[Compressive pericardial effusion after heart surgery in the adult. Contribution of bidimensional echocardiographic findings].
In series of 1450 consecutive cardiopulmonary bypasses for cardiac surgery in adults, we observed 20 cases of post-operative compressive pericardial effusion. The effusion occurred some time after the thoracic drains were removed and had to be evacuated. Two-dimensional echocardiography proved essential to the diagnosis : it easily detected the lesion even when clinical symptoms were misleading but above all, it demonstrated, in our series, that the classical post-operative "tamponade" is a specific entity consecutive to posterior, circumscribed, small volume effusions which mainly compress the left cardiac cavities.
Houppe
J P
JP
Villemot
J P
JP
Houppe-Nousse
M P
MP
Godenir
J P
JP
Neimann
J L
JL
Mathieu
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D002305:Cardiac Tamponade / Q000209:etiology; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D004322:Drainage; D004452:Echocardiography / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
Epanchement péricardique compressif après chirurgie cardiaque de l'adulte. Apports de l'échocardiographie bidimensionnelle.