Delayed localized right atrial tamponade by intrapericardial hematoma after aortic valve replacement: a case report.
Cardiac tamponade, early or late after cardiac surgery, is an uncommon while a potentially lethal condition in which the classic signs of tamponade may be absent. High index of suspicion and rapid diagnosis are mandatory for life-saving decompressive therapy. We herein reported a case of delayed localized right atrial tamponade caused by loculated intrapericardial hematoma 26 days after aortic valve replacement, which was recognized immediately by transthoracic two-dimensional echocardiography. The clinical status improved dramatically after surgical removal of the hematoma.
Liou
J Y
JY
Department of Medicine, Veterans General Hospital-Taipei, Taiwan, R.O.C.
Chen
C H
CH
Wang
S P
SP
Chang
M S
MS
D000368:Aged; D001021:Aortic Valve / Q000601:surgery*; D002305:Cardiac Tamponade / Q000209:etiology*; D004452:Echocardiography; D006331:Heart Diseases / Q000150:complications*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006406:Hematoma / Q000150:complications*; D006801:Humans; D008297:Male; D011183:Postoperative Complications