TY - JOUR T1 - Acute Heart Failure after Evacuation of Large Volume of Pericardial Effusion by Pericardiostomy AU - , Ahmad-Ali Khalili JO - Research Journal of Biological Sciences VL - 3 IS - 1 SP - 32 EP - 34 PY - 2008 DA - 2001/08/19 SN - 1815-8846 DO - rjbsci.2008.32.34 UR - https://makhillpublications.co/view-article.php?doi=rjbsci.2008.32.34 KW - Ventricular failure KW -pericardial effusion KW -acute heart failure KW -evacuation AB - 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. ER -