title: Regional cardiac tamponade resulting in hypoxia from acute right to left inter-atrial shunting.
abstract: Loculated pericardial effusion, as a cause of acute hypoxia, is an unusual finding. Here, we describe the case of a patient who underwent percutaneous coronary intervention, complicated by a localized pericardial hematoma compressing the right atrium, resulting in right to left shunting of blood through a patent foramen ovale and subsequent hypoxia. Evacuation of the hematoma was eventually performed via a pericardial window with resolution of hypoxia.
authors.affiliation: Division of Cardiovascular Medicine, Deborah Heart and Lung Center, 200 Trenton Road, Browns Mills, NJ 08015, USA.
authors.forename: Vincent
authors.initials: V
authors.lastname: Varghese
authors.forename: Allen
authors.initials: A
authors.lastname: Mogtader
authors.forename: Jon C
authors.initials: JC
authors.lastname: George
mesh_terms: D000368:Aged; D001775:Blood Circulation / Q000502:physiology; D002305:Cardiac Tamponade / Q000150:complications* / Q000209:etiology; D054092:Foramen Ovale, Patent / Q000503:physiopathology*; D006325:Heart Atria / Q000503:physiopathology*; D006406:Hematoma / Q000150:complications / Q000601:surgery; D006801:Humans; D000860:Hypoxia / Q000209:etiology*; D008297:Male; D010490:Pericardial Effusion / Q000150:complications / Q000601:surgery; D013906:Thoracoscopy; D016896:Treatment Outcome