A Case of Delayed Postoperative Cardiac Tamponade with Unusual Echocardiographic Findings (Part 4)

In: Postoperative Cardiac Tamponade

21 Sep 2012

A Case of Delayed Postoperative Cardiac Tamponade with Unusual Echocardiographic Findings (Part 4)The echocardiographic findings in this patient were striking and unusual. Typically, in cardiac tamponade, a moderate to large pericardial effusion surrounds both ventricles and tamponade physiology is characterized by right atrial systolic collapse, right ventricular diastolic collapse, or reciprocal changes in right and left ventricular dimension with respiration. This case was atypical in that there was no fluid around the left ventricle or anterior to the right ventricle. On tomographic 2D echo images, fluid filled the areas normally occupied by the right and left atrium, such that the diagnosis of loculated pericardial fluid was not obvious. It was only after careful interrogation with conventional pulsed Doppler and color flow imaging that the severely compressed right and left atria were identified. Although classic echo findings for tamponade were not present, tamponade physiology was suspected based on the severe bilateral atrial compression that persisted throughout the cardiac cycle with resulting impairment of ventricular filling. Cardiac output was severely impaired, confirming the severity of the tamponade. Rapid improvement followed surgical drainage. Choose a perfect online pharmacy to get cialis super active online and treat your health issue.
In late postoperative cardiac tamponade, echocardiography remains an excellent diagnostic modality, although the findings may be unusual, as demonstrated by this case, if the fluid is loculated in localized cardiac compression. Confirmation of the diagnosis can be made by right heart catheterization. Prompt drainage by percutaneous catheter techniques or open surgical exploration is essential.


About this blog

Blog invites submissions of review articles, reports on clinical techniques, case reports, conference summaries, and articles of opinion pertinent to the control of pain and anxiety in dentistry.

Photostream

Vietnam War 1967
Vietnam War 1967
Barry Marshall's Sample Jar
Massage - Gamescom 2017, Köln
Miterbeiter von Paymentwall gibt Autogramme - Gamescom 2017, Köln
IMG_0055.jpg
IMG_0053.jpg
Reaching Totality
IMG_9978.jpg

Tags