TY - JOUR
AU1 - Durand, Madeleine
AU2 - Lamarche, Yoan
AU3 - Denault, André
AB - Can J Anesth/J Can Anesth (2009) 56:443–448 DOI 10.1007/s12630-009-9080-3 PERIOPERAT IVE C ARD I OV ASCULA R R O U N D S Madeleine Durand, MD Æ Yoan Lamarche, MD Æ Andre ´ Denault, MD Received: 4 February 2009 / Accepted: 5 March 2009 / Published online: 28 April 2009 Canadian Anesthesiologists’ Society 2009 Echocardiography plays a significant role in the diagnosis of Over the ensuing days, the patient’s condition deterio- pericardial effusion and its related complications. To illus- rated as he developed progressive respiratory failure, renal trate this issue, we were involved in the care of a 55-year-old failure, and liver dysfunction. Repeat echocardiograms male with liver cirrhosis who presented with pleuritic chest showed persistent pericardial effusion with more signifi- discomfort of four days’ duration. His electrocardiogram cant right atrial compression. A pericardial drain was (ECG) showed diffuse ST segment elevation and a shortened introduced under echocardiographic guidance, and 500 ml PR interval (Fig. 1). Echocardiography showed a pericardial of thick bloody fluid were removed. Vasopressor require- effusion of 18–20 mm without compression of the right ments decreased significantly after the procedure. ventricle but with slight compression of the right atrium. The Pericardial fluid showed numerous polymorphonuclear left 
TI - Pericardial tamponade
JF - Canadian Journal of Anesthesia/Journal canadien d'anesthésie
DO - 10.1007/s12630-009-9080-3
DA - 2009-06-01
UR - https://www.deepdyve.com/lp/springer-journals/pericardial-tamponade-9Z9dpFTmDW
SP - 443
EP - 448
VL - 56
IS - 6
DP - DeepDyve
ER -