Pleural effusion causing cardiac tamponade: Report of two cases and review of the literature

Kopterides, Petros; Lignos, Michalis; Papanikolaou, S; Papadomichelakis, Evangelos; Mentzelopoulos, Spyros D.; Armaganidis, Apostolos; Panou, Fotios

doi:10.1016/j.hrtlng.2005.07.001

Cited by 31 publications

(20 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some cases presented with hemodynamic compromise that resolved after pleural drainage [37][38][39], whereas others exhibited right-sided chamber collapse without gross hemodynamic disturbances [40,41]. On the contrary, Alam et al [42] described three patients with PLEF after cardiac surgery who were unable to be weaned from vasoactive drugs.…”

Section: Hemodynamic Effects Of Pleural Effusionsmentioning

confidence: 99%

Pleural effusion in the mechanically ventilated patient

Graf¹

2009

Current Opinion in Critical Care

View full text Add to dashboard Cite

show abstract

Section: Hemodynamic Effects Of Pleural Effusionsmentioning

confidence: 99%

Pleural effusion in the mechanically ventilated patient

Graf¹

2009

Current Opinion in Critical Care

View full text Add to dashboard Cite

show abstract

“…Case reports of large pleural effusions causing tamponade-like pathophysiology have been published [29,[58][59][60] supported by recent studies [61,62]. Note that the positioning of the patient is relevant and pleural effusion is easier to locate when the patient is placed in the anti-Trendelenburg position (Fig.…”

Section: Pleural Effusionmentioning

confidence: 70%

Transthoracic echocardiography in the perioperative setting

Jørgensen¹,

Juhl-Olsen²,

Frederiksen

et al. 2016

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

Hemodynamically significant cardiac disease or pathophysiology can be disclosed using TTE. Focused TTE is feasible for perioperative patient management and monitoring and will be an inevitable and indispensable tool for the anesthetist. Future research should focus on the outcome of perioperative TTE performed by anesthetists, using rigorous study designs and patient-centered outcomes such as mortality and morbidity.

show abstract

“…Larger pleural effusions may alone or in association with small pericardial effusions produce echocardiographic changes to cardiac cavities. Several reports testify to the compression of the right atrium, RV, and even LV with isolated pleural effusion. The incidence of diastolic right atrial collapse is estimated at 18% in patients with pleural effusions .…”

Section: Pleural Effusionmentioning

confidence: 99%

When appearances deceive: Echocardiographic changes due to common chest pathology

et al. 2018

View full text Add to dashboard Cite

Most indications for performing echocardiography focus on the evaluation of properties intrinsic to the heart. However, numerous extra‐cardiac conditions indirectly convey changes to the echocardiographic appearance through alterations in the governing physiology. Pulmonary embolism increases pulmonary arterial pressure if a sufficient cross‐sectional area of the pulmonary vascular bed is occluded. This may result in dilatation of the right ventricle and, in severe cases, concomitant early diastolic septal collapse into the left ventricle. Acute respiratory failure has been shown to yield a similar echocardiographic appearance in experimental conditions due to the resultant pulmonary vasoconstriction. Echocardiography in the presence of pulmonary disease can reveal underlying cardiac pathologies such as pulmonary hypertension that contribute to the clinical severity of respiratory distress. Positive pressure ventilation affects preload, afterload, and compliance of both ventricles. The echocardiographic net result cannot be uniformly anticipated, but provides information on the deciding physiology or pathophysiology. Mediastinal pathology including tumors, herniation of abdominal content, and pleural effusion can often be visualized directly with echocardiography. Mediastinal pathologies adjacent to the heart may compress the myocardium directly, thus facilitating echocardiographic and clinical signs of tamponade in the absence of pericardial effusion. In conclusion, many pathologies of extra‐cardiac origin influence the echocardiographic appearance of the heart. These changes do not reflect properties of the myocardium but may well be mistaken for it. Hence, these conditions are essential knowledge to all physicians performing echocardiography across the spectrum from advanced cardiological diagnostics to rapid point‐of‐care focused cardiac ultrasonography.

show abstract

Pleural effusion causing cardiac tamponade: Report of two cases and review of the literature

Cited by 31 publications

References 9 publications

Pleural effusion in the mechanically ventilated patient

Pleural effusion in the mechanically ventilated patient

Transthoracic echocardiography in the perioperative setting

When appearances deceive: Echocardiographic changes due to common chest pathology

Contact Info

Product

Resources

About