Recurrent heart failure with tamponade due to pericardial effusion; improvement following pleural-pericardial fenestration.

Abstract

Case Reports1 April 1955RECURRENT HEART FAILURE WITH TAMPONADE DUE TO PERICARDIAL EFFUSION; IMPROVEMENT FOLLOWING PLEURAL-PERICARDIAL FENESTRATIONFELIX A. SILVERSTONE, M.D.FELIX A. SILVERSTONE, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-42-4-937 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe management of heart failure due to pericardial effusion involves two general phases. When cardiac tamponade is the pressing problem, the patient can be immediately benefited by a pericardial tap, which also affords diagnostic data. Otherwise treatment is directed at the underlying cause, be it inflammatory, traumatic, neoplastic, nutritional or metabolic, in an attempt to prevent re-accumulation of fluid. While this regimen usually suffices, an occasional instance will arise where repeated re-accumulation of fluid cannot be controlled in this way. The outlook then becomes unfavorable unless another means can be devised to prevent cardiac tamponade, with its attendant diminished cardiac... This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Baltimore, Maryland*Received for publication May 14, 1954.Presented in the Program Clinics at the Annual Session of the American College of Physicians, New York, New York, March 29, 1949.From the Kings County Hospital, Brooklyn, N. Y.†Present address: Section on Gerontology, National Heart Institute, Baltimore City Hospital, Baltimore, Maryland. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCardiac tamponade and hypothyroidismCholesterol pericarditis and cardiac tamponade with congenital hypothyroidism in adulthoodCardiac tamponade in medical patients.Subxiphoid pericardial windowSubxiphoid pericardial windowChronic idiopathic pericardial effusion.Chronic Exudative Pericarditis Treated by Pleuro-pericardial FenestrationErkrankungen des PerikardChronic Idiopathic Pericardial Effusion without TamponadeSyndrome of chronic massive pericardial effusion 1 April 1955Volume 42, Issue 4Page: 937-941KeywordsGeriatricsHeartHeart failureNutrition ePublished: 1 December 2008 Issue Published: 1 April 1955 PDF downloadLoading ...