infected malignant pericardial and pleural effusion
added by Emmel
infected malignant pericardial and pleural effusion
Add Video To Your Social Bookmarks!
Video Information
(87) |
(12) |
(3)
Added: 19-04-2012
Runtime: 0m 10s
Views: 4879
Comments: 4 Current Rating:
(3 Votes)
Runtime: 0m 10s
Views: 4879
Comments: 4 Current Rating:
(3 Votes)
Description
about 60 y old patient with known metastasised lung cancer with condition after radiatio and chemotherapy but with distinct progress under that therapy. The patient was admitted to our ER with severe dyspnoe, tachykardia, hypotension, \"kussmaul\"-sign (inspiratory dilated jugular veins) and peripheral low voltage in ECG. In TTE we could see a pleural and pericardial severe effusion with signs of tampoonade (collapse of RA and RV, undulation of transtricuspidal flow > 45%) and dilated IVC. The results of tapping showed an infection (> 500 leucocytes/µl and malignant cells).
about 60 y old patient with known metastasised lung cancer with condition after radiatio and chemotherapy but with distinct progress under that therapy. The patient was admitted to our ER with severe dyspnoe, tachykardia, hypotension, \"kussmaul\"-sign (inspiratory dilated jugular veins) and peripheral low voltage in ECG. In TTE we could see a pleural and pericardial severe effusion with signs of tampoonade (collapse of RA and RV, undulation of transtricuspidal flow > 45%) and dilated IVC. The results of tapping showed an infection (> 500 leucocytes/µl and malignant cells).
Copyright (c) 2006-2013 Cardiac Echoes and TEEs | EchoJournal. All rights reserved.
Hello,
there was no condition after sterniotomy, but a
condition after making a trans-diaphragmal fistula between pericardial
effusion and peritoneal cavity (unfortunately there were no documents/
results available). In that echocardiographic study I found NO
peritoneal effusion so I conclused that there is an occlusion of that
fistula. You are very right, that pericardial effusion isn´t
circular. In my opinion is that because of malignant fibrinoid
effusion.
Best wishes,
Jörg.
Looks loculated, not much fluid in the posterior aspect, any history
of prior sternotomy?
Hi Pablo!
You are right: there is no swimming heart; there
is a high fluid density, because there are many inflammatory and
malignant cells in. The patient died 12 hours after admission and
tipping the effusion.
AFter that the culture was positive with
gram-positive coccal-cells and malignant cells corresponding to known
lung cancer.
Great clip my friend.!
/>The sign I note is a stiff whole heart...no swinging heart...this
/>Best
Is amazing the LV cavity...very
small and hyperkinetic because of very low preload... LVH?
will be because of fluid density? how many fluid was drained? Electric
alternans in ecg?
The pericardial fluid culture was
positive?
Very bad prognosis, poor man!
Pablo