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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

Zeitschrift:
Cardiovascular Ultrasound > Ausgabe 1/2009
Autoren:
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.

Abstract

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.
Zusatzmaterial
Additional file 1: Movie 1. A transthoracic echocardiogram parasternal long axis view demonstrating a mildly dilated left ventricle and global LV systolic dysfunction. (AVI 275 KB)
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Additional file 2: Movie 2. A transthoracic echocardiogram parasternal short axis view demonstrating a mildly dilated left ventricle and global LV systolic dysfunction. (AVI 742 KB)
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Additional file 3: Movie 3. A transthoracic echocardiogram 4 chamber view from subxiphoid approach representing a 25 mm echolucent region adjacent to the right ventricular free wall and right atrium, presumed to be due to a pericardial effusion. There was echocardiographic evidence suggestive of tamponade physiology with right atrial systolic collapse and right ventricular early diastolic collapse. (AVI 517 KB)
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Additional file 4: Movie 4. A transthoracic echocardiographic short axis view from subxiphoid view representing echodense material attached to the right ventricular wall, presumed to be thrombus. (AVI 457 KB)
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Authors’ original file for figure 1
12947_2009_250_MOESM5_ESM.pdf
Authors’ original file for figure 2
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Authors’ original file for figure 3
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Authors’ original file for figure 4
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Authors’ original file for figure 5
12947_2009_250_MOESM9_ESM.pdf
Literatur
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