Key result
Emergent pericardial drainage stabilizes acute tamponade and improves LVEF to ~35% in severe LV dysfunction.
Case Report (n=1)
No
Timely surgical drainage of acute pericardial tamponade secondary to acute myocarditis can be life-saving and allows for the recovery of severe left ventricular systolic dysfunction.
May stabilize tamponade with severe LV dysfunction; leaves open prospective validation of EF recovery.
The case in this study was a 33-year-old woman suffering from acute pericardial tamponade with severe left ventricular systolic dysfunction (LVEF=10%) after myocarditis as a result of possible viral respiratory infection.The diagnosis was confirmed with two transthoracic echocardiography (TTE) evaluation showing moderate pericardial effusion with diastolic right atrium and ventricle collapse.The hemodynamic and respiratory condition of patient was unstable and emergent.The drainage of pericardial space was life-saving with good results.
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A 2019 study conducted a case report in Acute pericardial tamponade with severe left ventricular systolic dysfunction after acute myocarditis (n=1). Pericardial window / drainage was evaluated on Hemodynamic stability and LVEF improvement. Emergent pericardial drainage successfully stabilized a patient with acute tamponade and severe LV systolic dysfunction, improving her ejection fraction from 10% to 35%.
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