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 […]
On right heart catheterization, there was a trend toward equalization of diastolic intracardiac pressures: central venous pressure, 19 mm Hg; pulmonary artery diastolic pressure, 21 mm Hg; and pulmonary capillary wedge pressure, 20 mm Hg. The cardiac index was only 1.6 L/min/m2 and there was 20 mm Hg pulsus paradoxus. Because of the deep posterior […]
Increased peak early transmitral Doppler flow velocities (1.4 m/s) were consistent with a decrease in the functional left ventricular inflow orifice secondary to atrial compression. In addition, a loculated effusion was present around the right atrium (best seen on apical and subcostal views, Fig 1 and 2), with severe right atrial compression and impairment of […]
Delayed cardiac tamponade is an uncommon complication following cardiac surgery. Early recognition and management are essential for satisfactory outcome. Echocardiography and right heart catheterization usually provide a definitive diagnosis. A case of late postoperative cardiac tamponade with unusual echocardiographic findings follows.
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