An unusual case of cardiac tamponade.
A 29-year-old woman with Ebstein's anomaly on anticoagulant therapy presented with chest pain. A diagnosis of pericarditis was made once a myocardial infarction and pulmonary embolus had been excluded. She was discharged but returned shortly thereafter with fever, tachypnea and tachycardia. A repeat chest film disclosed that the cardiac silhouette had enlarged greatly since prior admission. Despite the absence of pulsus paradoxus, right heart catheterization confirmed the clinical suspicion of pericardial tamponade.
Ware
D L
DL
Department of Medicine, University of Texas Health Science Center, San Antonio 78284.
Freeman
G L
GL
Crawford
M H
MH
D000328:Adult; D006328:Cardiac Catheterization; D002305:Cardiac Tamponade / Q000150:complications / Q000175:diagnosis; D004437:Ebstein Anomaly / Q000150:complications; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications; D006801:Humans