Ahmad-Ali Khalili  , 
    Acute Heart Failure after Evacuation of Large Volume of Pericardial Effusion by Pericardiostomy,
    Research Journal of Biological Sciences,
    Volume 3,Issue 1,
    2008,
    Pages 32-34,
    ISSN 1815-8846,
    rjbsci.2008.32.34,
    (https://makhillpublications.co/view-article.php?doi=rjbsci.2008.32.34)
    Abstract: In this report, we present two cases of acute left ventricular failure after large volume pericardiocentesis<I>. </I>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.
    Keywords: Ventricular failure;pericardial effusion;acute heart failure;evacuation