Tatlisu Mustafa A, Konal Oguz, Atici Adem, Baycan Omer Faruk, Yilmaz Yusuf
Department of Cardiology, Istanbul Medeniyet University Faculty of Medicine, Istanbul, Turkey.
J Cardiol Cases. 2022 Jan 5;25(6):351-353. doi: 10.1016/j.jccase.2021.12.007. eCollection 2022 Jun.
The incidence of pericardial effusion for supraventricular tachycardias is less than 1%, and its combination with pleural effusion is rare. We present a case of severe pericardial and pleural effusion after a left-sided concealed accessory pathway ablation. The 480 cc of pericardial fluid was drained with the pericardial drainage system due to cardiac tamponade with hemodynamic compromise. The chest X-ray and thorax computed tomography showed moderate left-sided pleural effusion after pericardiocentesis. We considered the inflammatory response as the pathophysiology of the situation; we started ibuprofen 800 mg t.i.d. and colchicine 0.5 mg o.d. At a 3-week follow-up, her X-ray revealed the resolution of pleural effusion, and the echocardiography showed no pericardial effusion. < Pericardial effusion is rarely seen after cardiac ablations. Despite the mechanism not being well-established, it seems that inflammation plays a critical role. A trial of non-steroidal anti-inflammatory drugs and colchicine can be used safely and seems reasonably effective in this setting.>.
室上性心动过速患者心包积液的发生率低于1%，且合并胸腔积液的情况罕见。我们报告一例左侧隐匿性旁路消融术后出现严重心包和胸腔积液的病例。由于心脏压塞导致血流动力学受损，使用心包引流系统引流出480毫升心包积液。心包穿刺术后胸部X线和胸部计算机断层扫描显示左侧胸腔有中度积液。我们认为炎症反应是这种情况的病理生理机制；我们开始给予布洛芬800毫克，每日三次，秋水仙碱0.5毫克，每日一次。在3周的随访中，她的X线显示胸腔积液消退，超声心动图显示无心包积液。<心脏消融术后很少见到心包积液。尽管其机制尚未完全明确，但炎症似乎起着关键作用。在这种情况下，可以安全地使用非甾体抗炎药和秋水仙碱进行试验，且似乎相当有效。>
