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Life-Threatening Cardiac Tamponade Secondary to COVID-19 Treated with Uniportal Video-Assisted Thoracoscopic Surgery: A Case Report.
Essa, Rawand Abdulrahman; Ahmed, Sirwan Khalid.
  • Essa RA; Department of Cardiothoracic and Vascular Surgery, Rania Medical City Hospital, Rania, Sulaimani, Iraq.
  • Ahmed SK; Department of Cardiac Care Unit (CCU), Rania Teaching Hospital, Rania, Sulaimani, Iraq.
Am J Case Rep ; 23: e935839, 2022 Apr 09.
Article in English | MEDLINE | ID: covidwho-1786274
ABSTRACT
BACKGROUND The COVID-19 outbreak emerged in December 2019 in Wuhan, China. COVID-19 is caused by the SARS-CoV-2 coronavirus and mostly affects the respiratory system but can also affect other organs, including the cardiovascular system. Furthermore, the most common cardiac complications include severe left ventricular dysfunction, acute myocardial injury, and arrhythmias. Life-threatening cardiac tamponade and large pericardial effusion are exceedingly rare complications in patients recovered from COVID-19. Previously, this condition was treated with pericardiocentesis, colchicine, and corticosteroids. CASE REPORT We present the case of a 54-year-old man who recovered from a SARS-CoV-2 infection 7 days before presentation and describe a complicated pericardial effusion with life-threatening cardiac tamponade. To the best of our knowledge, this is the first case of pericardial effusion with cardiac tamponade that was successfully treated with single port or uniportal video-assisted thoracoscopic surgery with an excellent outcome. CONCLUSIONS Life-threatening cardiac tamponade with pericardial effusion is an exceedingly rare complication in patients recovered from COVID-19. Generally, patients diagnosed with pericardial effusion undergo a pericardiocentesis procedure. Although there are multiple treatment options for draining pericardial effusion, the recurrence rate with surgical pericardial window formation is the lowest. However, our patient underwent surgery using a uniportal video-assisted thoracoscopic surgery with an excellent outcome.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pericardial Effusion / Cardiac Tamponade / COVID-19 Type of study: Case report / Prognostic study Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: Am J Case Rep Year: 2022 Document Type: Article Affiliation country: Ajcr.935839

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pericardial Effusion / Cardiac Tamponade / COVID-19 Type of study: Case report / Prognostic study Topics: Long Covid Limits: Humans / Male / Middle aged Language: English Journal: Am J Case Rep Year: 2022 Document Type: Article Affiliation country: Ajcr.935839