Pericardiectomy successfully reduced central venous pressure from 29 to 12 mmHg in a 9-month-old with constrictive pericarditis and obstructive shock, leading to recovery.
Pericardiectomy can be a successful, life-saving intervention for infants presenting with constrictive pericarditis and obstructive shock secondary to severe bacterial infection.
Absolute Event Rate: 0% vs 0%
A 9-month-old girl was admitted to an outside hospital with fever and rash. Blood cultures confirmed a Staphylococcus aureus infection. After 11 days of treatment with linezolid combined with meropenem, she developed shock, respiratory failure, and acute kidney injury. She was subsequently transferred to our pediatric intensive care unit and received mechanical ventilation, vasoactive support, and continuous renal replacement therapy to stabilize her condition. Magnetic resonance imaging revealed constrictive pericarditis, indicating that she was experiencing obstructive shock. She underwent two pericardiectomy procedures. The next-generation sequencing of the pericardial tissue also detected S. aureus . Her central venous pressure dropped from 29 to 12 mmHg postsurgery, and she ultimately survived and was discharged. Critical care ultrasound can assist in diagnosing the cause of shock and evaluating the venous return status in obstructive shock.
Xie et al. (Sun,) reported a other. Pericardiectomy successfully reduced central venous pressure from 29 to 12 mmHg in a 9-month-old with constrictive pericarditis and obstructive shock, leading to recovery.