Localized pericardial hematoma presenting with acute hypoxemia.
Localized pericardial hematomas after cardiac surgery may have atypical clinical presentations due to regional alterations in cardiac function and hemodynamics. We report a case of extravascular thrombus that compressed the main pulmonary artery and produced acute hypoxemia due to right-to-left shunting across a patent foramen ovale. We review the pathophysiology leading to this finding and the echocardiographic studies that established the diagnosis.
Saunders
Paul C
PC
Division of Cardiothoracic Surgery, Department of Surgery, New York University School of Medicine, New York, New York 10016, USA.
Grau
Juan B
JB
Chen
Carol L
CL
Zervos
Michael
M
Schwartz
Charles F
CF
Colvin
Stephen B
SB
Rosenzweig
Barry P
BP
Ribakove
Greg H
GH
D000208:Acute Disease; D000789:Angina, Unstable / Q000601:surgery; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006331:Heart Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D008875:Middle Aged; D009204:Myocardial Revascularization; D010496:Pericardium / Q000473:pathology*; D011183:Postoperative Complications; D011651:Pulmonary Artery; D013927:Thrombosis / Q000209:etiology