Anterior Loculated Pericardial Effusion Misinterpreted as Right Heart Dilation Suggesting Pulmonary ...

مرکز و کتابخانه مطالعات اسلامی به زبان های اروپایی

منو

" Anterior Loculated Pericardial Effusion Misinterpreted as Right Heart Dilation Suggesting Pulmonary Embolism "
Lahham, Sari; Frisch, Emily; Langdorf, Mark

Document Type	:	AL
Record Number	:	928060
Doc. No	:	LA0hc5q6nz
Language of Document	:	English
Main Entry	:	Lahham, Sari; Frisch, Emily; Langdorf, Mark
Title & Author	:	Anterior Loculated Pericardial Effusion Misinterpreted as Right Heart Dilation Suggesting Pulmonary Embolism [Article]\ Lahham, Sari; Frisch, Emily; Langdorf, Mark
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	3/2
Date	:	2019
Abstract	:	We report a case of anterior loculated pericardial effusion misinterpreted on point-of-care ultrasound as a dilated right ventricle, and suggesting diagnosis of pulmonary embolism (PE), in a patient with renal failure. The compressed right ventricle from tamponade physiology appeared to be a thickened intraventricular septum. Heparin was given empirically for presumed PE. Later the same day, computed tomography of the chest showed the effusion, as did formal echocardiogram. The patient had drainage of 630 milliliters of fluid and recovered from tamponade. Loculated effusions comprise 15% of all pericardial effusions, and misdiagnosis of PE with heparin therapy could be fatal.