Pericardial effusion and its relationship to cardiac disease in children with acquired immunodeficiency syndrome

H. L. Mast, J. O. Haller, Myles S. Schiller, V. M. Anderson

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Over 200 children with acquired immunodeficiency syndrome (AIDS) have been followed at our institution. We retrospectively evaluated 45 children from the above group. 26 of the 45 children had a pericardial effusion documented at echocardiography and/or at post-mortem examination. This report describes the association of pericardial effusion, myocarditis, and pericarditis in children with AIDS and the implications for imaging. Half of the children with a pericardial effusion had a normal cardiac silhouette on chest radiography. 18 children with a pericardial effusion, had associated cardiac abnormalities. These abnormalities were ventricular dilatation and/or hypertrophy, myocarditis, or pericarditis. The presence of pericardial effusion also correlated highly with pleural effusion and ascites. The presence of a pleural effusion and a pericardial effusion was almost exclusively seen in the children with cardiac abnormalities. Pericardial effusion and cardiac disease should not only be suspected in any child with radiographic signs of cardiomegaly, but be strongly suspected in any child with pleural effusions or ascites, even with a normal cardiac silhouette, especially if they are not responding to conventional medical therapy and their respiratory condition is not improving.

Original languageEnglish (US)
Pages (from-to)548-551
Number of pages4
JournalPediatric Radiology
Volume22
Issue number7
DOIs
StatePublished - Nov 1992
Externally publishedYes

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Pericardial Effusion
Heart Diseases
Acquired Immunodeficiency Syndrome
Pleural Effusion
Pericarditis
Myocarditis
Ascites
Respiratory Therapy
Cardiomegaly
Radiography
Hypertrophy
Echocardiography
Dilatation
Autopsy
Thorax

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Pediatrics, Perinatology, and Child Health

Cite this

Pericardial effusion and its relationship to cardiac disease in children with acquired immunodeficiency syndrome. / Mast, H. L.; Haller, J. O.; Schiller, Myles S.; Anderson, V. M.

In: Pediatric Radiology, Vol. 22, No. 7, 11.1992, p. 548-551.

Research output: Contribution to journalArticle

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