title: Severe rheumatic mitral stenosis with pericardial effusion causing left ventricular tamponade.
abstract: A woman of 38 was admitted for urgent surgery of severe mitral stenosis causing pulmonary oedema. Echocardiography showed a pericardial effusion with apparent distortion and collapse of the left ventricle. Urgent drainage of the effusion before mitral valve surgery led to an improvement in cardiac output with no detectable change in right heart pressures.
authors.affiliation: Cardiac Department, London Chest Hospital.
authors.forename: S W
authors.initials: SW
authors.lastname: Davies
authors.forename: A
authors.initials: A
authors.lastname: Youhana
authors.forename: M
authors.initials: M
authors.lastname: Copp
mesh_terms: D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology* / Q000628:therapy; D004322:Drainage; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000601:surgery; D010490:Pericardial Effusion / Q000150:complications* / Q000601:surgery; D012214:Rheumatic Heart Disease / Q000150:complications*