tetano
Editor, Senior Moderator
IDCases
. 2020 Jul 2;21:e00898.
doi: 10.1016/j.idcr.2020.e00898. eCollection 2020.
Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia
Vaia Derveni[SUP] 1 [/SUP], Evangelos Kaniaris[SUP] 1 [/SUP], Dimitris Toumpanakis[SUP] 1 [/SUP], Efstathia Potamianou[SUP] 1 [/SUP], Ilianna Ioannidou[SUP] 1 [/SUP], Danai Theodoulou[SUP] 1 [/SUP], Anna Kyriakoudi[SUP] 1 [/SUP], Magda Kyriakopoulou[SUP] 1 [/SUP], Konstantinos Pontikis[SUP] 1 [/SUP], Maria Daganou[SUP] 1 [/SUP]
Affiliations
Abstract
Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has recently evolved as a pandemic disease. Although the respiratory system is predominantly affected, cardiovascular complications have been frequently identified, including acute myocarditis, myocardial infarction, acute heart failure, arrhythmias and venous thromboembolic events. Pericardial disease has been rarely reported. We present a case of acute life-threatening cardiac tamponade caused by a small pericardial effusion in a mechanically ventilated patient with severe COVID-19 associated pneumonia. The patient presented acute circulatory collapse with hemodynamic features of cardiogenic or obstructive shock. Bedside echocardiography permitted prompt diagnosis and life-saving pericardiocentesis. Further investigation revealed no other apparent cause of pericardial effusion except for SARS-CoV-2 infection. Cardiac tamponade may complicate COVID-19 and should be included in the differential diagnosis of acute hemodynamic deterioration in mechanically ventilated COVID-19 patients.
Keywords: COVID-19; Cardiac tamponade; Pericardial effusion; Shock.
. 2020 Jul 2;21:e00898.
doi: 10.1016/j.idcr.2020.e00898. eCollection 2020.
Acute life-threatening cardiac tamponade in a mechanically ventilated patient with COVID-19 pneumonia
Vaia Derveni[SUP] 1 [/SUP], Evangelos Kaniaris[SUP] 1 [/SUP], Dimitris Toumpanakis[SUP] 1 [/SUP], Efstathia Potamianou[SUP] 1 [/SUP], Ilianna Ioannidou[SUP] 1 [/SUP], Danai Theodoulou[SUP] 1 [/SUP], Anna Kyriakoudi[SUP] 1 [/SUP], Magda Kyriakopoulou[SUP] 1 [/SUP], Konstantinos Pontikis[SUP] 1 [/SUP], Maria Daganou[SUP] 1 [/SUP]
Affiliations
- PMID: 32665890
- PMCID: PMC7331566
- DOI: 10.1016/j.idcr.2020.e00898
Abstract
Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has recently evolved as a pandemic disease. Although the respiratory system is predominantly affected, cardiovascular complications have been frequently identified, including acute myocarditis, myocardial infarction, acute heart failure, arrhythmias and venous thromboembolic events. Pericardial disease has been rarely reported. We present a case of acute life-threatening cardiac tamponade caused by a small pericardial effusion in a mechanically ventilated patient with severe COVID-19 associated pneumonia. The patient presented acute circulatory collapse with hemodynamic features of cardiogenic or obstructive shock. Bedside echocardiography permitted prompt diagnosis and life-saving pericardiocentesis. Further investigation revealed no other apparent cause of pericardial effusion except for SARS-CoV-2 infection. Cardiac tamponade may complicate COVID-19 and should be included in the differential diagnosis of acute hemodynamic deterioration in mechanically ventilated COVID-19 patients.
Keywords: COVID-19; Cardiac tamponade; Pericardial effusion; Shock.