Acute Left Ventricular Failure after Large Volume Pericardiocentesis

A. Chamoun, R. Cenz, A. Mager, A. Rahman, C. Champion, M. Ahmad, Yochai Birnbaum

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


This paper reports on two cases of large volume pericardiocentesis followed by transient severe acute left ventricular (LV) systolic failure in the absence of any prior history of LV dysfunction. Acute LV volume overload due to interventricular volume mismatch is believed by most authors to be the cause for this phenomenon. Another plausible physiopathologic explanation is the acute increase in "wall stress" (Laplace's law) due to acute distention of the cardiac chambers secondary to a sudden increase in venous return at high filling pressures, combined with a "vacuum" effect of the evacuated pericardial space.

Original languageEnglish (US)
Pages (from-to)588-590
Number of pages3
JournalClinical Cardiology
Issue number12
StatePublished - Dec 2003


  • Cardiogenic shock
  • Echocardiography
  • Pericardial effusion
  • Pericardiocentesis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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