@article{MAKHILLRJBS20083110497, title = {Acute Heart Failure after Evacuation of Large Volume of Pericardial Effusion by Pericardiostomy}, journal = {Research Journal of Biological Sciences}, volume = {3}, number = {1}, pages = {32-34}, year = {2008}, issn = {1815-8846}, doi = {rjbsci.2008.32.34}, url = {https://makhillpublications.co/view-article.php?issn=1815-8846&doi=rjbsci.2008.32.34}, author = {Ahmad-Ali Khalili}, keywords = {Ventricular failure,pericardial effusion,acute heart failure,evacuation}, abstract = {In this report, we present two cases of acute left ventricular failure after large volume pericardiocentesis. Both cases presented with the symptoms of massive pericardial effusion which documented with Trans-Esophageal Echocardiography (TEE). The case No. 1 had the history of concomitant aortic and Mitral Valve Replacement (MVR and AVR), 2 months before the present admission. The case No. 2 had severe valvular PS and underwent valvotomy, PS repair and PFO occlusion, 2 weeks ago. An emergent pericardiostomy was performed for both cases and approximately 1000 mL of serous fluid was removed. However, after 2 h, the patients complained of symptoms of LV failure. High-dose inotropic support and other supportive measures were considered. The first case dead and the second survived.} }