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01.12.2009 | Case report | Ausgabe 1/2009 Open Access

Cardiovascular Ultrasound 1/2009

Pseudo cardiac tamponade in the setting of excess pericardial fat

Cardiovascular Ultrasound > Ausgabe 1/2009
Thang Nguyen, Kanwal Kumar, Andrew Francis, Jonathan R Walker, Michael Raabe, Shelley Zieroth, Davinder S Jassal
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1476-7120-7-3) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

TN, AF, JW and DJ wrote the manuscript. KK, MR, SZ and DJ were involved in the patient's clinical care. All authors read and approved the final manuscript.


Cardiac tamponade is the phenomenon of hemodynamic compromise caused by a pericardial effusion. Following a myocardial infarction, the most common causes of pericardial fluid include early pericarditis, Dressler's syndrome, and hemopericardium secondary to a free wall rupture. On transthoracic echocardiography, pericardial fluid appears as an echo-free space in between the visceral and parietal layers of the pericardium. Pericardial fat has a similar appearance on echocardiography and it may be difficult to discern the two entities. We present a case of a post-MI patient demonstrating pseudo tamponade physiology in the setting of excessive pericardial fat.
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