Two-dimensional echocardiographic demonstration of intrapericardial fibrinous strands in rheumatoid pericarditis

Lam, Diana L.; Rapaport, Elliot

doi:10.1016/0002-8703(87)90521-7

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…Intrapericardial adhesions sometimes appear on the two-dimensional echocardiogram as bands of variable thickness and length, bridging the fluid-filled pericardial space between visceral and parietal pericardium [7][8][9][10][11], In effect, they serve to tether the heart (usually the ventri cles) to the parietal pericardium; one result of this is that excessive swinging or pendular motion of the ventricles is prevented. More commonly, intrapericardial adhesions do not manifest as bands or strands, but as local binding or fixing of the visceral and parietal pericardium in asso ciation with large sonolucent space or spaces (repre senting fluid) elsewhere in the pericardium.…”

Section: Echographie Identification Of Intrapericardial Adhesionsmentioning

confidence: 99%

“…To our knowledge, these échocardiographie findings have not been described previously. No mention is made of abnor mal ventricular contour or wall motion in prior reports dealing with intrapericardial adhesions [7][8][9][10][11] Numerous reports have appeared on loculated pericar dial effusions compressing the right atrium (or less com monly the right atrioventricular region) soon after cardiac surgery, resulting in tamponade [16][17][18][19][20], A recent paper [18] suggests that transesophageal echography may be superior to transthoracic echography for imaging such juxta-atrial pericardial effusions.…”

Section: Echographie Identification Of Intrapericardial Adhesionsmentioning

confidence: 99%

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Modification of the Echocardiographie Features of Tamponade by Intrapericardial Adhesions

Gross¹,

Rogers²,

D’Cruz³

et al. 1992

Am J Noninvas Cardiol

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Intrapericardial adhesions frequently complicate certain forms of pericarditis, especially that following cardiac surgery. When such patients develop tamponade, the echocardiographic diagnosis of tamponade can be modified in two ways: (1) echographie signs of tamponade usually present with circumcardiac pericardial effusions may be absent or atypical, or (2) certain echocardiographic features, not previously recognized, may be identified in patients with tamponade and pericardial loculations or adhesions, presumably as a result of increased intrapericardial pressure concomitant with altered anatomy of the pericardial space. Important differences in the two-dimensional echocardiographic profile of tamponade occur in two categories of patients: (1) when extensive anterior pericardial adhesions result in a large loculated posterior effusion, distension of the oblique pericardial sinus with associated left atrial distortion (and occasionally left ventricular posteroinferior wall contour and motion) is noted, and (2) when adhesions selectively tether parts of the ventricular surface to the parietal pericardium, certain peculiar abnormalities of ventricular contour or wall motion are visualized secondary to selective partial 'collapse' of the untethered ventricular wall. These unusual echocardiographie configuration are, in our experience, specific for tamponade in these particular situations.

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