp.org]

effusion Congenital hypothyroidism What are the complications of hypothyroidism? [dermnetnz.org]

Kawasaki Disease

effusion on the fifth day of hospital stay. [ncbi.nlm.nih.gov]

effusion History and etymology It is named after the Japanese pediatrician Tomisaku Kawasaki (1925-fl. 2017) 9 who saw his first case in 1961 and initially described it in [radiopaedia.org]

The initial presence of any echocardiographic abnormality (coronary artery dilatation, CAA, pericardial effusion, perivascular brightness of the coronary arteries, left-ventricular [ncbi.nlm.nih.gov]

Rheumatic Fever

However, serous pericardial effusion contained high levels of Epstein-Barr virus (EBV) DNA. Clonally proliferating EBV+ T cells were determined in the circulation. [ncbi.nlm.nih.gov]

Other abnormalities detected on echocardiography in acute carditis include prolapse of the valve, focal nodular thickening of leaflets and pericardial effusion. [ncbi.nlm.nih.gov]

Pericardial involvement Initially results in a pericardial inflammation and an effusion. A fibrinous pericarditis can occur. [radiopaedia.org]

Systemic Lupus Erythematosus

We should also keep SLE in mind when assessing male patients with pericardial effusions. [ncbi.nlm.nih.gov]

Pericardial mesothelioma accounts for only 0.7 % of all malignant mesotheliomas and it usually presents with pericardial effusion, mimicking serositis. [ncbi.nlm.nih.gov]

A bedside echocardiogram revealed a significant pericardial effusion concerning for pericardial tamponade. [ncbi.nlm.nih.gov]

Chronic Right-Sided Congestive Heart Failure

Pericardial effusion is demonstrated on the coronal CT-reconstruction. [radiologyassistant.nl]

effusion ( Figure 4 ). [omicsonline.org]

effusion心膜液 pericarditis 心膜炎 pericardium 心膜 peripheral 末梢［性］　【形】 permeability透過性、浸透性 phonocardiogram (PCG)心音図 plateau phaceプラトー相 positron emission tomography (PET)ポジトロン放射計断層撮影 [tokyo-med.ac.jp]

T-Cell Lymphoblastic Lymphoma

There is a pericardial effusion. [scmr.org]

[…] surrounds the heart (called pericardial effusion). [cancer.ca]

The outcome was inferior for pleural or pericardial effusion positive patients comparing with negative ones in adolescent. [nature.com]

Rheumatic Heart Disease

effusion that resulted in cardiac tamponade with isolated left ventricular collapse. [ncbi.nlm.nih.gov]

Other complications were pulmonary hypertension and pericardial effusion. [ncbi.nlm.nih.gov]

Pericardial involvement Initially results in a pericardial inflammation and an effusion. A fibrinous pericarditis can occur. [radiopaedia.org]

Systemic Amyloidosis

It was considered that a large amount of pericardial effusion caused diastolic heart failure; pericardial paracentesis showed bloody effusion. [ncbi.nlm.nih.gov]

effusion. [bjcardio.co.uk]

There are no reports of primary systemic amyloidosis with hemorrhagic pericardial effusion. We report this rare case with pathological consideration. [ncbi.nlm.nih.gov]

Cardiomyopathy

In both patients, echocardiography showed LV hypertrophy, biventricular systolic dysfunction, and a large amount of pericardial effusion. [ncbi.nlm.nih.gov]

On plain radiographs consider: large pericardial effusion Promoted articles (advertising) [radiopaedia.org]

Pericardial effusion is reversible in children when they are treated with a GFD[ 95, 96 ]. [doi.org]

Diffuse Cutaneous Systemic Scleroderma

Anemia preceded allograft SRC in two cases, pericardial effusion in one, and skin tightening in two others. [doi.org]

effusion Digital ischemic changes Abnormal capillaries on the nail fold Acro-osteolysis Digital pitting or ulceration Pterygium inversus unguis (i.e., distal nail bed adherence [aafp.org]

Other risk factors for SRC include anaemia, HRT, pericardial effusion, cardiac insufficiency, high skin score and large joint contractures, the presence of antibodies to RNA [doi.org]

Thoracic Duct Obstruction

Chylous pleural or pericardial effusion. Stake S, du Breuil AL, Close J ; Upper Extremity Deep Vein Thromboses: The Bowler and the Barista. [patient.info]

Other associated thoracic findings include pleural and rarely pericardial effusion. Pleural disease is seen in up to 10% of patients at the time of diagnosis (11). [ispub.com]

subcarinal, azygo-esophageal recess and pericardial phrenic lymphadenopathy. [ispub.com]

Chronic Myelomonocytic Leukemia

We report a rare case of chronic myelomonocytic leukemia (CMML) with pericardial effusion. [ncbi.nlm.nih.gov]

Ibrahim MI, Maslak PG, Heaney ML, George MS,Downey RJ, Tallman MS (2009) Chronic myelomonocyticleukemia (CMML) associated with symptomatic pericardial effusion. [esciencecentral.org]

Pleural and pericardial effusions and ascites can occur in CMML with very high monocyte counts and these signs often resolve with antileukemic therapy. [peertechz.com]

Pulmonary Actinomycosis

Culture of the bloody pericardial effusion resulted in positive growth of Actinomyces israeli. He was successfully treated with penicillin G, ampicillin, and minocyclin. [ncbi.nlm.nih.gov]

Very occasionally, pericardial effusion results from pericardial involvement or pericarditis 52, 53. [erj.ersjournals.com]

Associated pleural effusions tend to be small to moderate in size rather than massive 15. [erj.ersjournals.com]

Systemic Scleroderma

Anemia preceded allograft SRC in two cases, pericardial effusion in one, and skin tightening in two others. [doi.org]

effusion Digital ischemic changes Abnormal capillaries on the nail fold Acro-osteolysis Digital pitting or ulceration Pterygium inversus unguis (i.e., distal nail bed adherence [aafp.org]

En Shu, Hiroyuki Kanoh and Mariko Seishima, Scleroderma renal crisis following pericardial effusion in a Japanese female, The Journal of Dermatology, 41, 9, (824-826), (2014 [doi.org]

Lymphangioleiomyomatosis

The physical examination is often nonspecific but may reveal evidence of pleural effusion, ascites, pericardial effusion or pneumothorax, if present. [symptoma.com]

Pleural effusion Pneumothorax Ground-glass opacities Pericardial effusion Chylothorax Mediastinal lymphadenopathy Dilated thoracic duct Cystic lymph nodal lesions Renal angiolipomas [wikidoc.org]

Less commonly patients can present with chest pain, pleural or pericardial effusion and lymphedema. [bib.irb.hr]