Mesfioui Mohammed-Bachir, Belharty Najlaa, Mesfioui Yousra, Doghmi Nawal, Cherti Mohamed
Cardiology B Department, Ibn Sina University Hospital, Mohammed V University, Rabat, MAR.
Cureus. 2023 Sep 19;15(9):e45571. doi: 10.7759/cureus.45571. eCollection 2023 Sep.
Cardiac tamponade is a life-threatening condition that requires emergency pericardiocentesis. In rare cases, pericardial drainage may be followed by "pericardial decompression syndrome" (PDS), a poorly understood but potentially fatal syndrome characterized by acute ventricular dysfunction. It may present in different clinical forms of varying severity and be managed differently depending on the clinical context. In this article, we report an atypical presentation of this syndrome, with the development of laminar tricuspid regurgitation after pericardial drainage. To our knowledge, this complication has never been reported in the medical literature. Our understanding of the pathophysiology of this condition is based entirely on case reports. And because clinical studies are difficult to perform, the best defense against PDS is early detection so that it can be recognized and treated quickly.
心脏压塞是一种危及生命的病症，需要紧急进行心包穿刺术。在罕见情况下，心包引流后可能会出现“心包减压综合征”（PDS），这是一种了解甚少但可能致命的综合征，其特征为急性心室功能障碍。它可能以不同严重程度的不同临床形式出现，并根据临床情况进行不同的处理。在本文中，我们报告了该综合征的一种非典型表现，即心包引流后出现层流三尖瓣反流。据我们所知，这种并发症在医学文献中从未有过报道。我们对这种病症病理生理学的理解完全基于病例报告。而且由于临床研究难以开展，预防PDS的最佳方法是早期检测，以便能够迅速识别并治疗。
