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악성 심낭 삼출 환자에서 심낭 천자 후 발생한 급성 심부전 1예

Other Titles
 Acute heart failure after pericardiocentesis in a patient with malignant pericardial effusion 
Authors
 황상익  ;  이상학  ;  박광혁  ;  김정한  ;  정재헌  ;  최승혁  ;  이남호 
Citation
 Korean Journal of Medicine, Vol.70(Suppl2) : 206-211, 2006 
Journal Title
 Korean Journal of Medicine 
ISSN
 1226-329X 
Issue Date
2006
Keywords
Heart failure ; Congestive ; Pericardiocentesis ; Pericardial effusion
Abstract
Pericardiocentesis and removal of the fluid in patients with pericardial effusion can cause several complications. Though rarely, rapid removal of effusion may alter the fluid dynamics resulting in circulatory complication. We describe a 40-year old male with malignant pericardial effusion associated with germ cell tumor. Twelve hours after massive drainage of fluid by pericardiocentesis, marked but transient left ventricular failure developed. After he was treated with mechanical ventilator support and inotropic agents, his cardiac function was normalized in 2 weeks. Gradual removal of pericardial fluid under hemodynamic monitoring is advisable in patients with large amount of pericardial effusion.
Files in This Item:
T200604419.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Sang Hak(이상학) ORCID logo https://orcid.org/0000-0002-4535-3745
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110983
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