Echocardiography of isolated subacute left heart tamponade in a patient with cor pulmonale and circumferential pericardial effusion.

Cardiovascular Ultrasound
Tomaz MarsMatej Podbregar

Abstract

Patients with advanced idiopathic pulmonary artery hypertension have often a chronic pericardial effusion. It is the result of increased transudation and impaired re-absorption due to elevated venous pressure. These patients have pre-existent symptoms and signs of chronic right heart failure. High degree of suspicion is required to detect of development of an atypical form of tamponade with isolated compression of left heart chambers as shown in present case report. Transthoracic echocardiography provides a rapid access to the correct diagnosis, a prompt relief of symptoms following the ultrasound guided pericardiocentesis and important diagnostic tool for regular follow up of patients thereafter as shown in our case report.

Citations

Jul 31, 2013·The American Journal of Medicine·Edgar Argulian, Franz Messerli
Jul 18, 2020·Veterinary Surgery : VS·Logan M ScheuermannAndré J Nault
Sep 1, 2014·Echo Research and Practice·Ashraf RoshdyDavid Walker
Jul 1, 2011·Current Opinion in Critical Care·Laurent BodsonAntoine Vieillard-Baron
Jun 20, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Sophia P Poorsattar, Timothy M Maus
Nov 3, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Sophia P Poorsattar, Timothy M Maus

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