Clinical Features of the Patients with Recurrent Massive Pericardial Effusion: Single Center Experience

Fatih ADA; Sadık Volkan EMREN

doi:https://doi.org/10.7197/223.vi.415818

Article Details

Clinical Features of the Patients with Recurrent Massive Pericardial Effusion: Single Center Experience

Authors:

Fatih ADA | Sadık Volkan EMREN

Main Topics:

Promotion of health

Journal:

Cumhuriyet Medical Journal 2018 Vol.40 Issue 3, pp.233-237

Document Type:

Article

Publication Date:

9/2018

Document Language:

English

Document ID (Org No.):

2000922702

DOI:

https://doi.org/10.7197/223.vi.415818

Abstract:

 


Objective:
In this study, we aimed to determine the clinical features
of patients with recurrent pericardial effusion. We also aimed to evaluate the
clinical course and the outcomes of the patients with recurrent pericardial effusion
who underwent percutaneous and surgical interventions.

Method: 22 patients with recurrent massive pericardial effusion were
retrospectively evaluated. We recorded the primary etiologies of effusion,
laboratory parameters, and time of the recurrence of effusion, type of the
pericardial drainage and also one year mortality of the patients after
pericardial drainage. 

Results:
Mean age of the patients was 60±16 and 64% were
male. The most common cause was malignancy (31%) followed by idiopathic (27%),
postcardiotomy syndrome (13,5%), renal failure(13,5%), autoimmune disease
(10%), and heart failure (5%). Median recurrent time was 46 days (interquartile
range 16-78 days).  The characteristics
of the pericardial fluid at initial intervention consist of 59.5%
serohaemorrhagic, 27% serous and 13,5% 
hemorrhagic pericardial effusion . Majority of patients (73%) underwent
subxiphoid tube drainage and the remaining patients (27%) underwent
percutaneous pericardiocentesis in first intervention.  9 (40.9%) patients died in one year follow
up. Of the dead patients, 55.5% had malignity, 22.2% had postcardiotomy
syndrome and 22.2% had renal failure. 

Conclusion:
The most common cause of death and recurrent
pericardial effusion was malignancy. Idiopathic recurrent pericarditis,
autoimmune disease and congestive heart failure are the most benign pathology
in which the patients had no mortality in a 1 year follow up period.

.

Article Details

Clinical Features of the Patients with Recurrent Massive Pericardial Effusion: Single Center Experience

Authors: Fatih ADA | Sadık Volkan EMREN

Main Topics: Promotion of health

Journal: Cumhuriyet Medical Journal 2018 Vol.40 Issue 3, pp.233-237

Document Type: Article

Publication Date: 9/2018

Document Language: English

Document ID (Org No.): 2000922702

DOI: https://doi.org/10.7197/223.vi.415818

Issues

Authors:

Fatih ADA | Sadık Volkan EMREN

Main Topics:

Promotion of health

Journal:

Cumhuriyet Medical Journal 2018 Vol.40 Issue 3, pp.233-237

Document Type:

Article

Publication Date:

9/2018

Document Language:

English

Document ID (Org No.):

2000922702

DOI:

https://doi.org/10.7197/223.vi.415818