Post-cardiac surgery tamponade mimicking acute hepatitis. Report of two cases.
Two patients developed cardiac tamponade from delayed hemorrhage into the pericardial sac following open heart surgery. The initial clinical manifestations of tamponade included nausea and dramatic elevations of serum aminotransferases, simulating acute hepatitis. To our knowledge, this presentation of cardiac tamponade has not been previously reported.
Rex
D K
DK
Department of Medicine, Indiana University Medical Center, Indianapolis 46202.
Rogers
D W
DW
Mohammed
Y
Y
Williams
E S
ES
D000208:Acute Disease; D000328:Adult; D000410:Alanine Transaminase / Q000097:blood; D001021:Aortic Valve; D001219:Aspartate Aminotransferases / Q000097:blood; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D006350:Heart Valve Prosthesis; D006505:Hepatitis / Q000175:diagnosis*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis*; D013997:Time Factors
D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase