Retinal artery embolization: a rare presentation of calcific aortic stenosis
1996
This is the first reported case of cardiac tamponade presumed to be caused by postpericardiotomy syndrome (PPS) following endocardial pacemaker placement. An 84-year-old woman developed fever and dyspnea 3 weeks after pacemaker placement. Physical examination revealed hypotension, tachycardia, and pulsus paradoxus. Auscultation revealed clear lungs and diminished heart sounds. The sedimentation rate was 60 mm/h. Echocardiography revealed a large pericardial effusion with signs of cardiac tamponade. Surgical drainage of the pericardial space resulted in complete resolution of symptoms. The pericardial fluid was culture- and cytologically negative. PPS is a common complication of cardiothoracic surgery and chest trauma. It rarely occurs after percutaneous procedures such as percutaneous transluminal coronary angioplasty and transvenous pacemaker placement. While usually having a benign, self-limited course, PPS can cause a serious complication as illustrated in this case report.
Keywords:
- Internal medicine
- Cardiology
- Pericardial fluid
- Stenosis
- Postpericardiotomy syndrome
- Pacemaker Placement
- Pericardial effusion
- Cardiothoracic surgery
- Cardiac tamponade
- Medicine
- Surgery
- Pulsus paradoxus
- Radiology
- Retinal Artery
- Retinal Artery Occlusion
- Bicuspid aortic valve
- Embolization
- Aortic valve stenosis
- Aortic valve
- Embolism
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
7
References
10
Citations
NaN
KQI