A Silent Relic: Uremic Pericardial Effusion

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Presentation transcript:

A Silent Relic: Uremic Pericardial Effusion Michael A. Santos, MD, Jeremy Spinazzola, DO, Andry Van de Louw, MD, PhD The American Journal of Medicine Volume 129, Issue 10, Pages 1057-1059 (October 2016) DOI: 10.1016/j.amjmed.2016.05.043 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 A chest radiograph obtained on admission demonstrated a markedly enlarged cardiopericardial silhouette and a “water-bottle” configuration. A left retrocardiac density was likely related to compressive atelectasis of the left lower lobe imparted by the large pericardial effusion. The American Journal of Medicine 2016 129, 1057-1059DOI: (10.1016/j.amjmed.2016.05.043) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 A large pericardial effusion (red arrows) and diastolic collapse of the right ventricle, evidence of cardiac tamponade, were seen on a transthoracic echocardiogram (apical 4-chamber view). The American Journal of Medicine 2016 129, 1057-1059DOI: (10.1016/j.amjmed.2016.05.043) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 3 Transthoracic echocardiography (parasternal long-axis view) showed the uremic pericardial effusion posteriorly (blue arrow) and, to a lesser extent, anterior to the right ventricle (red arrowheads). Ao = aortic outflow tract; LA = left atrium; LV = left ventricle; PW = posterior wall. The American Journal of Medicine 2016 129, 1057-1059DOI: (10.1016/j.amjmed.2016.05.043) Copyright © 2016 Elsevier Inc. Terms and Conditions