[Postoperative hemopericardium compressing the left atrium. Apropos of 8 cases].
The authors report 8 cases of hemopericardium compressing the left atrium occurring at varying intervals after cardiac surgery. This is an unusual anatomical and classically rare site of pericardial effusion. This type of tamponnade has special clinical features, leading to a picture of subacute left ventricular failure, by interference with filling and typical echocardiographic appearances, with special features in two-dimensional mode and, in TM mode, an abnormal anterior movement of the posterior wall of the left atrium, which is studied. CT scan of the thorax, when performed, confirms this highly specific topographic situation. This type of effusion must be managed surgically as quickly as possible, with an anterior approach, either by left thoracotomy or by midline sternotomy.
Laudinat
J M
JM
Service de Cardiologie, CHU, Reims.
Chapoutot
L
L
Metz
D
D
Chabert
J P
JP
Metivet
F
F
Taupin
J M
JM
Ehrhard
V
V
Baehrel
B
B
Elaerts
J L
JL
Bajolet
A
A
D000328:Adult; D000368:Aged; D001021:Aortic Valve; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005260:Female; D006325:Heart Atria; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000209:etiology*; D012086:Reoperation; D012189:Retrospective Studies
Hémopéricardes post-opératoires comprimant l'oreillette gauche. A propos de huit cas.