TY - JOUR
T1 - Acute hemorrhagic pericardial effusion manifest as a discrete echo-dense mass in the pericardial fluid
AU - Rosenblatt, S.
AU - Feinberg, M. S.
AU - Hod, H.
AU - Kaplinsky, E.
AU - Motro, M.
AU - Vered, Z.
PY - 1992
Y1 - 1992
N2 - During a period of 2 years, nine patients with a mean age of 69 years (range, 19 to 86) presented with acute cardiac tamponade caused by hemorrhagic pericardial effusion: myocardial rupture after myocardial infarction in 6, traumatic in 2, and aortic dissection in 1. All underwent emergency echocardiographic evaluation and had at least a moderate-sized effusion. In all nine patients a discrete echo-dense mass within the pericardial fluid was observed adjacent to the heart. Three patients died before surgery; six underwent surgery, four of whom survived the operation. Hemorrhagic pericardial effusion was found in all nine patients; the underlying diagnoses were confirmed at operation or pericardiocentesis. It was concluded that acute hemorrhage into the pericardial sac, particularly if pericardial tamponade is present, manifests itself as an echo-dense mass in the pericardial fluid suggestive of thrombus formation. The presence of this finding may help in the decision for early surgical intervention.
AB - During a period of 2 years, nine patients with a mean age of 69 years (range, 19 to 86) presented with acute cardiac tamponade caused by hemorrhagic pericardial effusion: myocardial rupture after myocardial infarction in 6, traumatic in 2, and aortic dissection in 1. All underwent emergency echocardiographic evaluation and had at least a moderate-sized effusion. In all nine patients a discrete echo-dense mass within the pericardial fluid was observed adjacent to the heart. Three patients died before surgery; six underwent surgery, four of whom survived the operation. Hemorrhagic pericardial effusion was found in all nine patients; the underlying diagnoses were confirmed at operation or pericardiocentesis. It was concluded that acute hemorrhage into the pericardial sac, particularly if pericardial tamponade is present, manifests itself as an echo-dense mass in the pericardial fluid suggestive of thrombus formation. The presence of this finding may help in the decision for early surgical intervention.
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AN - SCOPUS:0026556106
SN - 0887-7971
VL - 6
SP - 93
EP - 96
JO - American Journal of Cardiac Imaging
JF - American Journal of Cardiac Imaging
IS - 1
ER -