Cases reported "Pericardial Effusion"

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1/61. cardiac tamponade and death from intrapericardial rupture [corrected] of sinus of valsalva aneurysm.

    A 35-year-old woman presented with dyspnea and chest pain. She had a large aneurysm of the non-coronary sinus of valsalva. Before her scheduled urgent surgery, the patient collapsed and died of cardiac tamponade secondary to intrapericardial rupture of the aneurysm. We would advocate urgent repair of this type of lesion to prevent such an outcome. We are aware of no other specific reports addressing extracardiac rupture of non-coronary cusp aneurysms [corrected].
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ranking = 1
keywords = coronary
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2/61. Acute myocardial infarction: a rare presentation of pancreatic carcinoma.

    Secondary neoplastic involvement of the heart is common but usually asymptomatic. Malignancy rarely presents as acute pericarditis, cardiac tamponade, and myocardial infarction in the same patient. We report a patient with unsuspected metastatic pancreatic adenocarcinoma who presented with acute pericarditis and cardiac tamponade and subsequently developed a myocardial infarction due to coronary artery occlusion secondary to a metastatic deposit around the left anterior descending artery.
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ranking = 0.5
keywords = coronary
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3/61. Primary cardiac angiosarcoma with right coronary artery-to-pericardial fistula--a case report.

    Primary cardiac sarcoma is a rare tumor that is difficult to diagnose preoperatively. Hemopericardium and coronary artery fistula are rare complications of primary cardiac sarcoma. The authors report a case of primary cardiac angiosarcoma presenting with hemopericardium, secondary to right coronary artery-to-pericardial fistula, with a review of the literature.
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ranking = 3
keywords = coronary
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4/61. A minimally invasive approach to chylopericardium after coronary artery surgery.

    We report a case of chylopericardium and chylothorax after coronary artery bypass grafting, which presented as delayed cardiac tamponade. We describe the minimally invasive management of a condition that can be associated with a protracted surgical course.
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ranking = 2.5
keywords = coronary
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5/61. Delayed cardiac tamponade after minimally invasive direct coronary artery bypass.

    We experienced a rare case of delayed cardiac tamponade after minimally invasive coronary artery bypass (MIDCAB). pericardial effusion was successfully drained under ultrasonic guidance.
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ranking = 2.5
keywords = coronary
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6/61. Cardiac rupture with false aneurysm after myocardial infarction.

    A case of cardiac rupture is reported after myocardial infarction. Leaking blood was contained within the pericardium and a false aneurysm developed. Ten months later this was successfully repaired. The neck of the aneurysm was transected, the defect in the left ventricle closed and saphenous vein bypass grafts were applied to the anterior descending and right coronary arteries. The literature on this subject is briefly reviewed.
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ranking = 0.5
keywords = coronary
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7/61. radiation-related myocardial injury. Management of two cases.

    pericardial effusion and trifascicular block developed 5 years following mediastinal irradiation for Hodgkin's disease in a 19-year-old patient. Another 24-year-old patients had an acute myocardial infarction followed by severe angina pectoris 5 years following mediastinal irradiation for the same disease. A pericardial window and a permanent demand pacemaker were used in the first case; an aorto-coronary vein grafting was utilized in the second patient. Both patients responded to treatment and are well. Five other previously reported cases of myocardial injury that occurred 2 months to 8 years following mediastinal irradiation in young patients were reviewed. To our knowledge, successful surgical treatment of this disease entity has not been reported before. Close, long-term follow-up of patients who have received mediastinal irradiation should be helpful in the early recognition and successful management of these serious cardiac complications. The systematic clinical and radiographic surveilance of these patients should be supplemented by a routine 12-lead electrocardiogram.
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ranking = 0.5
keywords = coronary
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8/61. Coronary angiodysplasia of epicardial and intramural vessels.

    A case of coronary angiodysplasia combining large aneurysms of epicardial arteries with diffuse malformation of intramural vessels is reported. Clinical presentation may mimic a vascularized cardiac tumor. Although leaking of the aneurysms in the pericardial space may occur, this entity seems to have a benign prognosis not requiring surgical repair.
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ranking = 0.5
keywords = coronary
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9/61. rupture of a giant saccular aneurysm of coronary arteriovenous fistulas.

    A 58-year-old Japanese woman was admitted to our hospital because of chest pain. A continuous murmur was detected at the left parasternal area. Electrocardiogram showed ST elevation in leads V2, V3 and V4. Chest computed tomography and echocardiography demonstrated pericardial effusion and a large mass which was adjacent to the pulmonary artery. An abnormal blood flow was detected in the mass by Doppler echocardiography. coronary angiography confirmed that the mass was a giant aneurysm of coronary arteriovenous fistula arising from both the left and right coronary arteries. This patient had no symptoms until rupture of the fistula. rupture of a coronary arteriovenous fistula is very rare but can be a cause of chest pain and pericardial effusion.
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ranking = 3.5
keywords = coronary
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10/61. An unusual case of sudden death in an alcohol addict.

    The sudden and unexpected death of a 40-year-old female alcohol addict is described. At the autopsy recent rib fractures were found. The extremity of one fractured rib had caused a massive haemorrhage by erosion of a coronary artery.
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ranking = 0.5
keywords = coronary
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