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.
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References
1.
Sunday R., Robinson LA, Bosek V.: Low cardiac output complicating pericardiectomy for pericardial tamponade . Ann Thorac Surg67(1):228-231, 1999.
2.
Wolfe MW, Edelman ER: Transient systolic dysfunction after relief of cardiac tamponade. Ann Intern Med119(1):42-43, 1993.
3.
Braverman AC , Sundaresan S.: Cardiac tamponade and severe ventricular dysfunction [comment]. Ann Intern Med120(5):442, 1994.
4.
Neelakandan B., Jayanthi N., Kanthimathi R.: Subxiphoid drainage for pericardial tamponade [comment]. J Thorac Cardiovasc Surg111(12):489, 1996.
Dosios T., Theakos N., Angouras D., Asimacopoulos P.: Risk factors affecting the survival of patients with pericardial effusion submitted to subxiphoid pericardiostomy. Chest124(1):242-246, 2003.
7.
Gregory JR, McMurtrey MJ, Mountain CF: A surgical approach to the treatment of pericardial effusion in cancer patients . Am J Clin Oncol8(4):319-323, 1985.
