RT Journal Article
T1 Giant pericardial thrombus and cardiac tamponade
A1 Fortuny, Elena
A1 De Agustín Loeches, José Alberto
A1 Capel, Francisco F.
A1 Macaya Miguel, Carlos
A1 Zamorano Gómez, José Luis
AB A 74-year-old man with no previous cardiovascular history was admitted to our intensive care unit because of anterior ST-elevation myocardial infarction. Coronary angiography showed two severe stenoses in the left anterior descending artery, which were successfully treated with two-stent implantation. As complication, the patient presented post-myocardial infarction pericarditis. Pre-discharge transthoracic echocardiogram showed no abnormal findings and the patient was treated with high doses of acetylsalicylic acid. A month later, the patient attended to the emergency room because of sudden syncope. Physical examination showed tachycardia, hypotension, and paradoxical pulse. A transthoracic echocardiogram was performed revealing severe pericardial effusion and a large mass in the pericardial space at the level of the right atrioventricular groove causing severe compression and collapse of right heart chambers (Panels A and B, white arrows; see Supplementary data online, Videos S1 and S2). Doppler echocardiography reported large respiratory variations in both transtricuspid and transmitral inflow (Panels C and D) and the absence of A-wave on the transtricuspid spectral Doppler strip, suggestive of severe right atrium compression resulting in a very small right atrial stroke volume (Panel C). Dilated inferior vena cava was noticed (Panel E). Chest computed tomography confirmed the presence of a 6 × 3 cm low attenuation mass in the pericardial sac (Panel F). The patient underwent emergency cardiac surgery and a large organized thrombus attached to the right chambers was found, which was removed. Ventricular free wall rupture was not detected. The patient had satisfactory post-operative outcome.
PB Oxford University Press
SN 1525-2167
YR 2011
FD 2011-10-01
LK https://hdl.handle.net/20.500.14352/131980
UL https://hdl.handle.net/20.500.14352/131980
LA eng
NO Elena Fortuny, Jose Alberto de Agustin, Francisco F. Capel, Carlos Macaya, Jose Zamorano, Giant pericardial thrombus and cardiac tamponade, European Journal of Echocardiography, Volume 12, Issue 12, December 2011, Page 952, https://doi.org/10.1093/ejechocard/jer185
DS Docta Complutense
RD 26 feb 2026