Localized pericardial tamponade: Does it always need exploration?
A 48-year-old female patient underwent coronary artery bypass surgery. One-hour after surgery, the patient developed hemodynamic instability. Transthoracic echocardiography (TTE) was inconclusive. Transesophageal echocardiography (TEE) was performed and it revealed localised collection around right...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=1;spage=67;epage=69;aulast=Raut |
| _version_ | 1818934626125611008 |
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| author | Monish S Raut Arun Maheshwari Ganesh Shivnani |
| author_facet | Monish S Raut Arun Maheshwari Ganesh Shivnani |
| author_sort | Monish S Raut |
| collection | DOAJ |
| description | A 48-year-old female patient underwent coronary artery bypass surgery. One-hour after surgery, the patient developed hemodynamic instability. Transthoracic echocardiography (TTE) was inconclusive. Transesophageal echocardiography (TEE) was performed and it revealed localised collection around right atrium. In spite of the evidence of localized tamponade, wait and watch policy was employed rather than re-exploring the patient emergently. The patient recovered uneventfully. If hemodynamics remain stable and there is no fall in hematocrit and no increase in effusion on TEE/TTE examination, then localized tamponade can be managed conservatively without reexploring the patient. |
| first_indexed | 2024-12-20T05:07:16Z |
| format | Article |
| id | doaj.art-c7e3fbbc0f714e369a8754bc669e2874 |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-20T05:07:16Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-c7e3fbbc0f714e369a8754bc669e28742022-12-21T19:52:22ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842014-01-01171676910.4103/0971-9784.124149Localized pericardial tamponade: Does it always need exploration?Monish S RautArun MaheshwariGanesh ShivnaniA 48-year-old female patient underwent coronary artery bypass surgery. One-hour after surgery, the patient developed hemodynamic instability. Transthoracic echocardiography (TTE) was inconclusive. Transesophageal echocardiography (TEE) was performed and it revealed localised collection around right atrium. In spite of the evidence of localized tamponade, wait and watch policy was employed rather than re-exploring the patient emergently. The patient recovered uneventfully. If hemodynamics remain stable and there is no fall in hematocrit and no increase in effusion on TEE/TTE examination, then localized tamponade can be managed conservatively without reexploring the patient.http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=1;spage=67;epage=69;aulast=RautTamponade; Transesophageal echocardiography; Transthoracic echocardiography |
| spellingShingle | Monish S Raut Arun Maheshwari Ganesh Shivnani Localized pericardial tamponade: Does it always need exploration? Annals of Cardiac Anaesthesia Tamponade; Transesophageal echocardiography; Transthoracic echocardiography |
| title | Localized pericardial tamponade: Does it always need exploration? |
| title_full | Localized pericardial tamponade: Does it always need exploration? |
| title_fullStr | Localized pericardial tamponade: Does it always need exploration? |
| title_full_unstemmed | Localized pericardial tamponade: Does it always need exploration? |
| title_short | Localized pericardial tamponade: Does it always need exploration? |
| title_sort | localized pericardial tamponade does it always need exploration |
| topic | Tamponade; Transesophageal echocardiography; Transthoracic echocardiography |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=1;spage=67;epage=69;aulast=Raut |
| work_keys_str_mv | AT monishsraut localizedpericardialtamponadedoesitalwaysneedexploration AT arunmaheshwari localizedpericardialtamponadedoesitalwaysneedexploration AT ganeshshivnani localizedpericardialtamponadedoesitalwaysneedexploration |