Occult Cardiac Tamponade Detected by Transesophageal Echocardiography

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Occult Cardiac Tamponade Detected by Transesophageal Echocardiography KEITH H. BERGE, M.D., WILLIAM L. LANIER, M.D., GUY S. REEDER, M.D. Mayo Clinic Proceedings Volume 67, Issue 7, Pages 667-670 (July 1992) DOI: 10.1016/S0025-6196(12)60723-X Copyright © 1992 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Transthoracic echocardiogram of 74-year-old man obtained at bedside in the intensive-care unit. In this parasternal long-axis view, images are poor, but an echo-free area posterior to left ventricular free wall is possible (labeled ?PE). Despite numerous attempts at imaging this area, pericardial effusion could not be definitively diagnosed. No anterior echo-free space is evident. A = anterior; AV = aortic valve; I = inferior; LA = left atrium; LV = left ventricle; P = posterior; PE = pericardial effusion; RV = right ventricle; S = superior. Mayo Clinic Proceedings 1992 67, 667-670DOI: (10.1016/S0025-6196(12)60723-X) Copyright © 1992 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Transesophageal two-dimensional echocardiogram of 74-year-old man obtained at bedside in the intensive-care unit. In this transgastric view, short-axis images of right ventricle and left ventricle are shown. Immediately posterior to both chambers is large, loculated pericardial effusion, which was producing localized tamponade. A = anterior; L = left; LV = left ventricle; P = posterior; PE = pericardial effusion; R = right; RV = right ventricle. Mayo Clinic Proceedings 1992 67, 667-670DOI: (10.1016/S0025-6196(12)60723-X) Copyright © 1992 Mayo Foundation for Medical Education and Research Terms and Conditions