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Pericardial effusion in children: experience from tertiary care center in northern India

Narendra Kumar Bagri1, Dinesh Kumar Yadav, Sheetal Agarwal

  • 1Division of Pediatric Cardiology, Department of Pediatrics, and *Department of CTVS, PGIMER and Dr. RML Hospital, New Delhi, India. Correspondence to: Dr Dinesh Kumar Yadav, Department of Pediatrics, PGIMER and Dr. RML Hospital, N. Delhi 110 001, India. dineshkumar169@yahoo.co.in.

Indian Pediatrics
|April 17, 2014
PubMed

Insights

This study analyzed children with significant pericardial effusion, finding tuberculosis as the most common cause. Echocardiography-guided drainage proved safe and effective for managing pericardial effusion in pediatric patients.

Area of Science:

  • Pediatric Cardiology
  • Thoracic Medicine
  • Infectious Diseases

Background:

  • Pericardial effusion in children can lead to significant morbidity.
  • Understanding the etiological profile and treatment outcomes is crucial for effective management.

Purpose of the Study:

  • To characterize the clinical profile and treatment outcomes of pediatric patients with significant pericardial effusion.
  • To evaluate the safety and efficacy of echocardiography-guided percutaneous pericardiocentesis.

Main Methods:

  • Retrospective analysis of hospital records for 25 children admitted with significant pericardial effusion between January 2010 and March 2013.
  • Data collected included etiology, management, and outcomes.

Main Results:

  • The most common causes were tuberculosis (52%) and bacterial infections (24%).
  • Viral, recurrent idiopathic, and malignant effusions were less frequent.
  • Only 3 children required surgical drainage, with most managed conservatively or via percutaneous methods.

Conclusions:

  • Tubercular pericardial effusion is a significant concern in the pediatric population.
  • Echocardiography-guided percutaneous pericardiocentesis with pigtail catheter placement is a safe and effective minimally invasive procedure for managing pediatric pericardial effusion.
Abstract

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