Cardiovasc Ultrasound. 2009 Jan 22;7:3.

Pseudo cardiac tamponade in the setting of excess pericardial fat.

Nguyen T, Kumar K, Francis A, Walker JR, Raabe M, Zieroth S, Jassal DS.

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Section of Cardiology, Department of Cardiac Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. thang_nguyen@shaw.ca

Abstract

Cardiac tamponade is the phenomenon of hemodynamic compromise caused by a pericardial effusion. Following a myocardial infarction, the most common causes of pericardial fluid include early pericarditis, Dressler's syndrome, and hemopericardium secondary to a free wall rupture. On transthoracic echocardiography, pericardial fluid appears as an echo-free space in between the visceral and parietal layers of the pericardium. Pericardial fat has a similar appearance on echocardiography and it may be difficult to discern the two entities. We present a case of a post-MI patient demonstrating pseudo tamponade physiology in the setting of excessive pericardial fat.

PMID:: 19161596; [PubMed - indexed for MEDLINE]
PMCID:: PMC2632988

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