Document Detail

Left ventricular diastolic collapse and late regional cardiac tamponade postcardiac surgery caused by large left pleural effusion.
MedLine Citation:
PMID:  18248955     Owner:  NLM     Status:  MEDLINE    
Cardiac tamponade is a well-recognized early complication (ie, within 15 days) of cardiac surgery usually a result of the development of a pericardial effusion postoperatively. However, left ventricular diastolic collapse as a result of the presence of a large pleural effusion, but in the absence of any pericardial effusion, is rare, particularly late (ie, after 15 days) after cardiac surgery. We present the echocardiographic findings of a man presenting with recurrent exertional breathlessness, after elective tissue aortic valve replacement, and demonstrate, by echocardiography, the mechanism of left ventricular diastolic collapse and late regional cardiac tamponade, after cardiac surgery, as a result of the effects of a large pleural effusion but in the absence of any pericardial effusion. We discuss and review the literature on this phenomenon.
Rajinder S Bilku; Dilraj K Bilku; Michael D Rosin; Martin Been
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-01-14
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  21     ISSN:  1097-6795     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-28     Completed Date:  2008-09-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  978.e9-11     Citation Subset:  IM    
Department of Cardiology, University Hospital, Coventry, United Kingdom.
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MeSH Terms
Cardiac Tamponade / etiology*,  ultrasonography*
Heart Valve Prosthesis Implantation / adverse effects*
Pleural Effusion / etiology*,  ultrasonography*
Ventricular Dysfunction, Left / etiology*,  ultrasonography*

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