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European Journal of Echocardiography Advance Access originally published online on September 2, 2009
European Journal of Echocardiography 2009 10(8):987-988; doi:10.1093/ejechocard/jep106
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Transthoracic echocardiography after heart surgery: could pleural view be of some help?

N. Schütz1 and K. Bendjelid2,*

1 Division of Cardiology, Department of Internal Medicine, Geneva University Hospitals, Geneva, Switzerland
2 Division of Intensive Care, Department of APSI, Geneva University Hospitals, Rue Micheli-du-Crest 24, 1205 Geneva, Switzerland

Received 8 June 2009; accepted after revision 4 August 2009; online publish-ahead-of-print 2 September 2009.

* Corresponding author. Tel: +41 223827460; fax: +41 223827470. E-mail address: karim.bendjelid{at}hcuge.ch


  Abstract

The pericardial effusion localized on the upper portion of the right atrium is a classical complication of the post-operative heart surgery setting. This issue is most likely not visualized by transthoracic echocardiography and needs the transoesophageal approach. The present case reports a situation where an associated bilateral pleural effusion permitted a new view of the heart which has been helpful to confirm the diagnosis of tamponade and to re-transfer the patient to the operative room.

Keywords: Pericardial effusion; Heart surgery; Transoesophageal echocardiography; Pleural effusion


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