Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Möllmann, H; Zirlik, A; Nef, HM; Weber, M; Hamm, CW; Elsässer, A.
Left ventricular tamponade - a clinical chameleon.
THORAC CARDIOV SURG. 2007; 55(5): 325-327.
Doi: 10.1055/s-2006-955881
(- Case Report)
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Zirlik Andreas
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- Abstract:
- We present a 45-year-old patient who had to undergo aortocoronary bypass surgery after acute posterior myocardial infarction. On day twelve, the patient suddenly developed the classic signs of cardiogenic shock including angina, tachycardia, and hypotension. ECG displayed significant ST-elevations and troponin T was positive. Echocardiography suspected relevant pericardial effusion. However, the typical clinical signs of acute pericardial tamponade(distension of jugular veins, paradoxical pulse) were absent. Therefore, a computed tomography was carried out, which confirmed an isolated left ventricular tamponade resulting in severe diastolic and systolic dysfunction with profoundly impaired left ventricular filling. Immediate operative drainage was necessary since percutaneous pericardiocentesis was impossible given the untypical localization. This case demonstrates that clearcut signs of myocardial infarction can be misleading and may represent the untypical presentation of left ventricular tamponade,particularly in the setting after open-heart surgery.
- Find related publications in this database (using NLM MeSH Indexing)
- Cardiac Tamponade - diagnosis
- Cardiac Tamponade - diagnostic imaging
- Cardiac Tamponade - etiology
- Cardiac Tamponade - surgery
- Coronary Artery Bypass - adverse effects
- Electrocardiography -
- Heart Ventricles -
- Humans -
- Middle Aged -
- Myocardial Infarction - complications
- Myocardial Infarction - surgery
- Postoperative Complications - diagnosis
- Shock, Cardiogenic - etiology
- Tomography, X-Ray Computed -
- Ventricular Dysfunction, Left - etiology
- Find related publications in this database (Keywords)
- cardiovascular surgery
- myocardial infarction
- pericardial effusion
- pericardial tamponade