Affordable Access

Access to the full text

Atypical Cardiac Tamponade Manifesting as Left Ventricular Diastolic Collapse: A Case Report

Authors
  • Paulraj, Shweta1
  • Raj, Vijay2
  • Ashok Kumar, Prashanth1
  • Voelker, Robert2
  • Smulyan, Harold2
  • 1 Internal Medicine, State University of New York Upstate Medical University, Syracuse, USA
  • 2 Cardiology, State University of New York Upstate Medical University, Syracuse, USA
Type
Published Article
Journal
Cureus
Publisher
Cureus
Publication Date
May 10, 2020
Volume
12
Issue
5
Identifiers
DOI: 10.7759/cureus.8045
PMID: 32537266
PMCID: PMC7286439
Source
PubMed Central
Keywords
License
Green
External links

Abstract

Cardiac tamponade is a medical emergency, the diagnosis of which is predominantly clinical with supportive echocardiographic findings. Echocardiographic findings highly suggestive of cardiac tamponade include chamber collapse, inferior vena cava (IVC) plethora, and respiratory volume/flow variations. The right-sided cardiac chambers are a low-pressure system and are the first to show signs of collapse with high specificity for tamponade. We report the case of a 35-year-old woman who demonstrated left ventricular (LV) diastolic collapse on echocardiogram following a tricuspid valve replacement. Although left-sided chamber collapse with tamponade has been reported with localized pericardial effusions postoperatively, our patient had a large circumferential pericardial effusion. Selective chamber compression can be a presenting sign of postoperative tamponade after cardiac surgery. Our case highlights the importance of recognizing atypical forms of cardiac tamponade to help in early identification and emergent management in such patients.

Report this publication

Statistics

Seen <100 times