Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion
Authors: Mehmet Cihat Demir, Erdinc Senguldur, Kudret Selki, Osman Kayapinar
Here, we present a case of recurrent chronic massive pericardial effusion without the development of tamponade. The patient was diagnosed with idiopathic chronic massive pericardial effusion, with a history of pericardiocentesis every five years, and no etiology was found. Emergency pericardiocentesis was not considered because the vital signs of the patient who was admitted with the complaint of shortness of breath were stable at the time of admission. However, the patient with simultaneous carbon dioxide retention was connected to a non-invasive mechanical ventilator for treatment. Hypotension and tachycardia developed rapidly. This case, the largest pericardial effusion (16 cm) in the literature, demonstrates the critical importance of pericardial space elastic flexibility on the hemodynamic profile. In addition, mechanical ventilation administration in a patient with pericardial effusion can quickly disrupt the clinic and be fatal. Therefore, pericardiocentesis should be performed first.
Keywords: massive pericardial effusion, pericardiocentesis, non-invasive mechanical ventilator, hemodynamic.
Authors
Correspondence to:
Kudret Selki, Department of Emergency Medicine, School of Medicine, Duzce University, 81620, Duzce, Turkey kudretselki.ks@gmail.com
Publication history:
Received 21 Apr 2023
Revised 18 Jun 2023
Accepted 25 Aug 2023
Published online 08 Feb 2024
Published in print 29 Mar 2024
Demir MC, Senguldur E, Selki K, Kayapinar O. Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. EJMCR. 2023; 7(9): 192-196. doi:
10.24911/ejmcr/173-1682074696
Demir MC, Senguldur E, Selki K, Kayapinar O. Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. https://www.ejmcr.com/?mno=150419 [Access: May 16, 2024]. doi:
10.24911/ejmcr/173-1682074696
Demir MC, Senguldur E, Selki K, Kayapinar O. Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. EJMCR. 2023; 7(9): 192-196. doi:
10.24911/ejmcr/173-1682074696
Demir MC, Senguldur E, Selki K, Kayapinar O. Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. EJMCR. (2023), [cited May 16, 2024]; 7(9): 192-196. doi:
10.24911/ejmcr/173-1682074696
Demir, M. C., Senguldur, . E., Selki, . K. & Kayapinar, . O. (2023) Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. EJMCR, 7 (9), 192-196. doi:
10.24911/ejmcr/173-1682074696
Demir, Mehmet Cihat, Erdinc Senguldur, Kudret Selki, and Osman Kayapinar. 2023. Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. European Journal of Medical Case Reports, 7 (9), 192-196. doi:
10.24911/ejmcr/173-1682074696
Demir, Mehmet Cihat, Erdinc Senguldur, Kudret Selki, and Osman Kayapinar. "Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion." European Journal of Medical Case Reports 7 (2023), 192-196. doi:
10.24911/ejmcr/173-1682074696
Demir, Mehmet Cihat, Erdinc Senguldur, Kudret Selki, and Osman Kayapinar. "Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion." European Journal of Medical Case Reports 7.9 (2023), 192-196. Print. doi:
10.24911/ejmcr/173-1682074696
Demir, M. C., Senguldur, . E., Selki, . K. & Kayapinar, . O. (2023) Somebody Stop Me! A Case of Recurrent Massive Pericardial Effusion. European Journal of Medical Case Reports, 7 (9), 192-196. doi:
10.24911/ejmcr/173-1682074696