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- W4255909274 abstract "A 68 year old man was seen in clinic for progressive fatigue, dyspnoea on exertion, and cough which was progressive over one week. He denied any chest pain. He was being treated on a protocol for metastatic renal cell carcinoma. The patient initially had a chest radiograph taken, which revealed blunting of both costophrenic angles and an enlarged pericardial silhouette (fig 1). To evaluate the pericardial fluid and to rule out progressive disease computed tomography of the chest was performed. This demonstrated bilateral pleural effusions (arrowhead) and a moderate pericardial fluid collection (arrow) with suggestion of compression of the cardiac contours (fig 2). The patient underwent an urgent transthoracic two dimensional echocardiogram, which showed a moderate circumferential pericardial effusion and significant end diastolic right atrial (arrow) and ventricular (arrowhead) collapse consistent with cardiac tamponade physiology (fig 3). The patient was taken to the operating room, where an emergent subxiphoid pericardiostomy was performed." @default.
- W4255909274 created "2022-05-12" @default.
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- W4255909274 date "2005-01-01" @default.
- W4255909274 modified "2023-09-30" @default.
- W4255909274 title "Cardiac tamponade" @default.
- W4255909274 doi "https://doi.org/10.1136/pgmj.2004.020768" @default.
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