Left atrial appendage collapse as a sole feature of cardiac tamponade after cardiac surgery: a case report.
We report on a postoperative patient with cardiac tamponade caused by posteriorly localized pericardial effusion. In this case, transthoracic echocardiography only suggested mild left atrial compression. However, transesophageal echocardiography demonstrated significant collapse of the left atrial appendage that completely disappeared after pericardial drainage. The left atrial appendage collapse should be a valuable diagnostic sign in this setting. Transesophageal echocardiography would surely be valuable in diagnosing postoperative cardiac tamponade as a result of localized effusion when clinical symptoms and transthoracic echocardiographic findings are atypical.
Yamano
Tetsuhiro
T
Department of Cardiology, National Cardiovascular Center, Suita, Osaka, Japan.
Nakatani
Satoshi
S
Nakamura
Takeshi
T
Sawada
Takahisa
T
Azuma
Akihiro
A
Yaku
Hitoshi
H
Matsubara
Hiroaki
H
D000368:Aged; D020517:Atrial Appendage / Q000000981:diagnostic imaging*; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging* / Q000209:etiology*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006801:Humans; D008297:Male; D014463:Ultrasonography