Pyopericardium presenting with echocardiographic features of pericardial tamponade in an elderly man.
Jih Huei TanZi Qin NgHenry Chor Lip TanSimon VendargonPublished in: BMJ case reports (2018)
A 72-year-old Chinese man presented with mild symptoms of heart failure. Transthoracic echocardiography showed signs of cardiac tamponade though clinically he was relatively well. The option of pericardiocentesis was not carried out due to a narrow window for aspiration with only a thin layer of effusion seen surrounding the apex and right ventricle on subcostal view.Pericardial window was done via a left anterolateral thoracotomy. Intraoperatively, 500 cm3 of purulent fluid was drained. Microbiology screens were all negative. We present the atypical clinical course of this elderly man presenting with a large pyopericardium.
Keyphrases
- left ventricular
- heart failure
- pulmonary hypertension
- mitral valve
- middle aged
- community dwelling
- case report
- cardiac resynchronization therapy
- pulmonary artery
- computed tomography
- high throughput
- left atrial
- genome wide
- ultrasound guided
- aortic stenosis
- aortic valve replacement
- congenital heart disease
- sleep quality
- coronary artery
- physical activity
- coronary artery disease