Evidence map›Paper›PMID 40480776›Full record

ArticleJACC. Case reports2025

Pericardial Decompression Syndrome: Insight Into Pathophysiology Based on Echocardiographic Findings in a 10-Year-Old Boy.

Asaka Asakura, Takashi Honda, Manabu Takanashi, Eri Mineo, Eri Hirota, Tomoko Yokosuka, Fumiaki Shikata, Yoichiro Hirata, Kagami Miyaji, Kenji Ishikura

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Asaka AsakuraDepartment of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Takashi HondaDepartment of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan. Electronic address: t.honda@insti.kitasato-u.ac.jp.
Manabu TakanashiDepartment of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Eri MineoDepartment of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Eri HirotaDivision of Hematology/Oncology, Kanagawa Children's Medical Center, Yokohama, Kanagawa, Japan.
Tomoko YokosukaDivision of Hematology/Oncology, Kanagawa Children's Medical Center, Yokohama, Kanagawa, Japan.
Fumiaki ShikataDepartment of Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Yoichiro HirataDepartment of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Kagami MiyajiDepartment of Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.
Kenji IshikuraDepartment of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPericardial decompression syndrome (PDS) is a rare but life-threatening complication that causes hemodynamic collapse after the drainage of pericardial effusion. CASE SUMMARY: A 10-year-old boy with persistent cough and syncope presented at our hospital. An echocardiogram revealed a large pericardial effusion. Immediately after surgical pericardiostomy, the patient became slightly hypotensive. Massive tricuspid regurgitation developed, the right ventricle (RV) became enlarged, and RV dysfunction emerged. We initiated olprinone and diuretics. Hypotension recovered within the following 24 hours, and the size and function of the RV normalized within 12 days. DISCUSSION: The RV was unable to adapt functionally and structurally to a rapid increase in preload after drainage. The detailed changes in echocardiographic findings in the present case provide novel information. TAKE-HOME MESSAGE: Inasmuch as PDS can also develop in childhood, clinicians need to consider this potentially fatal complication when removing pericardial effusion even in pediatric patients.

Indexed as

pericardial decompression syndromeright-to-left heart interactionsright ventricular failurevolume overload

Identifiers

PMID40480776
PMCPMC12235158

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.