A cardiac tamponade that does not require pericardiocentesis; a Letter to Editor
Iranian Journal of Emergency Medicine,
Vol. 10 No. 1 (2023),
30 November 2022
Cardiac tamponade is a leading cause of death in patients with aortic dissection (1). When aortic dissection is accompanied by cardiac tamponade, emergency surgery to repair the aorta is required (2). The treatment approach for this group of patients differs from other cases with pericardial effusions, and percutaneous pericardiocentesis is contraindicated. Attempting pericardiocentesis in this type of tamponade leads to increased leakage from the aorta into the pericardium, worsening the patient's condition(3). In approximately one-third of patients, transudation of blood across the thin layers of the aorta and into the pericardial space results in an insignificant pericardial effusion due to the blood entering the pericardial cavity (4).
- Letter to Editor
- cardiac tamponade
How to Cite
Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. Jama. 2000;283(7):897-903.
Rampoldi V, Trimarchi S, Eagle KA, Nienaber CA, Oh JK, Bossone E, et al. Simple risk models to predict surgical mortality in acute type A aortic dissection: the International Registry of Acute Aortic Dissection score. Ann Thorac Surg. 2007;83(1):55-61.
Erbel R, Alfonso F, Boileau C, Dirsch O, Eber B, Haverich A, et al. Diagnosis and management of aortic dissection. Eur Heart J. 2001;22(18):1642-81.
Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE, Jr., et al. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with Thoracic Aortic Disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Circulation. 2010;121(13):e266-369.
Tsai TT, Evangelista A, Nienaber CA, Trimarchi S, Sechtem U, Fattori R, et al. Long-term survival in patients presenting with type A acute aortic dissection: insights from the International Registry of Acute Aortic Dissection (IRAD). Circulation. 2006;114(1 Suppl):I350-6.
Mehta RH, Suzuki T, Hagan PG, Bossone E, Gilon D, Llovet A, et al. Predicting death in patients with acute type a aortic dissection. Circulation. 2002;105(2):200-6.
Murai T, Baba M, Ro A, Murai N, Matsuo Y, Takada A, et al. Sudden death due to cardiovascular disorders: a review of the studies on the medico-legal cases in Tokyo. Keio J Med. 2001;50(3):175-81.
Labovitz AJ, Noble VE, Bierig M, Goldstein SA, Jones R, Kort S, et al. Focused cardiac ultrasound in the emergent setting: a consensus statement of the American Society of Echocardiography and American College of Emergency Physicians. Journal of the American Society of Echocardiography. 2010;23(12):1225-30.
Link MS, Berkow LC, Kudenchuk PJ, Halperin HR, Hess EP, Moitra VK, et al. Part 7: adult advanced cardiovascular life support: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(18_suppl_2):S444-S64.
Tsang TS, Enriquez-Sarano M, Freeman WK, Barnes ME, Sinak LJ, Gersh BJ, et al., editors. Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: clinical profile, practice patterns, and outcomes spanning 21 years. Mayo Clinic Proceedings; 2002: Elsevier.
Bahmani A, Abdolrazaghnejad A. Gastric ultrasound-assisted diagnosis of undifferentiated shock: A case report. Journal of Acute Disease. 2022;11(6):251-3.
Zare MA, Bahmani A, Fathi M, Arefi M, Hossein Sarbazi A, Teimoori M. Role of point-of-care ultrasound study in early disposition of patients with undifferentiated acute dyspnea in emergency department: a multi-center prospective study. J Ultrasound. 2022;25(3):443-9.
Zare MA, Mizani M, Sameti A, Bahmani A, Fathi M. Emergency Physicians Performing Point-of-Care Lung Sonography to Diagnose Pneumonia: A Prospective Multicenter Study. Journal of Diagnostic Medical Sonography. 2021;37(3):261-7.
Hayashi T, Tsukube T, Yamashita T, et al. Impact of controlled pericardial drainage on critical cardiac tamponade with acute type A aortic dissection. Circulation 2012;126
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