[Carcinomatous pericarditis monitored by pulsed Doppler echocardiography of superior vena cava: hemodynamics from pericardial effusion to pericardial solid invasion].
We utilized pulsed Doppler echocardiography to monitor changes in a patient with carcinomatous pericarditis, from pericardial effusion with cardiac tamponade to pericardial solid invasion. Characteristic changes in superior vena cava (SVC) pulsed Doppler flow patterns were observed after invasion of the pericardium. SVC pulsed Doppler flow patterns are a useful aid in differentiating between solid invasions and recurrent pericardial effusion with pericardial thickening: this diagnostic capability is not readily available with computed tomography.
Yano
S
S
Department of Pulmonary Medicine, Shiga Prefectural Medical Center for Adults, Japan.
D000230:Adenocarcinoma / Q000150:complications; D000368:Aged; D001783:Blood Flow Velocity; D018619:Echocardiography, Doppler, Pulsed; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications; D008297:Male; D008991:Monitoring, Physiologic; D010490:Pericardial Effusion / Q000503:physiopathology*; D010493:Pericarditis / Q000503:physiopathology*; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging*